Abstract Background: Conventional split thickness skin grafts have some drawbacks, such as pain, pigmentation
changes, hypertrophic scarring, delayed healing, inadequate skin at the donor sites. The author previously
reported a modification of skin graft, laminated skin grafts, that can reduced these drawbacks.
Patients and Methods: This article reported another technique of harvesting four layers of thin split
thickness skin grafts simultaneously in one stage. During the past 2 years, 24 patients received skin grafts using
this technique, 16 males and 8 females, ages ranged from 19 to 60 years. The dimension of skin grafts averaged
3.5 cm in width and 6.4 in length.
Conclusion: After 15 months, the author observed that 1) the area of donor site was greatly reduced; 2)
the cosmetic effect was satisfactory; and 3) rehabilitation was achieved early. Nevertheless, this technique had
some drawbacks such as scaling, temporary milia and longer operative time.

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