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PROF. DR.KORAY COŞKUNFIRATPLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGERY Appointments
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RECONSTRUCTION AND MICROSURGERY

Soft Tissue Reconstruction After Trauma

Plastic surgery repair options for skin and soft tissue losses after injury. New and severe injuries require emergency department evaluation.

PATIENT INFORMATIONAbout 3 minutes readingBack to repair & microsurgery
Prof. Dr. Koray Coşkunfırat is in the operating room, with a surgical mask and headlamp.
Prof. Dr. Koray Coşkunfırat is in the operating room.

Overview

Injuries can cause loss of skin and soft tissues under the skin. Plastic surgery evaluates repair options to close these areas and preserve as much structure and function as possible. The location of the wound, its size, blood supply and surrounding healthy tissues affect the method that can be used. Direct closure of a small area and covering a larger loss with tissue taken from another area are different procedures. In some cases, treatment is planned in stages. Any scars or shape changes remaining after the initial healing can also be evaluated. For severe and recent injuries, the priority is immediate medical evaluation; This guide is not a first aid instruction.

What is evaluated?

  • The size, depth and location of skin and soft tissue loss are examined.
  • The contamination of the wound, its blood supply and the viability of the surrounding tissues are evaluated.
  • Health history and conditions that may affect wound healing are reviewed.

Approach and options

  • Cleaning and direct closure can be considered in suitable wounds.
  • Depending on tissue loss, a skin graft or a flap prepared from surrounding tissue can be used.
  • For larger losses, tissue transfer from a distant area and gradual repair can be planned.

Recovery and follow-up

Healing varies depending on the extent of tissue loss and the method of repair. Dressings and controls are planned for both the repair area and the area from which tissue is taken, if any. The recommendations of the surgical team about preserving the area and returning to daily life are followed. Scar and tissue characteristics may change throughout healing.

Risks and limits

  • Infection or delayed wound healing
  • Failure of the transferred tissue to hold or circulation problem
  • Noticeable scar, tissue color or difference in sensation
  • Need for additional repair work

The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.

You can ask in the consultation

  • What repair options are being considered for tissue loss?
  • What is the rationale for graft or flap selection?
  • How will dressings, follow-up checks and the return to daily activities be planned?

Resources

Access to sources: September 2026. The content has been prepared for general information purposes.

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