Recycled skin grafting for severe hidradenitis suppurativa

The photo above (A) shows the buttocks of a 57-year-old male with debilitating hidradenitis suppurativa prior to skin grafting. He underwent staged excision and grafting first on the left side using "recycled skin." After several months, the procedure was repeated on his right side. The skin was harvested from the involved areas with a dermatome at a thickness of 0.012 inches and meshed at 2:1. The inflamed deeper layers of the skin and subcutaneous tissues were excised and the graft applied to the fascia and secured using negative pressure wound therapy for five days. The photo below (B) shows him with healed buttocks three months following surgery.