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risk of graft necrosis from the limited vascular support and the inability to fill deeper defects, as subcutaneous fat is usually trimmed from the graft to enhance survival. 2,3 Additional possible complications include pin-cushioning, persistent dyschromia, and graft failure secondary to skin-edge tension associated with primary closure of the adjacent donor site. 2,3 In patients who prefer to avoid more involved surgical approaches, a local Burow's graft provides a simple, singlestage, single-site reconstructive option to minimize surgical intervention, and maximize cosmetic and functional outcomes for small-(<1.5 cm) to moderately-sized (1.5-2 cm) helical rim defects.

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