Surgical Pearl: Thermoplastic bolster dressing for full thickness skin grafts Journal of the American Academy of Dermatology Effectiveness of double tie over dressing compared with bolster dressing Plastic Surgery Photos Dermatological Surgery Springer Nature Link This patient in her 60s, healthy, had an ankle lipoma that was excised by a colleague. She necrosed her incision, a large wound developed. He did an operative debridement with integra graft.