It is important to manage complex wound in elderly patients as early as possible. Elderly patients are often suffering with various other chronic diseases like diabetes, joint pain, kidney failures and many more.
And in all this, if they get a wound, then it makes it challenging for the doctor to apply the right treatment. And even a small trauma can cause a limb threatening condition if it is not treated in a timely and structured manner.
This is a case study of how advanced skin grafting surgery in Mumbai successfully treated a severe trauma injury to an elderly patient.
The trauma injury was happened to Achilles tendon in the leg region and it was a critical structure responsible for balancing and walking.
This is a case study of how skin specialist Dr. Vishal Patel handled this case with multi-step procedure and with great precision. Let us dive in it.
Case Background - The Minor Accident lead to Major Surgery
An 80+ year old patient was suffered with a traumatic wound on the posterior part of the leg. He was strolling in the garden and then met with a minor accident.
The impact of the incident was appearing low, but the injury caused a defect in the deep soft tissue and it completely exposed the Achilles tendon. And due to this, this problem was concerning. The Achilles tendon region has a limited natural coverage and poor vascularity, and it is highly vulnerable to infection when it is exposed.
It is the weight-bearing region in a body, and if we delay a treatment, it can lead to a long-term mobility problem. The patients had challenges already, and hence this case was put in a high-risk category.
Dr. Vishal Patel, one of the top plastic surgeon in Mumbai, immediately attended the patient and presented a careful staged treatment plan, which involved skin grafting surgery. The patient was brought to his plastic surgery clinic located near Malad and Goregaon, Recon Plastic Surgery & Physiotherapy Clinic.
The patient was already suffering with many chronic diseases which complicated the process of trauma & wound management for the doctor. Patient was suffering with below conditions since long time –
- Long-standing diabetes, affecting microvascular circulation and healing
- Chronic kidney failure, requiring regular dialysis
- Advanced age, reducing regenerative capacity
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
Multi Stage Treatment Plan by Skin Grafting Surgeon - Dr. Vishal Patel
The case was very complex and it is one of the special case of a multi step surgical approach taken for treating a Trauma injury in Mumbai, India.
Skin grafting specialist at Recon Plastic Surgery & Physiotherapy Clinic in Mumbai, Dr. Vishal Patel suggested a multi step reconstructive surgery in Mumbai which spanned over 2-3 weeks of treatments.
The aim of this approach of trauma surgery is to slowly preparing the wound for closure and also minimize the risk of infection. Below are the stages of this multi-step skin grafting surgery in Mumbai happened in March 2026.
- Immediate surgical debridement to remove dead and infected tissue
- Use of artificial dermal matrix to cover the exposed tendon and promote tissue regeneration
- Two stages of vacuum-assisted (VAC) dressing to enhance healing and improve vascularity
- Final split thickness skin grafting procedure to achieve complete wound coverage
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
Wound Condition Before Skin Grafting Surgery in March 2026
Look at below photos of patient’s wound before the final skin graft is applied by Skin graft specialist Dr. Vishal Patel.
The patient was brought to Recon Plastic Surgery & Physiotherapy Clinic when patient already had 1 round of vacuum dressing done at another general surgeon in Mumbai.
Wound on Day 1 of Patient visit to Dr. Vishal Patel
Wound after 1st Debridement Treatment by Dr. Vishal Patel
Wound after First Vacuum Dressing in Mumbai by Dr. Vishal Patel
This is the condition of wound and is ready for skin grafting surgery in Mumbai to be done by skin specialist – Dr. Vishal Patel.
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
Use of Artificial Dermal Matrix by Dr. Vishal Patel
Dr. Vishal Patel has used artificial dermal matrix on the wound before he performs skin grafting surgery. The dermal matrix was of brand MatriDerm. It is a high tech scaffold that is used in reconstructive surgery so as to help the body regrow its own skin.
This dermal matrix is typically used in conjunction with the skin grafting step for better results.
Please note, the body’s natural skin graft is used to replace outer layer of the skin. But, this dermal graft is used to help rebuild deeper, structural layer of the skin (i.e. dermis).
Below is the photo of this brand new dermal matrix used before the skin grafting procedure.
And below is the photo of wound after the above dermal matrix is applied by reconstructive surgery specialist – Dr. Vishal Patel in Mumbai.
The wound is now ready for skin grafting surgery to be executed on 28th March 2026.
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
The Skin Grafting Day - 28th March 2026
On the final stage of treatment, Dr. Vishal Patel had done the skin grafting procedure on 28th March 2026.
This procedure was done after achieving a well prepared and healthy wound by executing various stages of treatment as mentioned above
On the day of dermal grafting surgery in Mumbai, Dr. Vishal Patel prepared a split thickness skin graft. This graft was harvested from a donor area in the thigh region. You can see in the below photo how Dr. Vishal Patel is doing skin harvesting from the thigh region.
Once the graft is harvested, it needs to be prepared for usage. The process is called Meshing. After a thin layer of healthy skin (the graft) has been harvested from a donor site, it is placed onto a sterile, hard surface such as wooden board as shown in the photo below. As you can see, Dr. Vishal Patel is using the scalpel to create small incisions throughout the harvested graft.
The skin graft was carefully placed over the wound. Skin grafting surgeon Dr. Vishal Patel gave special attention during this stage so as to ensure graft is placed properly as it is the weight bearing area of the body.
Below is the final photo of wound after the skin grafting surgery in Mumbai is done by Dr. Vishal Patel. The surgery was called as Successful and patient was given the discharge.
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
What Dr. Vishal Patel has to say about this case of Skin grafting in Mumbai?
Managing exposed tendon wounds, especially in elderly patients with comorbidities, requires a staged and carefully planned approach. Direct skin grafting is not possible over an exposed tendon, so we used a dermal matrix to create a suitable base, supported by VAC therapy to promote healing. Timely intervention and proper sequencing of procedures are key to achieving successful outcomes in such complex cases
– Skin Grafting Specialist – Dr. Vishal Patel
Before & After Photo of this Skin grafting surgery
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
Conclusion - Skin Grafting Surgery on Achilles Tendon
This case of skin grafting in Mumbai is a strong example of how modern reconstructive techniques and timely intervention can successfully manage even the most challenging wounds.
In an elderly patient with multiple health complications, a staged approach involving debridement, dermal matrix application, VAC therapy, and skin grafting in Mumbai led to effective coverage of the exposed Achilles tendon.
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Dr. Vishal Patel - Best Skin Grafting Surgeon in India
(Connect with Dr. Vishal Patel – Plastic Surgeon in Mumbai, on above social media channels.)
Dr. Vishal Patel is a highly experienced skin grafting specialist in Mumbai. He is a board certified plastic surgeon with expertise in reconstructive surgeries of complex wounds.
He is highly skilled in advanced wound reconstructive surgeries such as skin grafting and trauma management surgeries. Dr. Vishal Patel is a skin grafting surgeon in India with 15+ years of experience in Mumbai.
Dr. Vishal Patel has done numerous high risk surgeries, which involved skin grafting for hand burns, trauma injuries, and critical surgeries like surgeries of Tendo Achilles area.
Dr. Vishal Patel also work as a consultant plastic surgeon at reputed plastic surgery hospitals in India like Kokilaben Dhirubhai Ambani Hospital in Andheri west in Mumbai.
Address:
Recon Plastic Surgery & Physiotherapy Clinic,
302, Corporate Corner, Next to Dalmia College, Mandlik Nagar, Sunder Nagar, Malad West, Mumbai, Maharashtra 400064
Phone: 9004983316
Take the first step towards proper wound healing with best skin grafting surgeon in India – Dr. Vishal Patel. Get flat 30% Off on skin grafting surgery cost with no cost EMI finance options. Book now!
Medically Reviewed
Page Written & Medically Reviewed by – Dr. Vishal Patel (MBBS, DNB – General Surgery, DNB – Plastic Surgery)
Page last updated at – 2-4-2026
