Porcelain white grafts portends poor prognosis for graft survival
Necrosis due to inadequate arterial supply and/or excessive tension; infection, hematoma, or dehiscence also results in decreased local circulation and subsequent necrosis if not treated properly
May initially see pallor or cyanosis followed by dark brown-black color with hard eschar
Treat conservatively; do not debride early necrosis (without evidence of infection or hematoma) as the superficial eschar will act as biological dressing
