Very Interesting. Suggestions?

I have a 35 year old patient with an unusually severe case of Grave’s Dermopathy. She has had two previous attempts at removal; one sharp dissection down to Sub Q tissue followed by skin graft

I have a 35 year old patient with an unusually severe case of Grave’s Dermopathy. She has had two previous attempts at removal; one sharp dissection down to Sub Q tissue followed by skin graft

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Very Interesting. Suggestions?