Her hair extensions caught fire. Fourth-degree burns to the face.

a-b) The burn on admission. (c) The burns were excised and covered with allograft. It is clear that the frontal region is not viable. (d) The outer table of the occipital skull has been burred to induce granulation tissue. (e) The left eyelids were lost, and she eventually lost her left eye. (f) The face was covered with Integra TM . Image shows the Integra on the day of delamination-it was vascularized with only small pockets of infection. (g-i) The viable wounds were covered with the same principle of minimizing seams. The 6-inch dermatome was used. (j-l) The face approximately 6 months after autografting