Some time ago, there was a mother of a child with syndactyly in the clinic. She came alone with her child, who was about 2 years old and had syndactyly on her left foot. Unlike many parents, this mom came to the clinic “prepared”, what kind of preparation did she make? She wrote a lot of questions about syndactyly on her cell phone, and of all the questions, she said she was most concerned about the difference between implants and skin grafts, and so was the father, so she hoped that I could tell her more about it. The question of implants and no-implants is one that many parents are concerned about, and I’ve talked about it in previous articles and videos. The biggest difference between them is that skin grafts need to be taken from other parts of the body, usually we will take the skin from the child’s tummy so that there will be scars in the donor area, and after the tummy skin is grafted onto the hand, the color of the skin in the recipient area will not be the same as that of the surrounding skin, and there will be hyperpigmentation. Artificial dermis-induced graft-free grafts do not require skin grafting, the artificial dermis is applied to allow the surrounding skin to grow towards the center. After learning some of the differences between dermal implants and dermal-free implants, the mother said it sounded like dermal-free implants were better. In fact, it is not only the parents who think so, but also the parents who think that when we do syndactyly, we usually use the no-implant method. But one thing parents need to understand is that once the implant has survived, it heals faster, usually in about three weeks the wound can basically be exposed to water, while the artificial dermal implant-free healing will be a little slower, it takes about five or six weeks, some babies grow faster, four weeks, some babies grow slower, it takes about eight weeks.