Dermofasciectomy is a surgical procedure that is mainly used in recurrences and for people with a high chance of a recurrence of Dupuytren's contracture. Similar to a limited fasciectomy, the dermofasciectomy removes diseased cords, fascia, and the overlying skin. The skin is then closed with a skin graft, usually full-thickness, consisting of the epidermis and the entire dermis. In most cases the graft is taken from the antecubital fossa (the crease of skin at the elbow joint) or the inner side of the upper arm. This place is chosen because the skin color best matches the palm's skin color. The skin on the inner side of the upper arm is thin and has enough skin to supply a full-thickness graft. The donor site can be closed with a direct suture.