**8. Cranial bone graft donor site reconstruction**

The most important concern, in my entire experience with cranial bone grafting procedures, is managing the donor site of the bone graft, such as the donor site cavity through harvesting and weakening of the cranium. The most frequent patient complaint, following cranial bone grafting for esthetic indications, is the presence of a cavity at the donor site. I previously described a technique for cranial bone graft donor site reconstruction. The cranial bone graft donor site is reconstructed with tiny bone chip lamellae that are harvested from the area that is adjacent to the donor site. This approach to cranial bone grafting appears to have high patient acceptance. Our 15-year experience with donor site reconstruction following cranial bone grafting has demonstrated that the procedure is simple, safe, and satisfying. Herein, we provide a detailed description of our technique for donor site reconstruction.
