Inclusion Criteria:  18 years of age or older Able to give informed consent themselves Patient scheduled for cutaneous surgical procedure on the head or face for which a full thickness skin graft will be used as part of the reconstruction or has a lesion that will be excised in mastoid area of the neck, behind the ear. Willing to return for follow up visit.  Exclusion Criteria:  Wounds predicted to be less than 3 cm in size after closure. Unable to understand written and oral English Incarceration Under 18 years of age Pregnant Women