Cosmetic procedures frequently result in acute cutaneous wounds. Acute wounds arise from a brief event recognized as the wound cause, including surgery, physical trauma, and chemical trauma such as a chemical peel or burn. Chronic wounds are generated by unresolved continuing insults. For example, pressure ulcers may occur as a result of damage to tissue by prolonged pressure, friction, and/or shear forces. Venous ulcers occur as cells “drown” in local edema resulting from venous insufciency. Diabetic neuropathic foot ulcers arise from trauma associated with loss of protective sensation with up to 50% complicated by peripheral arterial disease.1 Arterial or ischemic ulcers are caused by tissue damage when deprived of the blood supply by peripheral arterial disease.