With refinement and better understanding of Plastic Surgery, there is increasing expectation of aesthetic outcomes after resurfacing of wounds. The major problems in resurfacing procedures are tissue bulk, donor site issues, excessive scarring and distal edema due to damaged lymphatics and veins after flap harvest from adjacent areas in the extremities. Ultra-conservative debridement simplifies reconstruction by reducing the need for flaps and improves the chances of skin graft take through limited access dressing, which can improve the final aesthetic result following reconstruction. In this paper, we describe three representative cases treated under limited access dressing.