AbstractAll deeper burns i.e. second degree deep dermal and full thickness heals by scarring that causes restrictions in the movements and aesthetics issues for patients. Burn reconstructive surgery requires that the defects after release should be replaced with donor tissues which have matching texture and colour like autologous skin grafting or flap surgeries. Here we are using this method to look for role in management of failure of take of FTSG in a case of post burn contracture. Full thickness skin grafts include full thickness of the epidermis and dermis whereas split thickness skin grafts (STSG) include the entire epidermis and only partial dermis. The main complication of this procedure is risk of graft failure. Keratinocyte cells suspension is claimed to hasten the wound healing. In this article, we share our experience of using noncultured keratinocyte grafting (NCKG) in improving the take of pixel grafting following full thickness skin graft (FTSG).