Skin Graft Mesher is the tissue expansion system, widely use in skin grafting and reconstructive surgery process. While surgery, surgeons take small and thin piece of skin (donor skin) from other part of the body, expand it using skin graft mesher and graft it on large affected skin. With combination of demra carrier pad, skin graft mesher cuts the skin and turn it into mesh form, that can be expanded. Skin graft mesher can expand skin in multiple ratios by using the derma carrier of specific ratio type. Nothing needs to be change in skin graft mesher itself to achieve the different mesh ratios.