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Micro dermal graftilizers are an advanced technology used in facial reconstruction surgery.
They require a massive amount of skill to use, and following the Great War, they are only used by elite groups and expert scientists. The Institute in the Commonwealth possess them and show surprise at Horace Pinkerton's ability to find one in the Capital Wasteland. A micro dermal graftilizer was used in the facial reconstruction of A3-21.
Micro dermal graftilizers are mentioned only in Fallout 3.