Might mean (unverified): Transplant lower-quality tissue surgically.
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We found one dictionary that defines the word downgraft:

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  1. downgraft: Wiktionary

Definitions from Wiktionary (downgraft)

noun:  (surgery) A surgical grafting procedure that involves downward (inferior) movement, usually of the maxilla, done for reconstructive purposes, as for improved cosmesis or for posttraumatic restoration.
verb:  (surgery) To perform a procedure of the downgraft type; to move a body part downward (inferiorly), usually the maxilla.

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