ABSTRACT
Conventional S-plasty is a modified method showing favorable results compared with the standard fusiform excision. The modified S-plasty can greatly reduce the tension of suture lines as well as the length of the suture by approximately two thirds. It therefore obtains excellent aesthetic outcomes. So far, skin grafts or flaps have been used as a general method when a simple primary closure is impossible, but these are complex and take much time. In this case, we can get better surgical and aesthetic results by using the modified S-plasty instead. The scar is more natural if a curved line is sutured along the skin crease of the forehead or nasal area on the face. We surgically removed skin tumors in 4 cases by using the modified S-plasty. All resulted in good aesthetic outcomes.