Simple technique to reduce dog ear formation at the end of skin closure in skin lesion excision

Background: Skin lesions and need for tissue evaluation, makes skin surgery an important part of treatment. Each excision is accompanied by skin repair. One of side effects of lesion excision is dog ear and cosmetic problems, particulary on face. Case Report: A middle age woman presented with an old leishmaniosis scar in her face. she asked how can we remove the lesion with minimal scar. In the planned operation the lesion was excised some deeper fatty tissues at both ends. At the end of wound closure, there was not ant dog ear around wound. Conclusion: There are numerous options to prevent and correct dog ears at the end of skin closure- depending on size and location of the lesion. in our recommended technique, subdermal fatty excision attached to the lesion, may remain minimal extra skin at the end of skin closure.