Abstract: Objective：To explore a new method for tensile suture of wounds with a lot of tension after flap resection.Methods：Fifteen patients with skin defects were selected. Kirschner wire was used to penetrate the dermal layer of the skin margin. The subcutaneous dermal flap was advanced by the rapid traction of the Kirschner wire and the subcutaneously enhanced tensile lining suture. The subcutaneous dermal flap was attached to the deep layer of the opposite side to distribute the tension to subcutaneous, then the wound was closed layer by layer.Results：A total of 15 flap donor sites were primarily closed, the operation time was shortened, number of operation was minimized, and the wound got the primary healing.Conclusions：This technique of skin stretching combined with enhanced tensionresistant lining suture is suitable for wound suture in donor site with high tension.