This is a niche technique useful for reducing the size of a defect prior to flap or graft repair in wounds under marked tension. It is most commonly employed on the scalp, trunk, and extremities, though its use has been described elsewhere as well. It should probably be avoided on the face, where possible anatomical distortion, as well as the long-term fibrotic bands from the placement of these sutures, are undesirable. Of note, this technique does not entirely close a defect; instead, it serves to pull the wound edges closer together, reducing the size of the defect prior to definitive closure.