The W-plastic scar revision is the surgical technique by which a straight or curved antitension line(ATL) linear scar is changed into a zigzag pattern without tissue rotation. The scar is improved mainly by breaking up the bowstring effect of the long straight scar contracture, by redirecting the course of the malaligned scar and by unscarred tissue blending into the W-shaped scar. Although this technique is not easy, takes more operation time, and sacrifices some normal skin to increase the tensile strength of skin, ATL linear scar in forehead, cheeks and chin can be treated effectively with it.