Figure 1.

A residual large soft tissue defect (7 cm × 13 cm) following wide excision of malignant melanoma of the inter-scapular region (a) application of 3 sets of 8 mm TopClosure^® Tension-Relief System to accommodate for tension sutures for stress-relaxation (b) staged closure of wound commencing from low to high tension areas (c) final, high tension wound closure in only 34 min. with no undermining of the skin and no need for a drain (d) full viability of wound edges at 2 weeks (e) 1-year post operation (f)