Roy S, et al. - This study encompassed an assessment of the aesthetic outcome of W-plasty vs traditional straight-line (SL) trichophytic closure techniques on posterior occipital hairline scars in rhytidectomy. Highly acceptable and similar cosmetic outcomes could be obtained via primary W-plasty and SL trichophytic closures in the posterior occipital hairline, under objective blinded evaluation. These techniques could aid in minimizing conspicuous scarring after rhytidectomy.