Objective To introduce a surgical technique of two directions folding of platysma flap in reconstruction for cervical cicatrix contracture.Methods Fifteen patients with cervical scar contracture were treated with split to full thickness skin grafts,combined with platysma flap double directions folding that deepen cervico-mandibular angle and cover scar section.Results All skin grafts survived and natural cervical appearance with smooth transition and improved activity were achieved.Conclusion The new technique of two directions folding of platysma flap was proved to be effective in the treatment of cervical scar contracture.