The “Y” or “S” incision is commonly used in parotidectomy. Either of these two incisions leaves a significant scar on the neck. In addition, an obvious depression in the retromandibular region almost always results from either superficial or total parotidectomy. These disfiguring sequelae often cause patient’s emotional stress and embarrassment, especially in young female patients or those who tend to suffer keloid. A modified rhytidectomy incision combined with rotating the superiorly based sternocleidomastoid flap upward and forward to cover the surgical defect in parotidectomy was performed at our department in recent 3 years. It has produced more aesthetic appearance. Seven of the eight patients who received this procedure had excellent results. The eighth patient had minor scarring but she was highly satisfied.