BACKGROUND: Facial packaged implant is a traditional method of skin graft fixation, but there are shortcomings in the fixation, survival quality, postoperative skin contracture and appearance of skin graft, which should be improved continuously. Objective: To observe the effect of applying the improved metal frame packing implant method on improving the survival quality of facial implants. Subjects and materials: 23 patients with facial burns and post-burn scar deformities, 16 males and 7 females, with an average age of (37±18) years, were admitted to our department. There were 32 surgical implant sites, 8 in the cheek, 20 in the eyelid and 4 in the perioral area. The metal frame materials used in the surgery were 1.0~1.5 gram rubber bands made of medical stainless steel and paper clips were common stationery items, which were sterilized by ethylene oxide and then applied. METHODS: All patients were implanted with 32 facial implants using the metal frame packing method, with the maximum implant area of 18 cm×10 cm. After conventional implant suturing, a circular metal frame was made with 1.0~1.5 gram needles around the perimeter according to the shape of the wound, and then the graft was packed and fixed, and the metal frame was removed in three or four weeks. The main observation indexes: when the packing was removed after surgery, the survival of the skin pieces was observed and recorded, including the survival of the skin pieces and whether there was a “crater phenomenon” of the edge of the implant with a raised edge and a depressed center; when the metal frame was removed three or four weeks after surgery, whether there was an early contracture of the skin pieces smaller than the frame was observed and photographed and recorded. In cases where long-term follow-up was possible, the long-term contracture of the skin fragments was observed. Results: In the 32 wounds of 23 patients, except for one case of partial necrosis of the skin fragment due to incomplete basal reopening, the other 31 wounds had good survival of the skin graft, and the skin fragment was flat, without the “crater phenomenon” of raised edge and depression in the center, and the area of the grafted skin fragment remained the same as that at the time of surgery when the metal frame was removed three or four weeks after surgery, and no early contracture occurred. There was no early contracture. In cases with more than 1 year of follow-up, the contracture was mild and the appearance was satisfactory. Conclusion: The improved metal frame packing implant method can improve the survival quality of facial implants and reduce the contracture of skin fragments.