Burns in the neck have a significant impact on the function and appearance of the patient, especially in terms of function. The movement of the neck is mostly reduced with the contracture of the scar, and patients experience symptoms such as lower lip or even lower lid ectropion and severe cervical pain. For patients whose scar is still unstable within six months of the burn, the risk of local application of dilator treatment is higher. The reasons for this are: 1) the patient is in the proliferation phase of the scar and the collagen metabolism is disturbed, which can easily form a contracture of the expansion envelope, resulting in the dilator “not being able to fight”; 2) the dilator is placed at the edge of the scar and the immature scar is repeatedly infected and broken, which can easily form dilator infection and leakage. For patients with unstable scar, if the neck symptoms are serious, early dilatation treatment is also possible. The method of distant flap expansion with tip transfer is applied, and surgery is performed while the scar is mature to relieve symptoms and improve functional appearance as soon as possible.