The principle of stretching wound margins for primary wound closure is commonly practiced and used for excessive tension and complicated during wound closure. They were invasive by nature and associated with relatively high localized tissue pressure, frequently leading to necrosis, damage and tearing of skin at the wound margins. To assess the clinical effectiveness and performance and, to determine the safety of TopClosure® for gradual, controlled, temporary, noninvasive and invasive applications for skin stretching and secure wound closing, the TopClosure® device was applied to 10 patients for secure closure of a variety of wound sizes. TopClosure® was reinforced with adhesives, staples and/or surgical sutures, depending on the circumstances of the wound and the surgeon’s judgment. No significant complications or adverse events were associated with its use. Following surgery, it was used to secure closure of wounds under tension, thus improving wound aesthetics. A sample case study will be presented.