ABSTRACT Background: The motive of this study was that the results of some cheek scars revisions may appear to be disappointing owing to their sites or direction even with much efforts. By using tissue expanders, the scars repositioning and reorientation in relation to the cheek unit borders and Resting Skin Tension Lines (RSTLs) may provide the basis of superior results in scar revision and management. So, we aim to demonstrate the effect of cheek skin expansion by tissue expanders on scar repositioning and reorientation to achieve a superior aesthetic outcome. Methods: This prospective study was conducted on 13 patients with obvious linear (8 cases) or irregular (5 cases) cheek scars who were willing to move these scars to less conspicuous sites. We used rectangular tissue expanders in all cases with (40 to 200ml.) capacity. They were selected suitable to be inserted under the donor tissue and generate the proposed expansion required for scar repositioning. Results: The concept of complete moving the scar outside the cheek unit (optimal revision) has been applicable to 5 in 13 patients (38.5%). However, suboptimal revision has been applicable in the form of scar reorientation typically in RSTLs succeeded in 5 of 13 patients (38.5%) or repositioning the scar outside the malar region in one case (7.7%). Partial revision in the form of incomplete scar resection occurred in 1 case (7.7 %). Only in one case (7.7%), the expansion was aborted due to early wound dehiscence (failure). In 10 out of 13 tissue expansion cases (77%) were achieved without complications. At the same time, one minor complication has occurred in one patient i.e. hematoma (7.7%). Major complications have occurred in 2 cases i.e. expanders were exposed (15.4%). Conclusion: Facial tissue expander usage in repositioning and revision of linear and irregular cheek scar is a reasonable approach in obtaining superior aesthetic results.