Objective: This study aimed to evaluate the application of cosmetic incisions for benign tumors located in the superficial lobe of the parotid gland and to identify the optimal incision type based on tumor location. Methods: A retrospective analysis was conducted involving 114 patients with benign parotid tumors who underwent parotidectomy utilizing “V-shaped,” pre-auricular crutch, or “N-shaped” incisions. Post-operative outcomes were meticulously recorded, including operation time, drainage volume, incidence of temporary facial paralysis, occurrence of salivary fistulae, and patient satisfaction levels Results: All surgical procedures were successful, with no significant recurrence of tumors observed during the follow-up period ranging from 6 to 18 months. The rates of temporary facial paralysis and salivary fistula did not demonstrate any significant differences among the various incision types. Notably, patient satisfaction scores were significantly higher for pre-auricular crutch incisions (10.0) compared to “V-shaped” (9.0) and “N-shaped” (8.0) incisions. Subgroup analyses indicated that “V-shaped” incisions proved superior for small tumors situated in the middle parotid area concerning both operation time and drainage volume Conclusion: The selection of an appropriate cosmetic incision tailored to tumor characteristics can enhance postoperative satisfaction levels. While “N-shaped” incisions fulfill clinical requirements effectively, “V-shaped” or pre-auricular crutch incisions may be favored for improved patient satisfaction— particularly for small to medium-sized tumors located in specific areas