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Park-Weir Excision for Flaring Alar Correction  

Han, Sung-Bum (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, College of Medicine, Yonsei University)
Park, Beyoung-Yun (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, College of Medicine, Yonsei University)
Publication Information
Archives of Plastic Surgery / v.38, no.5, 2011 , pp. 674-678 More about this Journal
Abstract
Purpose: Straight closure line of classic Weir excision leaves visible scars and makes it difficult to precisely approximate resection margins. Hence this study introduces Park-Weir excision that effectively reduces alar width with minimal alar rim scar by 3-dimensional zigzag incision and properly controls the approximation of edges. Methods: From 2008 to 2010, 14 patients underwent Park-Weir excision, crossed wedge excision on alar rim not exceeding 5 mm in width. Each patient was photographed in the same position. Alar width and columellar height against intercanthal distance was compared preoperatively and postoperatively, using image analysis software. Results: Five patients were female and nine were male. Average follow up period was 8 month. Alar width was reduced by 50.50% to 45.96%, original alar width reduced by 8.98% without significant changes in columellar height which was reduced by 0.39%. No visible scar was reported during outpatient follow-up. Conclusion: Park-Weir excision effectively reduces alar width and corrects the flaring of alar without affecting the columellar height. Zigzag incision of Park-Weir excision leaves aesthetically more pleasant scar than straight single incision of classical Weir excision.
Keywords
Alar flare; Weir excision; Park-Weir excision; Zigzag incision;
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