Park-Weir Excision for Flaring Alar Correction.

Han, Sungbum; Park, Beyoung Yun

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(5):674-678.
Published online September 1, 2011.

Park-Weir Excision for Flaring Alar Correction.

Sungbum Han, Beyoung Yun Park

Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, College of Medicine, Yonsei University, Seoul, Korea. bypark53@yuhs.ac

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 5mm 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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