Correction of alar rim protrusion after direct closure of small alar defects

Figure 1. Patient 1: After direct closure of the defect perpendicular to the alar free margin, an alar downward protrusion is created (A). An area of skin with the same length and width as the protrusion is excised parallel to the alar rim at the inferior end of the suture (B). This secondary defect is then sutured, pulling upward the alar rim and repairing the protrusion (C, D). Figure 2. Patient 2: After direct closure of the defect perpendicular to the alar free margin, an alar downward protrusion is created (A, B). An area of skin with the same length and width as the protrusion is excised parallel to the alar rim at the inferior end of the suture. This secondary defect is then sutured, pulling upward the alar rim and repairing the protrusion (C, D).图1 患者1：沿鼻翼游离缘（alar free margin）垂直方向直接缝合关闭皮肤缺损后，形成鼻翼下突（alar downward protrusion）（A）。于缝合线下端处，平行于鼻翼缘（alar rim）切除一块长宽与该突起一致的皮肤区域（B）。随后对该继发缺损（secondary defect）进行缝合，将鼻翼缘向上牵拉，以此修复该突起畸形（C、D）。 图2 患者2：沿鼻翼游离缘垂直方向直接缝合关闭皮肤缺损后，形成鼻翼下突（A、B）。于缝合线下端处，平行于鼻翼缘切除一块长宽与该突起一致的皮肤区域。随后对该继发缺损进行缝合，将鼻翼缘向上牵拉，以此修复该突起畸形（C、D）。