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The alar crease (alar facial groove) is the junction between the nose and cheek and is an important landmark to be preserved in rhinoplasty surgery. A cephalically positioned alar facial junction will lead to a snarled appearance to the nose, while a caudally positioned alar facial junction can lead to alar hooding.
In addition, the ï¬nal appearance should not distort or ablate. the natural alar crease, the nasolabial fold, and the upper lip. There are many options for repairing surgical defects in. the lateral portion of the upper cutaneous lip. These. include linear closure, island pedicle ï¬ap, and skin graft.