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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.
Alar wedge resection. A, Wedge excision completed on the left and planned on right. Note the alar flare, the incision in the alar-facial groove, and the preservation of the nostril sill. B, Wedge excision. C, Placement of deep stitch. D, Simple interrupted closure. E, Reduced flare (base view). F and H, Preoperative photos showing alar flare.