Facial plast Surg 2016; 32(06): 646-655
DOI: 10.1055/s-0036-1596049
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Optimizing the Soft Tissue Triangle, Alar Margin Furrow, and Alar Ridge Aesthetics: Analysis and Use of the Articulate Alar Rim Graft

Jennifer L. Goodrich
Department of Facial Plastic and Reconstructive Surgery, University of California Irvine, Orange, California
B. J. F. Wong
Division of Facial Plastic Surgery, University of California Irvine, Orange, California
› Author Affiliations
Further Information

Publication History

Publication Date:
29 December 2016 (online)


The alar lobule, alar margin, and soft triangle facet are receiving more attention in the literature as critical elements to address both preoperatively and during rhinoplasty. We have found that the use of the articulated alar rim graft (AARG) corrects deficiencies in these areas as well as provides mechanical stability to the external valve. In this article, we describe indications for AARG, describe in detail the procedure for AARG placement, and highlight the transformation AARGs can achieve in two illustrated case studies.