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Alexander appeared on every cycle of the television program America's Next Top Model as the runway coach to the contestants. As of Cycle 14 of the show, Alexander was replaced as a permanent judge on the panel by Vogue editor at large André Leon Talley. He has also appeared on international versions of Top Model, such as Canada's Next Top Model, Holland's Next Top Model, Korea's Next Top Model, Estonia's Next Top Model and Scandinavia's Next Top Model.