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Smartlifting™ vs. Facelift Procedures

Beautiful WomanMany patients come to a consultation at our Denver practice with the idea that a traditional facelift will meet all their needs. While this is likely true, they are often happy to discover that Smartlifting™ is an excellent alternative that will give them the results they desire along with a shorter recovery time and several added benefits. Here is how the two procedures compare.

Facelift Procedures

Facelift procedures will correct just about all aging concerns of the mid and lower face; they improve or completely remove facial wrinkles around the mouth, define the jawline, and improve the appearance of the neck. Facelift surgery is usually performed with general anesthetic.

  • The mini facelift involves limited incisions in front of the ear. Recovery is generally five to seven days.
  • The standard facelift requires incisions that go around the ears and extend into the hairline. Recovery is generally seven to 10 days.
  • The full facelift (also called the deep plane facelift) uses the same incisions as the standard facelift but extends to correct the deeper layers of the facial tissue. Recovery is generally 10 to 14 days.

Smartlifting™

Smartlifting™ provides results that are similar—and in some cases even better—than a traditional facelift.

Less Invasive

While a traditional facelift uses surgical tools to manipulate facial tissue and skin, Smartlifting™ uses a laser beneath the skin to tighten and improve the underlying structures. It also requires smaller incisions than with a traditional facelift, which contributes to a much shorter recovery time.

Uses Local Anesthesia

Local anesthesia is typically used during Smartlifting™, which increases patient safety. A traditional facelift alone is accompanied by the risks of surgery in addition to the risks of general anesthesia. A traditional facelift can also take up to five hours to complete, while surgery time with Smartlifting™ is much shorter.

Less Swelling and Bruising

Because of the less invasive technique of Smartlifting™, there is less swelling and bruising after surgery. Most patients feel comfortable appearing in public just a few days after treatment, compared to at least 10 days of recovery with a traditional surgical facelift.

Customizable

The laser-assisted Smartlifting™ procedure will provide the most dramatic results, but even less invasive options are available with this technique. Laser Facial Sculpting™ with Smartlifting™ involves very small incisions that are not more than one centimeter in length. Heat from the laser along with liposuction on select areas of the face provide the overall result. The laser is also applied to the outer layers of the skin to further skin tightening and improve the quality of the skin.

Patients can choose a slightly more effective treatment with an UltraMiniLift™, which is a mini facelift with assistance from the Smartlifting™ laser. It requires a very short incision and can be performed in under an hour with local anesthetic.

Dr. Khoury is one of the few surgeons routinely offering the Smartlifting™ technique in the United States and teaches courses to other surgeons on how to perform this procedure. To discover the customized treatment that will meet your needs, schedule a consultation with Dr. Khoury by calling (720) 475-8400. You may also fill out our contact form at your convenience.

Is Eyelid Surgery Right for Me?

Cosmetic eyelid surgery, also called blepharoplasty, will take years off of one’s appearance and provide an overall refreshed look to the face. The procedure can be performed on either the upper eyelids, lower eyelids, or both, and it is a popular choice for both men and women.

Eyelid Surgery Before and After Photos

Many patients want to improve the areas around their eyes but are unsure if this particular procedure is ideal for the results they desire. Since no two patients are alike, the best assessment will be determined during a face-to-face complimentary consultation with Dr. Khoury. To start, here are a few ways to determine if eyelid surgery may be the right choice for you.

Can You Relate?

Sagging Upper Eyelids

Excess skin on the upper eyelids can make you appear to express certain emotions you are not feeling. Others may think you are tired, sad, or upset when you actually feel happy or indifferent. The upper eyelid lift will improve this by removing excess skin. A forehead lift is another option that will lift the forehead, which may also tighten the upper eyelids. Dr. Khoury will make a full assessment of your facial anatomy to determine whether the sagging is caused by the tissue and muscles of the forehead pushing downward on the brows. Either procedure will create a refreshed appearance that will help your true emotions show through.

Discomfort or Blocked Vision

If your upper eyelids are drooping to the point where they cause discomfort or impede your vision in any way, upper eyelid surgery (or a forehead lift, as mentioned above) will improve it. In some cases, your surgery may be covered by insurance. If your ophthalmologist has determined that you have visual field obstruction and require surgery to correct it, that is all the information the insurance company needs. Dr. Khoury is free to determine the exact procedure and technique that will solve the problem and give you aesthetically pleasing results.  

Puffy Upper Eyelids

If you have a puffy or swollen appearance below your brows, an upper eyelid lift will remove any excess fat and tissue to provide a smooth and natural appearance. The effect will be subtle, without changing the unique characteristics of your eyes that make you recognizable.  

Under-Eye Bags, Droopiness, and Dark Circles

A lower eyelid lift will address bags beneath the eyes, dark under eye circles, and drooping lower eyelids. Sometimes a facelift can also add improvement in this area, but if these few things are your main concern, a lower eyelid lift is likely the best option.

“Crow’s Feet” and Droopy Outer Brows

If smile wrinkles around the eyes, also known as “crow’s feet,” are a concern, a temporal brow lift may be the ideal procedure. It mainly addresses the outer area of the brow nearest the temple to correct minimal sagging and wrinkles; a full brow lift (sometimes referred to as a forehead lift) will lift the entire position of the brow.
If you are interested in any facial sculpting procedure offered by Dr. Edmon Khoury, please call (720) 475-8400 or fill out our online contact form today.

Is a Mini Facelift Right for Me?

We all know that facelifts are designed to correct sagging facial tissue. However, did you know that there is more than one way to perform a facelift? Some varieties of this procedure include the standard facelift, neck lift, and mini facelift. Mini facelifts are becoming more popular as younger patients wish to correct mild facial sagging that cannot be treated using facial fillers. So, you may be wondering whether a mini facelift is right for you.

Facelift Before and After

Mini Facelift vs. Standard Facelift

A standard facelift is designed to correct facial sagging in the cheek and jawline areas. Patients with laxity in these areas usually have moderate to severe facial sagging. To provide the more extensive correction needed, an incision is created in the hairline at each temple that runs down along the ear. Sagging facial muscles and tissue are addressed.

The mini facelift, on the other hand, is ideal for patients with mild facial sagging. This is typically seen as laxity around the jaws and mouth caused by weakened facial muscles. A shorter incision allows the muscles along the jaw to be pulled tight. In many cases, excess skin can be removed.  

Benefits of the Mini Facelift

  • Smaller incisions result in limited scarring
  • Controlled correction of facial sagging
  • Improved definition along the jawline
  • Less facial swelling
  • Faster recovery

Am I a Good Candidate for a Mini Facelift?

Candidates for the mini facelift are in good health and have realistic expectations about their results. They have loose skin or deep folds along the jawline. They require rejuvenation of the jawline and better definition in the neck. Mini facelift candidates are usually under 60 years of age.

A Mini Facelift and a Neck Lift

Patients seeking a mini facelift who have skin laxity along the neck may consider combining a neck lift with their mini facelift. A neck lift will tighten the platysma muscle of the neck and remove excess sagging skin. Combining these two procedures will create better definition between the jawline and neck as well as create a slimmer, more graceful neck appearance.

 
If you wish to correct aging, sagging skin, please schedule a consultation with Dr. Khoury today. Contact our office at (720) 475-8400 or fill out our online contact form here for additional information.

Achieving Overall Facial Rejuvenation

Improving a specific area of the face is typically done because of a specific facial problem. All procedures are tailored to fit the individual patient’s needs and desires. For many, a single procedure designed for a target area of correction will provide the youthful facial enhancement they desire. However, patients with more extensive aging will more likely have multiple trouble areas. Instead of undergoing multiple procedures separately, you may benefit from combining facial treatments into a single sitting.

Benefits of Combining Procedures  

Saving Time

There is often a three to six week recovery period after most facial procedures. Patients who choose to undergo multiple procedures at different times will require multiple recovery periods. When you combine procedures, you only need to undergo this recovery period once, meaning you can take less time off work and less time away from activities. Due to the use of the laser in most of his procedures, the recovery time is reduced.

Saving Money

While there are some costs associated with combining your procedures, you can avoid the extensive costs of repeat anesthesia and facility fees. When combining procedures, you will only need to pay for the facility and anesthesia once rather than multiple fees each time you go for a new surgery.

Improved Results

If you have extensive facial aging, undergoing a single procedure at a time may affect how you feel about the quality of your results. Your facelift might not look as good as you wanted because you still have heavy, hooded eyes. Rejuvenating your whole facial appearance in one sitting can help you feel more satisfied with your results.

Possibly Combined Facial Procedures

Facelift

Facelift Before and After PhotosFacelift surgery is designed to correct excess sagging skin of the mid to lower face. Multiple facelift techniques are available depending on where drooping skin occurs and how extensive it is. Facelifts benefit patients who require firmer muscles and the removal of excess skin. However, it doesn’t provide any improvement to the upper face, brows, or eyelids.

Eyelid Lift

Eyelid Lift Before and After PhotosEyelid lift surgery is designed to correct heavy, drooping upper eyelids or puffy lower eyelids that may be contributing to a constantly fatigued or angry expression. Drooping eyelids are frequently caused by the weakening of the tissue that comprises the eyelids. Eyelid lift surgery (upper, lower, or both) removes excess eyelid tissue or fat pads under the eyes that can cause puffiness.  

Neck Lift

Neck Lift Before and After PhotosA neck lift can help create better definition between the neck and jawline as well as help restore a slimmer appearance. Many people fail to realize how significantly an undefined jawline and neck can age your appearance. The neck lift tightens the platysma muscle and removes excess skin to produce a slimmer, more toned appearance. Liposuction may also be used to provide better definition along the jawline and neck.

If you are looking to reverse signs of aging or enhance your facial appearance, schedule your consultation with Dr. Khoury today. Dr. Khoury is a double board-certified plastic surgeon who specializes in facial plastic surgery. His friendly and helpful staff is available to answer any and all of your questions. Please contact us at 720-475-8400 or fill out our online contact form here for additional information.

What’s So Smart About the SmartLift™?

SmartLift™ in Denver, CO

SmartLift™ Denver. COHave you noticed the signs of aging in your face are becoming more apparent? If so, you’re not alone. Various factors, including sun exposure, stress, and gravity, adversely affect the condition of your skin as you get older. As we age, fine lines and wrinkles worsen to form deep creases, and our skin loses its elasticity and begins to sag, which often causes many to lose their self-confidence.

Traditionally, many choose to undergo a facelift or mini-facelift to eliminate these signs of aging and restore a more youthful facial appearance. However, these procedures are invasive and usually require general anesthesia and a longer recovery time.

Advancements in both technology and techniques have given us the ability to perform these traditionally invasive procedures in a less invasive way, including the SmartLift™.

The SmartLift™ is one of the most effective treatments to reverse the signs of aging, and Dr. Khoury is one of only a handful of surgeons in the United States performing this technique.

Benefits of the SmartLift™

The SmartLift™ procedure can address and improve many of problems associated with facial aging. Some of the benefits of the SmartLift™ include:

  • Removes excess fat underneath the chin
  • Reduces wrinkles and folds in the neck
  • Eliminates jowls
  • Improves marionette lines
  • Stimulates the production of collagen
  • Tightens the skin
  • Same benefits as any traditional facelift

Advantages of the SmartLift™

Besides providing long-lasting results, the SmartLift™ offers the following advantages over traditional facelift surgery:

  • Less invasive
  • Shorter operation time
  • Increased safety with local anesthesia, but it can be performed under general anesthesia as well
  • Less discomfort during and after treatment
  • Less bruising and swelling
  • Faster healing and recovery
  • Fewer complications

How the SmartLift™ Is Performed

The SmartLift™ procedure is performed by inserting the Smartlipo™ laser beneath the skin to function as a very precise heated scissor. The heat from the laser also tightens the skin to stimulate the production of collagen, revealing a smoother, more defined, and younger-looking facial appearance.

If you want to achieve a more youthful appearance facial appearance without the consequences that invasive surgical procedures leave behind, we encourage you to contact our Denver practice today. Certified by the American Board of Facial Plastic and Reconstructive Surgery, Dr. Edmon Khoury has years of experience performing facial plastic surgery procedures, including the SmartLift™ procedure. Please call (720) 475-8400 or fill out our online contact form to schedule your personalized consultation with international facial plastic surgeon Dr. Khoury.

Facelift and Neck Lift FAQs

Common Questions About Facelifts and Neck Lifts

shutterstock_138449282As we age, the skin on the face and neck tends to lose collagen and elastin, which causes wrinkles and sagging skin to develop. While various factors like sun exposure, weight fluctuations, and the natural aging process greatly affect the severity of these conditions, most individuals begin to notice them in their 30s and 40s.

Aging in the face can produce the following:

  • Sagging skin in the midface
  • Wrinkles around the eyes
  • Nasolabial folds (creases around the nose and mouth)
  • Loss of definition along the jawline (jowls)

Aging in the neck can produce the following:

  • Double chin (excess fat deposits beneath the chin)
  • Vertical bands in the neck
  • Sagging skin in the neck

By eliminating the signs of aging in the face and neck, Dr. Edmon Khoury is able to restore a youthful appearance. Although he regularly performs traditional facelift and neck lift procedures that have proven effective for many years, Dr. Khoury also offers the innovative Smartlift™. As one of only five surgeons in the country who performs this method of facial rejuvenation, Dr. Khoury has refined this technique to give patients satisfying results without the added time needed for recovery from regular facelift and neck lift treatments.

If you’re considering a facial cosmetic procedure like a Smartlift™, facelift, or neck lift to restore a youthful appearance to your face, continue reading our FAQs for more information.

What is the estimated healing time for a Smartlift™?

Typical recovery time for a facelift is two to three weeks, but Dr. Khoury utilizes a laser in a unique way that allows him to perform a facelift almost bloodless. This accelerates healing and recovery time. Most of his patients can integrate back into public between five and seven days. Many have done it as soon as three days post-operatively.

How is this different from other facelifts?

Depending on what bothers the person and the physical signs, most patients need their lower face and/or neck addressed. Dr. Khoury performs the gold standard facelift that provides the best natural results and longevity. Utilizing the laser allows for an expedited recovery that is typically 10 to 14 days shorter than if  the same facelift were performed without the laser.

How is this laser different?

This is not one of the typical lasers that dermatologists or plastic surgeons use to resurface the skin, which are comparable to a chemical peel. The laser Dr. Khoury operates is used in an entirely different way. It allows him to perform the procedure without any bleeding, which translates to less downtime and a quicker recovery.

How long has Dr. Khoury been in practice?

Dr. Khoury has been in private practice since 2006. More importantly is the amount of experience he has in what he does. He exclusively performs facelift/neck lifts and cosmetic eyelid procedures. As a result, the number of cases he has done during his years in practice is more than most plastic surgeons perform in a lifetime. He has performed almost 3,000 facelifts and approximately 2,500 eyelid surgeries.

How will I feel under local anesthesia?

Most of Dr. Khoury’s facelifts are performed under a local anesthetic. Although this is done using the same anesthetic patients receive at a dental office, Dr. Khoury does also sedate patients mildly with an oral medication similar to Valium. This takes the edge off, and patients are very comfortable throughout the procedure. The worst part of the procedure is the numbing process, and most patients report that this is easier than what they experience at the dentist. Once numb, the patient will not feel any pain. Due to the sedative, most patients do not even remember the experience. Depending on medical history and the patient’s preference, Dr. Khoury can also perform surgery under IV sedation and general anesthetic.

What kind of discomfort can I expect?

This can vary but is not typically a painful ordeal. The worst of the discomfort is centered around neck tightness. The sensation of neck tightness remains for a while, but the most pain is the first night. For most patients, typical pain medication with an occasional muscle relaxer makes this a very tolerable experience. The majority of patients are off pain medications between 36 and 48 hours after the procedure. They may still require muscle relaxers (non-sedating ones) for a few more days from that point forward. If the neck is not addressed, the amount of discomfort is minimal.

When can I wear makeup?

You can start wearing makeup the day after your surgery, avoiding any suture lines. Be very gentle when applying makeup for the first two to three weeks post surgery.

When can I exercise or go back to physical activities?

You may return to exercise and physical activities two weeks after your procedure. Make sure you slowly get back into your routine, as you might feel more run-down the more active you get. Before skiing, golf, and swimming, we usually require three to four weeks of healing time. Since the procedure is performed under local anesthesia and due to the quick recovery facilitated by the laser, patients do rebound quickly. We do want people to be active as soon as possible, and it is usually okay to walk and do some restricted physical activity within the first week. Dr. Khoury will review this at your pre-op appointment.

To determine which cosmetic facial procedures you are best suited for, we encourage you to schedule a personalized consultation by calling (720) 475-8400 or by filling out our online contact form today. Double board-certified plastic surgeon Dr. Edmon Khoury and his experienced staff look forward to seeing you soon!

Laser-Assisted Facelifts

If you find yourself often looking in the mirror and dreaming of your youthful and
tightened appearance of yesteryear, but feel hesitant about the idea of the recovery time
of a full facelift, you may be a candidate for a Laser-assisted facelift. Often referred to as
Smartlifting, the Laser-assisted facelift is performed with the use of a laser that is placed
underneath the surface of the skin to achieve astounding results.

Dr. Khoury is one of very few surgeons in the United States performing this
revolutionary technique. The laser used for this procedure was initially developed to
perform liposuction and skin tightening. The use of this tool for cosmetic facial lifting is
less invasive than a traditional facelift and boasts dramatic and speedy results.

If you think you may be a candidate for a laser-assisted facelift, call Denver Cosmetic
Surgery today and we’ll be happy to schedule your initial consultation with Dr. Khoury
and his experienced team.

SmartLifting™ Laser Assisted Facelifts comes to Denver

SmartLifting™

Denver’s Laser Assisted Facelifts

We are excited to announce that Denver Cosmetic Surgery is the only center in the West to be performing laser assisted facelifts – SmartLifting™. Dr. Khoury is one of only 5 surgeons in the country performing these procedures. He will also be one of the national and international instructors training new surgeons on this revolutionary new technique.

SmartLifting was discovered by Dr. Richard Gentile in Ohio a few years ago. He applied the laser from a Smart Liposuction machine to the undersurface of the facial skin through a small incision less than 1cm. Prior to that, the laser was being utilized in the neck with great success, but not on the face. Dr. Gentile, a friend and colleague of Dr. Khoury has since refined the technique to allow the laser to assist in face lift procedures. This is the first major technological advancement in facelifts for over 20 years. It allows for shorter operating time, less bruising and swelling, increased safety, less complications, quick recovery, and greater skin tightening.

SmartLifting is not to be confused with the trade named minilifts that exist today, such as Quicklift, Lifestyle Lift or the Lunch Time Lift. SmartLifting is a totally different technique that can be applied in several ways, but all have one common principle, utilizing the Smartlipo Laser (made by Cynosure) to the under surface of the skin. This is the opposite of what we are used to doing, applying the laser to the surface of the skin. The four major applications include:

Laser Facial Sculpting™: This is the most minimal invasive application. It essentially applies the laser under the skin of the face with targeted liposuction. This is performed through 2-3 small 1cm incisions.

SmartLook™: Is the inside/outside use of laser. The laser is used, as in laser facial sculpting, under the skin, then followed by surface laser resurfacing with a fractional carbon dioxide laser.

UltraMiniLift™: This is a mini face lift performed with the laser. The major advantage over a non laser assisted minilift is the greater degree of skin tightening long term.

Laser SmartLift™: This is a laser assisted facelift that offers a full facelift result, but within the least invasive setting.

If you are interested in finding out more about SmartLifting, visit our website DenverCosmeticSurgery.Com or call for a complimentary consult with Dr. Khoury. He will explain and present in detail the benefits of this new technique.

Denver Facelift Surgeon

Denver Facelift Procedures, Part 2

The three basic types of facelifts being performed today are:

Mini-lift 

As the name suggests, a mini-lift is the least invasive of all facelifts. Younger patients with early aging changes in their jaw line are the best candidates for this type of lift. A mini-lift will not adequately address significant aging changes in the neck or cheek area. It is performed through limited incisions in front of the ear to target the underlying muscle layer (SMAS) in a more limited fashion.

This less invasive type of facelift does not necessarily mean minimal results.  Whether a mini-lift is the right choice for a patient depends on the degree of aging that needs to be addressed.  Ideal patients for a mini-lift have not fully aged.  A mini-lift should not be performed on a patient who needs a more extensive facelift, though.  Such a patient would likely only see minimal results.

Standard Facelift

A standard facelift is the most commonly performed facelift.  It is also known as a regular facelift, an intermediate facelift, an extended SMAS facelift, and a traditional facelift. This type of facelift addresses aging in the jaw line and moderate neck laxity, which is why incisions typically go around the ear to allow the surgeon access to both areas. Recovery is longer than for a mini-lift, but not by much time. The muscle layer (SMAS) is addressed and mobilized in a more thorough fashion compared to a mini-lift.  This prolongs the result and restores the youthful contours of the face and neck.

Full Facelift

A full facelift is the gold standard for patients with extensive aging in the cheeks, jaw line, and neck.  It is also known as a deep plane facelift.  A full facelift addresses the drooping soft tissue apparent in an aging face. It is the most effective procedure and has the longest recovery time, typically 10 to14 days before a patient resumes public life. The incisions are the same as those used in a standard facelift, but the scope of surgery is broader.

Trademarked facelifts, for example the “Lifestyle Lift®,” have catchy names that provide a branding mechanism. Most of these lifts fall into the mini-lift category, but they may also cross-over into a standard facelift, depending on the surgeon. Since they are mainly mini-lifts, they are less involved and “quick,” theoretically able to be performed over a “lunch time break,” which provides the basis for many of the names. From a technical standpoint, there is nothing unique about them other than the name. Regardless of the name, what is important to ascertain is the extent of the surgery and whether the muscle layer (SMAS) is being appropriately addressed. No facelift will last if the SMAS is not appropriately addressed.

My knowledge of facelifts comes from performing over 2,000 of them.  Most have been standard facelifts, with the rest equally divided between full facelifts and mini-lifts. What differentiates me from many cosmetic surgeons is my ability to perform most facelifts under local anesthesia (like at the dentist) with the patient awake and comfortable. This reduces the anesthetic risk, speeds recovery, and reduces the cost.   I offer patients their choice of setting – local anesthesia, sedation or general anesthesia – to match their preferences.  Why settle for a minlift when you can get a standard lift under the same settings and recovery period.

Facelifts are my passion.  Having performed such a large number of them, I have an appreciation for the aesthetic needs that are unique to every patient. It is not enough to merely perform the core maneuvers that constitute a facelift.  A cosmetic surgeon must also address the subtle differences of each patient and include fine touches to create an amazing and natural result.

Denver Facelift Specialist

Denver Facelift Procedures, Part 1

Facelift terminology in Denver can be confusing, especially in today’s market with the introduction of attention-grabbing, catchword branded facelifts. I decided to blog about facelift terminology after noticing how confused many patients are about the variety of facelift brands and names. My goal is to provide you with a set of terms that will help you better understand facelifts.

A facelift is the best method to rejuvenate an aging face.   In general, all facelifts – whether minimally-invasive or more extensive – are technically lower facelifts. They address the changes associated with aging in the lower two-thirds of the face – namely the cheeks and jaw line (the “jowls”).  They may also indirectly improve some aging changes in the neck. The eyelid and forehead areas and more direct changes to the neck are addressed through separate procedures, which may be performed alone or in combination with a facelift.

When patients use the term “full facelift,” they often are referring to multiple procedures – for example, a facelift and a forehead lift or a facelift with an eyelift. When most surgeons use the term “full facelift,” they are usually referring to the most extensive type of lower facelift, described below.

There are three basic types of facelifts:

mini-lift, a standard facelift and a full facelift.  Each type is intended to address different degrees of sagging and aging that may have occurred.  A patient should realize an exceptional result if the appropriate lift is performed. In addition, subtle maneuvers and variations within each technique allow for a unique result.

Regardless of the type of facelift, a few important elements are essential to a great result:

• Addressing the muscle layer that sags with aging (known as the SMAS muscle in medical terms) so that it is “lifted” back into position, rejuvenating the face.
• A natural appearance to the facelift.  The goal is to look youthful and natural. The most amazing facelift results do not reveal any hints of surgery. Comments such as, “You look well rested – did you just return from vacation?” or “Did you do something to your hair?” should be the norm. A patient should not receive the question, “Did you have a facelift?”
• All incisions should be placed so that they are well concealed and, once fully healed, virtually undetectable.  In general, an incision in front of the ear allows a surgeon access to the cheeks and jaw line.  An incision behind the ear allows access to the neck.
• A patient-physician relationship built on trust and mutual understanding. A patient must feel comfortable and at ease with his or her surgeon. Otherwise, the outcome and experience may be less than optimal.
• Reasonable expectations from the patient.
• Appropriate follow-up course and care.

Part 2 of this post coming soon!!!

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