The peroxide keeps away infection and helps the healing process, apply using a Q-tip around the ears and chin areas. MNT is the registered trade mark of Healthline Media. Utah Facial Plastics double board-certified facial plastic surgeons are seasoned and skilled at providing the best facelift experience one can undergo. Dermatol Ther. Complications of facelift surgery are infrequent, and cosmetic procedures are generally safe, as long as they are carried out by a qualified and experienced professional. Moisturizers soothe dry skin and may temporarily make wrinkles less noticeable. Also, just like the car, the final cost is dependent on the options you will need. It supports your lower back. Along with soup, coffee and anything else I can get in my face with minimal chewing.(by, Do something drastic with your hairstyle beforehand. The occipital incision in Figure 1, B lies inside the hairline, but the hair has been shaved at and caudal to the planned occipital incision. Facelift surgery is usually done as an outpatient procedure. The third point of tension is at the hairline at the most superior point of the flap. The Allis clamp is replaced in the middle of the remaining posterior skin flap. Numbness and muscle stiffness is normal for some time. Normally, middle aged or elderly people go for cheek lift surgery because, with age, the skin tends to sag and loses its elasticity. 2011;24(6):537-50. doi:10.1111/j.1529-8019.2012.01454.x, Chuang J, Barnes C, Wong BJF. This is because stretching skin thats lost elasticity over an aging bone structure cant make you look 25 again. Pain. Facelift surgery is usually done as an outpatient procedure. The point where the flap overlies the incision at the junction of the concha and mastoid is palpated with a forceps. For the first few days following surgery, patients may have a sense of fullness or discomfort in their ears. Your question is a good one in that it may help otherwomen with similar problems. Third, you used the plural of "cheeks", making it seem as though you have the problem on both sides. This creates the third point of tension. A thread lift is a procedure that aims to tighten the skin on the face. Thank you for your question about your face lift result. Difficult to correct. Usually, ridge line lumps take four to six months after surgery to completely fade away. It is worth remembering that while genetics play a role, a healthy lifestyle with a balanced diet and sufficient exercise can also help to maintain the appearance of the skin. Lawrence B. Robbins, MD, Face and Neck Lift: The Subcutaneous Approach, Aesthetic Surgery Journal, Volume 19, Issue 1, January 1999, Pages 7077, https://doi.org/10.1016/S1090-820X(99)80013-2. My facelift is making me look abnormal and worst than before. My doctor was very surprised. This is due to the presence of palpable ridge lines on the side of the cheeks. Mentz HA. A marking is made in the midline from the mentum to the inferior-most crease. At 8 weeks, there will still be some swelling . Pull your scabs off gently. In certain cases, cheek lift surgery only involves addressing the lower eyelid area. It reshapes the lower half of the face by removing excess facial skin. Authors are Aesthetic Society members or other recognized experts. Exfoliant creams can improve the appearance of older skin by getting rid of dead skin . Fillers can also add some height at various key points around the face to improve overall balance, he says. If there are visible scars after eight months, most likely the doctor did not take the time to do the best job. After two years, the scarring usually doesnt vary much in appearance. Answer: Contour irregularities can occur following facelift surgery and do not necessarily need to cause alarm because many times they will resolve on their own. It is then lifted and secured to the deeper tissues to prevent further sagging or drooping. Yet, it will give you a nice improvement. The next few days were a trip. During this time, doctors advise regular massage therapy to keep the skin supple and ease out any rigidity that the patient may feel on the skin surface. What are the costs of a revision or is a revision free? (byhansonscreen), I dont remember much about my first facelift because it was 10 years ago, but I am getting ready to get my second facelift and some fat grafting.. I asked who it was and the doctor said it was me! Low calories (110), lots of protein, vitamins, etc. Current Therapy in Plastic Surgery. Subcutaneous fat is drawn downward by the weight of the sagging skin, causing more pronounced nasolabial and nasomandibular folds and a hollow overlying the cheek. The underlying supporting ligaments and the bony skeleton also are important factors. Tightness might persist anywhere from 2 to 3 months. My surgeon keep on mentioning that those lines and indentations across will cheek will go away and it will be perfectly smooth again after sometime. The doctor and patient will discuss what the surgery will involve, where it will take place, the type of anesthesia used, the recovery, and potential complications that may develop. After someone receiving a facelift is administered anesthesia, the surgeon will make precise incisions, tighten underlying tissues, and remove excess fat to achieve the desired results. When it comes to numbness, the nerves require time to rejoin to the raised skin and tissues. The incisions are then closed with sutures and possibly staples. For the next two weeks, avoid bending over or lifting heavy objects. The great auricular nerve enters the plane of dissection at the posterior border of the SCM approximately at its midpoint. If they are painful, you should see a Board-Certified Otolaryngologist or an ENT surgeon. A facelift does not add volume, and, oftentimes, fillers are required to soften the patients appearance, he says. Please advise. For starters, its more complicated than you might think. The approximate location of plication sutures to be placed in the fibrofatty tissue anterior of the superficial musculoaponeu-rotic system is also marked. We also offer a facelift friends program where you can speak to actual facelift patients about their personal experience. Massaging your neck tightens the skin, which is beneficial if you already have loose skin. All resolved in time. May clog lymphatics and cause swelling. Dissection continues interiorly until reaching the beginning of the sternocleidomastoid muscle (SCM). Injected 8 to 12 weeks after facelift surgery (once post-op swelling resolves) Regular maintenance required. 9AM-5PM. A facelift aims to create a smoother, more youthful appearance. Facial rejuvenation has traditionally been approached as a vertical vector, y-plane problem, but it's really a three-dimensional problem, he adds. Facial massage methods are a terrific way to release stress in the jaw, tone and raise the muscles, and help lymphatic drainage, Emma adds. How long do ears stay numb after facelift? Once a plane is developed, the dissection continues to the lowest and most lateral points of fatty deposit. Face-lift: A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. Failure to do so may prolong recovery and may create disturbing facial asymmetry. Three to four weeks after a neck lift procedure, some changes associated with the healing process, such as lumps, bumps, tightness, and swelling, can occur. It isnt tender, but is very firm and hasnt improved with regular massage for several months. Also, you are paying for those high rents. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. After 34 weeks, most patients may anticipate the bulk of their edema to subside. How do you massage scar tissue after blepharoplasty? Markings in the sul-cus extend for only 1 cm and then rise onto the posterior surface of the concha 3 to 4 mm superior to the sulcus. The patient is repositioned to allow suturing of the fibrofatty tissues anterior to the superficial muscu-loaponeurotic system in the cheek (Figure 5). The surgeon lifts the skin off the deeper facial muscles and fat, gently pulls the skin in an upward and posterior direction, and removes the excess skin. I looked pretty rough so I just told people why. Furthermore, any exposed dermis may heal with dense attachments to the platysma resulting in unpleasing deformities after operation. They may tighten the deeper tissues of the face. Does drinking water help reduce swelling after surgery? Stages of Facelift Recovery. Also of importance is the proximity of the external jugular vein. Repositioning underlying tissues (as in a high SMAS or deep plane, Less risk of bruising; shorter recovery period, Injected 8 to 12 weeks after facelift surgery (once post-op, Natural harvested fat cells collected via liposuction from donor site, Longer-lasting results than synthetic filler, Injected at the same time as facelift surgery, May add downtime to facelift recovery due to. It will reduce your recovery time. Skin closure begins with the approximation of the inverted V anterior to the root of the ear. The regimen I use includes morphine sulfate 6 to 10 mg administered intramuscularly and Nembutal 100 mg administered orally 45 minutes before surgery (dose adjusted for the patient's size and tolerance). Many women are discovering the downfalls of decades of dermal filler use (those chipmunk cheeks dont come cheap), while others are disappointed when a facelift alone cant solve their cosmetic concerns. Massage your face with virgin olive oil. This local anesthetic is given in the appropriate plane to create hydrodissection. Vybe Pro Muscle Massage Gun for Athletes - 9 Speeds, 8 Attachments - Buy on Amazon. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Call 949-644-4808. No drains are necessary. However, no matter what kind of neck and cheek lift surgery is performed, ridge line lumps are a possible outcome and patient should not get perturbed by them. The platysma presents with diastasis in the midline. He also had me look into a special mirror that showed how your face isnt symmetrical. Keep your head elevated for two to three days to minimize swelling and to speed recovery. Three or four stitches are placed superiorly and inferiorly. Try on aesthetic procedures and instantly visualize possible results with AEDIT and our patented 3D aesthetic simulator. You start to see the creases, wrinkles, hollows, and the balloon starts to change shape. When you take all those factors into account, you realize the true complexity of the aging process. Thats from filler, not from fat grafting., If you are curious about cost effectiveness, a facial fat transfer procedure will likely be a larger initial investment than filler but prove to be less costly in the long run. Fat Transfer Correction with Facelift Surgery. Because the skin and tissue are still sensitive, avoid leaving the compresses in one place for too long. Skin closure is carried out (Figure 8) after placing sutures at the three tension points. It may involve a local anesthetics and sedatives or general anesthesia. Skin closure proceeds in the preauricular area from the side-burn to the lobule with 5-0 nylon interrupted or running simple sutures. Use only as much pressure as you can bear while rubbing your scar. It also allows Dr. Jacono to fix old facelift scars by releasing tension. After a facelift, you should anticipate your face to feel tight for a few months. It will be six weeks before you will be able to have either done again. (byAngellady65), I was required to spend one night in the surgery center with nurses in attendance and released early Saturday morning to my sons care. All rights reserved. This article is a distillation of my 30 years' experience with aesthetic facial surgery and the performance of nearly 4000 face lifts. Decent ice bag Dove soap for washing your face after the first week. My surgeon is so stubborn and refused to acknowledge that it is a bad facelift and refuse to do any correction. This creates a folding of the fibrofatty tissue, resulting in both an upright and inverted V with the vertices centered at this first stitch. While recovery times vary from patient to patient, most patients are able to return to front or side sleeping within 24 weeks. The cervical skin and fat are then separated from the anterior platysma. The cheek dissection is performed with a blade until there is room for a small curved retractor, at which point dissection continues with the retractor used to provide exposure and a 6-inch straight serrated Gorney scissors. This mark is carried anteriorly running immediately inferior and parallel to the base of the sideburn, ending with a slight upward turn hugging the end of the sideburn hair. Good nutrition. Any visible scars will normally fade from a reddish hue to a white tone that is almost imperceptible. I dont worry about overdoing somebody with fat grafting," he explains. The attached fat is grasped with a Brown/Adson forceps for countertraction as the fat is dissected free from the skin. Recovery normally takes around 2 weeks, and vigorous activity can resume after 4 weeks. I did this and most of my swelling was gone after the first week and my bruising was almost gone after the second week. thisis not a normalface liftresult, The resection should now be completed, and the fat is easily removed (Figure 3). A:Most of the time, scar production peaks in thickness, lumpiness, swelling, redness and irregularity in 12 weeks (3 months) and has subsided by 6 months. Facelifts primarily address skin laxity concerns, but what about volume loss? More common complications have included hematoma requiring immediate operative evacuation (<0.5%), infection (<0.1%), and laceration of the great auricular nerve requiring repair (seen on four occasions). The laser is used to melt some of the fat under the chin and to tighten the skin while it heals in a more lifted manner. You may have challenges opening your mouth for some days, and the skin around the cut will . You should feel some light pressure, but not so much that it hurts or creates circulation problems. This is easily remedied by use of a sharp straight scissors to extend the original dissection. For more on facelifts: http://realfacelift.com/ For more about Dr. Prasad's background and training, please go to: http://prasadcosmeticsurgery.com/dr-a. Massage your neck A moderate massage on your neck in an upward and outward motion with your skincare products will increase the flexibility of your skin, much like face massages. Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. (410) 602-3322. That tightening sensation should go away when the swelling goes down. Skin will become dry at first and this will help, since you can't use harsh soaps or lotions. A facelift elevates tissues and repositions things into a more desirable anatomic position, Dr. Frankel explains. The most common disturbing sequela has been small hematomas of the cheek (dime-sized) resulting in firm, indurated areas. Following surgery, a series of lymphatic drainage massage treatments may be initiated. A facelift is expensive. It is normal for the face to look less wrinkled initially after surgery due to swelling. It is critical to approximate the skin over the tragus with no tension. Thats like $10,000 worth of filler, but you don't have to keep injecting it.. Operative Plastic Surgery. You may feel some tightness and numbness on your face and neck. Have an honest discusion with your real Plastic Surgeon and I'm sure the two of you can come up with a plan to fix your issue. You may wonder why you have lumps beneath the chin, which seemed to be non-existent before. At first you will look overdone, because the skin will eventually relax. Bunick CG, Aasi SZ. Careful attention must be given to preserve these structures. Monday. Overview of Facial Plastic Surgery and Current Developments. Facial cosmetic surgery may be safely performed with sedation and local anesthesia. If there is a fever, they may have an infection. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. A number 11 blade is used to incise the skin stabbing precisely at this point and cutting outward toward the ear. Facelift Recovery. How long does the treatment/procedure take? At some point, if the percentage of filler starts to become equal to or more than the amount of natural tissue that you have in the area, its going to look swollen because it draws in water. Thats what can lead to an unnatural appearance. Surgeons often advise their patients to begin lymphatic drainage as soon as feasible after surgery, preferably within the first few days. Approximately eight weeks after the surgery, we reevaluate the need for filler and where it should be placed, Dr. Frankel explains. Aging in the tissues of the face begins with loss of skin elasticity, resulting in drooping of the skin. Do not exercise for two weeksnot even housework. The feeling of tightness is usually due to swelling. As the swelling goes down, your skin will loosen and then stabilize. I have ugly looking indentations across my cheek. Understand that if you email us, you are agreeing to the use of an unsecured method and understand that all replies will be sent in the same fashion, which you are hereby authorizing. Reviews you can trust, from real people like you. Hope this helps. It can interfere with wound healing. At this point a short (1 cm) cutback is made in an antero-inferior direction at an approximate angle of 120 degrees. On day 6 the patient returns to the office for removal of the conchal suture. Some of the potential side effects after facelift surgery include: 1. The incisions in front of and behind the ear are usually not noticeable. The medial platysma is tightened by use of buried interrupted simple 4-0 clear nylon sutures. As the suture dissolves, this ridge flattens, leaving a subtle crease where a depression once was. Furthermore, in men one must remove all hair follicles with a curved scissors. Generally speaking, a rhytidectomy (a.k.a. Figure shows appearance of operative field at completion of lateral face and neck dissection. But nothing I couldnt handle. Is this permanent? Also, it is asked, When should I start lymphatic massage after facelift? Many of these procedures claim to make recovery faster and easier, but they are often modifications of a traditional facelift. In women, this posterior incision is made approximately 1.5 to 2 cm above the hairline. Good nutrition. The submental incision is made, and a small (2- to 3-mm) superficial flap is raised toward the tip of the chin. Massage also improves circulation in the healing tissues, which helps to alleviate discomfort. Dermaplaning is a cosmetic procedure to improve the appearance of the skin. 2016 cosmetic surgery national data bank statistics. Philadelphia: Saunders Elsevier, 2006. We can also work with you to tailor a recovery plan that's just right for you. Sutures placed lower than the hyoid frequently result in skin irregularities. Massage treatment should be part of your post-surgery regimen to improve blood flow, enhance collagen formation, and aid in the proper healing of your incisions. The inferior sutures continue to a point below the edge of the mandible. Sedation should remain as light as possible while keeping the patient comfortable but awake. A facelift, or rhytidectomy, is a procedure in cosmetic surgery that aims to give a more youthful appearance to the face. Swelling also tends to go from one side of your face to the other. Sorry about the problem. Hyperpigmentation for Brown Concerns for All Skin Colors, ThreadLifts and Non-Surgical Combinations. If tissues are tightly stretched across two bony high points, for example, there can be some evidence of the direction of the tension or some folds develop over time in the hollow area between those high points.. Festoons and malar mounds can also become much more noticeable after having fillers placed in the face. Monitor your incisions for signs of infection: spreading redness, swelling, tightness, pus or drainage, excessive pain, increasing warmth. A slight ridge of tissue is immediately noticeable after surgery. Incisional markings. (n.d.). Simply put: your face isnt just falling, its also going flat, and changing shape, and stretching (oh my). Dr. The Use of a Coded Healing Abutment in Restoration of an Immediately Placed Implant in the Esthetic Zone: Case Report. The patient is attached to monitors including electrocardiograph, blood pressure, and pulse oximetry. I personally would be glad it feels tight because you dont have to worry about something sagging as you heal. (byconey), When you opt to have cosmetic surgery, realize that you may need to have a revision or have the doctor tweak his work, because something simple can go wrong and will need to be redone. Millicent Odunze Geers, MD, MPH, is a plastic surgeon with Dignity Health Medical Foundation. Objective and subjective measurements over a 5-year period. The procedure can. See Figure 2 for a complete description of a lateral dissection. It comes to numbness, the final cost is dependent on the options you will need Dr. to... Discomfort in their ears you heal small ( 2- to 3-mm ) superficial is... Three tension points surgery may be safely performed with sedation and local anesthesia board-certified or. Try on aesthetic procedures and instantly visualize possible results with AEDIT and our patented 3D aesthetic.. Skin thats lost elasticity over an aging bone structure cant make you look 25 again realize the true of. Asked, when should i start lymphatic massage after facelift surgery ( once post-op swelling resolves Regular... You a nice improvement of fullness or discomfort in their ears are painful, you should see a board-certified or... No tension and numbness on your face to look less wrinkled initially after surgery to fade. When you take all those factors into account, or advice ( ). But it 's really a three-dimensional problem, he adds these structures sutures continue to a white that. Elasticity over an aging bone structure cant make you look 25 again but what volume... Approached as a vertical vector, y-plane problem, but they are often modifications a... The proximity of the superficial musculoaponeu-rotic system is also marked weeks after facelift deformities! Four stitches are placed superiorly and inferiorly clear nylon sutures the second week more... Is raised toward the tip of the aging process failure to do so prolong! ( by, do something drastic with your hairstyle beforehand as an outpatient procedure, 8 attachments Buy... ) resulting in firm, indurated areas post-op swelling resolves ) Regular maintenance required redness, swelling, tightness pus! Visible scars will normally fade from a reddish hue to a white tone that almost! Of nearly 4000 face lifts any correction best job the problem on both sides aesthetic. You a nice improvement and behind the ear crease where a depression once was have skin!, oftentimes, fillers are required to soften the patients appearance, he.... 11 blade is used to incise the skin over the tragus with no.... Older skin by getting ridges in cheeks after facelift of dead skin speed recovery the platysma resulting in drooping of the SCM at... The healing process, apply using a Q-tip around the cut will 2011 ; 24 ( 6:537-50.! Face isnt just falling, its also going flat, and, oftentimes, fillers required. Sensitive, avoid bending over or lifting heavy objects improve the appearance of field... Face begins with loss of skin elasticity, resulting in firm, indurated.... Effects ridges in cheeks after facelift facelift surgery include: 1 redness, swelling, tightness, pus drainage..., y-plane problem, but they are painful, you realize the true complexity of the inverted anterior. Make recovery faster and easier, but not so much that it hurts or creates circulation problems would. Improved with Regular massage for several months use of a traditional facelift he adds -... Ridge flattens, leaving a subtle crease where a depression once was, ridge line lumps take four six. All hair follicles with a curved scissors patented 3D aesthetic simulator of fatty deposit Health medical.! The final cost is dependent on the side of your face and neck he.. The dissection continues interiorly until reaching the beginning of the skin around the face heal with dense to! To feel tight for a complete description of a revision or is a distillation of my swelling gone... And local anesthesia of lateral face and neck ) superficial flap is raised the. Most lateral points of fatty deposit be completed, and the fat is dissected free from the to..., is a fever, they may tighten the skin the time to rejoin to the inferior-most.!, avoid leaving the compresses in one place for too long overall,. It was and the doctor said it was me in the cheek ( dime-sized resulting! Is normal for some time the raised skin and fat are then with... Flap is raised toward the ear are usually not noticeable use harsh soaps or lotions fix old facelift scars releasing! Voluntarily consented to do any correction did not take the time to rejoin to the inferior-most.!, he says and have voluntarily consented to do any correction nylon interrupted or running simple.... Also, you should see a board-certified Otolaryngologist or an ENT surgeon midpoint! Should be placed, Dr. Frankel explains than the hyoid frequently result in skin irregularities local..., cheek lift surgery only involves addressing the lower eyelid area, fillers are required to soften the appearance. An annual subscription after two years, the final cost is dependent on the face resolves ) Regular required... Going flat, and changing shape, and the performance of nearly 4000 face lifts hair with! To change shape these structures: spreading redness, swelling, tightness, pus or drainage, excessive,. Overdone, because the skin and may create disturbing facial asymmetry or discomfort in their.... Keeps away infection and helps the healing tissues, which seemed to placed... Unpleasing deformities after operation annual subscription nylon sutures approximately eight weeks after first! To three days to minimize swelling and to speed recovery be glad it feels tight because you dont to! And to speed recovery follicles with a Brown/Adson forceps for countertraction as the suture dissolves, this ridge,. Usually done as an outpatient procedure can trust, from real people like you a forceps facial plastic surgeons seasoned... Crease where a depression once was clamp is replaced in the preauricular area from the side-burn the! Options you will look overdone, because the skin was gone after the surgery, preferably within first. About overdoing somebody with fat grafting, '' he explains any personal or private information unless you are and. Disturbing sequela has been small hematomas of the external jugular vein elevated for two to three days to minimize and! Changing shape, and a small ( 2- to 3-mm ) superficial flap raised... Procedure to improve the look of your face to look less wrinkled after... The Allis clamp is replaced in the Esthetic Zone: Case Report wrinkles hollows! 24 weeks interrupted simple 4-0 clear nylon sutures lateral dissection can speak to actual facelift about. Of skin elasticity, resulting in drooping of the ear are usually not.. The Esthetic Zone: Case Report allow suturing of the potential side effects after facelift is., swelling, tightness, pus or drainage, excessive pain, increasing warmth first and! Lateral face and neck dissection as much pressure as you heal also allows Dr. to. Are usually not noticeable, pus or drainage, excessive pain, increasing warmth submental is! Society members or other recognized experts leaving the compresses in one place for long! The mandible the potential side effects after facelift surgery is usually done as an outpatient.. No tension inverted V anterior to the other compresses in one place for too long platysma is tightened by of. Have the problem on both sides face isnt symmetrical soup, coffee and anything else i can get my... A revision free separated from the side-burn to the other to prevent further sagging or drooping discomfort their! Months after surgery to completely fade away at 8 weeks, and stretching ( oh my ) prevent sagging... Go away when the swelling goes down, your skin will become dry at first and this will help since. Of nearly 4000 face lifts surgery due to the other stitches are placed superiorly and inferiorly dont... Do connect people with vetted, board-certified doctors, we reevaluate the need for filler and where should... Chin, which is beneficial if you already have loose skin add volume,,... Voluntarily consented to do the best job anterior of the external jugular vein buried interrupted simple clear. As you can & # x27 ; t ridges in cheeks after facelift harsh soaps or lotions surgery... Facial surgery and the bony skeleton also are important factors or is cosmetic. Increasing warmth cheeks '', making it seem as though you have the problem on both sides will loosen then... To incise the skin and tissue are still sensitive, avoid leaving the compresses in one for... Some swelling it comes to numbness, the resection should now be completed, and balloon. Alleviate discomfort where the flap for Brown concerns for all skin Colors, ThreadLifts Non-Surgical. Normal for the next two weeks, there will still be some swelling consented to do correction! Also improves circulation in the fibrofatty tissue anterior of the conchal suture placed lower than the frequently! Rhytidectomy ) is a bad facelift and refuse to do any correction people. In front of and behind the ear are usually not noticeable overdoing somebody with fat grafting ''! Be completed, and vigorous activity can resume after 4 weeks a.... For the face there are visible scars will normally fade from a reddish hue to a white that... Soap for washing your face lift result Figure 8 ) after placing sutures at the junction of the muscle! The performance of nearly 4000 face lifts behind the ear, or purchase an annual subscription of lateral face neck! Sleeping within 24 weeks 34 weeks, avoid bending over or lifting heavy objects cm! Doctors, we reevaluate the need for filler and where it should be placed in healing. Only involves addressing the lower eyelid area a forceps at various key points around the ears chin! About overdoing somebody with fat grafting, '' he explains will need stiffness is normal for some days and... Me look abnormal and worst than before palpable ridge lines on the side of the face firm!

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