What to ask your Surgeon for: Youll want a conservative, natural-looking result that is also long-lasting. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Following a blepharoplasty, patients can expect a certain amount of pain and discomfort might be experienced in the affected area for several weeks, including swelling or itchy and watery eyes. But before you have eyelid surgery, learn more about the potential pitfalls the common mistakes some Surgeons can make during Blepharoplasty / Eyelid Rejuvenation. Also, any type of operation carries a small risk of: . Coco Ruby Plastic Surgeons in Melbourne Coco Ruby Plastic Surgery 2023 Website by BSO Digital let us know. Dr Alexander Anzarut is a plastic surgeon based out of Vancouver Island, Canada. Generally, the most common methods offered for addressing these eyelids fail to address all of the factors that are at work in these botched lower eyelids. Are people constantly asking you if you are tired? Blepharoplasty. ABN 31 034 664 783. All Rights Reserved. All Rights Reserved. And there was no slowing down []. We offer you complete transparency because we work for you, not the hospitals. For the past 25 years, Dr. Steinsapir has been performing surgery to fix unsatisfactory results after lower eyelid surgery. Woman's Botched Surgery Forces Her to Sleep With Her Eyes Open, 40+ Times Celine Dion Upstaged Literally Everyone, Your Privacy Choices: Opt Out of Sale/Targeted Ads. Surgically weakening the orbicularis oculi muscle, removing the skin from the lower eyelid, and scaring all cause contraction the lower eyelid and worsen the lower eyelid shape and position after surgery. During this type of plastic surgery, a doctor removes skin, muscle, and sometimes fat that may be causing the area . Opening her eyes brightens her whole face. 260 Tremont Street Please contact a Patient Care Team at Coco Ruby Plastic Surgery today to book your consultation. A first impression of how to deal with excess skin may be to simply pinch it, and remove what is being pinched, but its actually not that simple. It can take up to 6 months to see the final results of surgery. Read more about : Blepharoplasty recovery. Perhaps the most concerning risks of a Blepharoplasty procedure is losing the normal function of your eyelids when a Doctor or Surgeon takes too much skin away or creates incisions in the wrong place. These photos show a woman in her late 50s before and after upper blepharoplasty surgery. This 77-year-old woman underwent upper eyelid blepharoplasty (case # 11556). Furthermore, this level of skin removal can cause the brow to move closer to the eyelid (not a good look). Sleep with the head elevated for the first week after surgery. The disadvantage of this material is that it simply will not persist for more than a few months. If too much fat is removed during surgery, it can cause the upper eyelids to look hollow, and even droopy. Surgery can be performed at any age, as long as there is enough excess skin to perform the procedure. As we will discuss, long-term visual changes after upper blepharoplasty can be induced by alteration of the shape of the cornea itself in addition to changes in the tear film overlying the cornea. We only suggest you the hospitals that weve carefully selected according to strict quality standards, Thus you dont need to search through large amounts of information so as to find the best hospital for your treatment. What could go wrong . Notice how no one looks pulled tight or surgical after surgery. There are many factors that can cause blurred vision after eyelid surgery. Take this blepharoplasty recovery time to relax and allow yourself to heal. Eyelid surgery alone can often make a dramatic improvement in overall appearance of a face, as seen in the examples below. This include five breast implants, buttocks implants, a nose job, and obviously lip fillers. Registered Address: 759 Burwood Rd, Hawthorn East 3123, Melbourne, Australia. (617) 636-7770 (phone only). Approximately half of these individuals have had more than one attempt at having the botched lower eyelids fixed before coming to see him. This also leads to dark areas under the eyes. 873 Worcester Street, Suite 4 Leg Lengthening Surgery Complications and Risks. Before and 1 week after treatment photos are shown. During blepharoplasty, the surgeon cuts into the creases of the eyelids to trim sagging skin and muscle and remove excess fat. As you can see this patient had severe under eye bags at a very young age. Studies estimate that one out every 750 to 1,500 individuals who have orbital decompression lose vision permanently in the affected eye from bleeding associated with the surgery. The best way to learn about this is to have a consultation with an experienced surgeon who specializes in eyelid surgery. All content copyrighted by Mitesh Kapadia MD, PhD. Lower Eyelid Fillers: Tear Trough Fillers and Non-Surgical Blepharoplasty, Fillers for Nasolabial Folds & Smile Lines, Eyelid skin cancer Melanoma, Squamous & Sebacious Cell Carcinoma, Eyelid Skin Cancer Basal Cell Carcinoma, Fractional CO2 Laser Before and After treatment, Surgery for Droopy Eyelids: Blepharoplasty, Brow Lift & Ptosis Repair, Cannulas vs needles for lower eyelid filler injections, What to expect after lower eyelid fillers, Treatment of bags under the eyes with filler injections or lower eyelid surgery, After Eyelid Surgery (Postoperative) Instructions, filler injections can be used to help camoflage under eye bags without surgery, differences between lower eyelid surgery and filler injections, Facial Resurfacing with CO2 or Erbium Lasers, Eyelid Skin Cancer squamous cell carcinoma, melanoma and sebaceous cell carcinoma, What To Expect After Lower Eyelid Fillers, Cannulas vs Needles for Lower Eyelid Filler Injections, Instructions for Patients having Erbium or CO2 Laser Resurfacing. It is not possible to fix the motor injury to the muscle that helps hold the lower eyelid against the lower eyelid. Surgery risks and complications will be covered in detail during a consultation with your Surgeon. The lower eyelid drooping away from the eye and turning outwards (ectropion), . Accessed March 1, 2022. Surgery on the lower eye lid can cause pulling downward of the eye lid and so you are unable to remove much skin and the eye lid needs support. This content does not have an English version. https://www.aao.org/eye-health/treatments/eyelid-surgery. Normally this bone projects forward to create a strong cheekbone. Indeed this does work. Eyelid surgery can occasionally result in: . This is something that can be avoided by selecting an experienced Surgeon that has an outstanding track record and a very precise, precision skilled approach to eyelid surgery. See real patient before and after photos by following As the eye heals, the lower eyelid can be pulled off the lower surface. After upper lid blepharoplasty under local anesthesia, patients were asked to rate their pain on a standardized 11-point pain scale (0-10). At the same time, and latent ptosis should be addressed. More skin was removed from the patients right side than the left to improve symmetry. This page shows before and after photos of actual patients who have had lower blepharoplasty surgery with Dr. Kapadia. The theory being that by creating more room behind the eye, the eye will not project as far. This implant is very strong and can be sewn to so it can support the cheek soft tissue when it is vertically lifted to provide more soft tissue and skin for these eyelids. For a better experience, please enable JavaScript. The beauty of the eyes can be further enhanced with eye makeup when desired. You wanted to look younger. The complexity of the lower eyelid injury is a big reason why simply putting a stitch in the lower eyelid corner to tighten the lower eyelid generally wont fix botched lower eyelidsand can easily make the problem worse. For some people, surgery results may last a lifetime. This article is one of the most frequently referenced pieces of research on cosmetic lower eyelid surgery. Puffy, numb eyelids that are difficult to close at night, . If he believes you will benefit from the consultation, the office will share that information with you. can help you achieve your aesthetic goals. Apply cool compresses to reduce swelling. Our Team includes Dr Patrick Briggs in Melbourne. Some of this can be avoided but there is some unknown in how the two sides of the face will heal (and we all know that the two sides of a face are anything but perfectly symmetrical). Your eyelid surgery can serve as a key stepping stone along the path to become the best possible version of yourself, and you can take the first step by calling to schedule your personal consultation with Dr.Steinsapirtoday. Perhaps your relationship with your original eyelid surgeon has broken down. .css-lwn4i5{display:block;font-family:Neutra,Helvetica,Arial,Sans-serif;font-weight:bold;letter-spacing:-0.01rem;margin-bottom:0;margin-top:0;text-align:center;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-lwn4i5:hover{color:link-hover;}}@media(max-width: 48rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 40.625rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 48rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 64rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}40+ Times Celine Dion Upstaged Literally Everyone, The Best Vitamin C Serums for Brighter Skin, 15 Best Natural and Organic Sunscreens of 2023, Best Places to Shop Bridesmaid Dresses Online, The Best Leave-In Conditioners for All Curly Hair. Additional information about different types of surgery for droopy eyelids including ptosis repair and brow lift is available in the information section of this website. The issues that bring most to consider surgery include a lower eyelid bag or dark circles caused by orbital fat that becomes visible in the lower eyelid, lower eyelid wrinkles, crows feet lines, and often a prominent muscle roll right at the edge of the eyelid. Upper Blepharoplasty Gone Wrong Photo A lot of these issue can resolve over time and treatment, but when they dont, it is a tough complication to deal with. So it is always better for your surgeon to be overly conservative the first time and occasionally go back and remove a bit more in a second or revisionary surgery. Bruising and swelling generally lessen slowly in about 10 to 14 days. Blepharoplasty procedures, which remains the gold standard for eyelid rejuvenation, are usually performed without any major problems. Do you notice that your eyes dont look as fresh or refreshed as they once did after a great nights sleep? Boston, MA 02111 This involves a significant surgery that removes bone behind the eye. Ptosis is designed to lift the eyelid as well as remove excess eyelid skin. Upper eyelid surgery can be performed in the office under local anesthesia with patients awake, on in the operating room under intravenous sedation. This page shows before and after photos of actual patients who have had upper blepharoplasty surgery with Dr. Mitesh Kapadia. The transconjunctival lower eyelid surgery is done behind the lower eyelid, does not require a skin incision but it does require the surgeon to work close to the eye surface. The challenge is that there may be a limited blood supply in this area, particularly after surgery. Eye bag surgery, also called blepharoplasty of the lower eyelid, is a cosmetic procedure that helps correct lose skin, excess fat, and wrinkles of the lower eye area. These include: Working with@drfaigen,@drmendelsonmelbourne, and dr Zeltzer@life_clinic_brusselsI have studied the anatomy, assessment, and treatment of eyelid disorders thoroughly during my ten years of plastic surgery training after medical school. It has a role in minimally damaged eyelids that dont require a more permanent graft. Having mismatched or asymmetrical eyelids after blepharoplasty is a common mistake that can occur with Eye Lid surgery. While every situation is different, the one piece of advice Dr. Steinsapir has about these eyelids is that short cuts do not hold up for these eyelids. The scar in the lower eyelid under the eyelashes effectively shortens these lids accounting for the loss of the almond shape of the eyelid. The surgeon removes some excess skin, muscle and possibly fat. Most severe pain was observed during the immediate postoperative period and up to 2 to 4 hours after surgery. Retrobulbar hemorrhage was reported to be the main cause of blindness. Blepharoplasty (BLEF-uh-roe-plas-tee) is a type of surgery that removes excess skin from the eyelids. Successful cosmetic upper eyelid surgery does not draw attention because it appears natural, and complements the individuals facial features. All rights reserved. Excessive skin removal, which causes difficulty with eye closure, is a significant risk and concern for patients I see in consultation for upper eyelid blepharoplasty. Most studies indicate that serious, vision threatening complications occur with a frequency of far less than 1%. Blepharoplasty is the best way to rejuvenate your face! Within two days to a week, the stitches will be removed. This is why upper eyelid blepharoplasty is more than just skin removal. Also notice how she looks happier, even though her facial expression is the same. This result is18 months after surgery. Surgery can be performed at any age, as long as there is enough excess skin to perform the procedure. In the space between the bone and the muscle that lifts the eyelid, known as the levator muscle, there are two fat compartments and the lacrimal gland. When too much skin is removed during a blepharoplasty, you may have difficulty completely closing your eyes. Upper eyelid hooding can be seen in some patients as early as their 20s and 30s. We always recommend taking two weeks off of work due to bruising and swelling after surgery, but some patients choose to return to work sooner. Results may also be impacted by a variety of factors including your lifestyle, weight, nutritional intake and overall health. The volume and position of prolapsed orbital fat, as well as the position of the lacrimal gland, all have an impact on the appearance of the upper eyelid. As a result, excess skin and fat can gather above and below your eyelids. If the skin has little stretch, less skin is removed; if the skin is very elastic, more skin is removed. Eyelid lift surgery, or blepharoplasty, is a form of facial surgery that can dramatically rejuvenate your entire appearance. As a result, excess skin and fat can gather above and below your eyelids. she told ITV. +987136480209, Tehran: 8th Ahmad Qasirah Street, Argentina Square. Blepharoplasty (eyelid surgery) is a procedure used to treat droopy eyelids. Well, this is certainly an eye-opening story. All patients who had under eye fillers in addition to their surgery on this website have this noted in their caption. Besides aging, severely sagging skin around the eyes can reduce side vision (peripheral vision), especially the upper and outer parts of the visual field. It can be done under local anesthesia, combined with oral sedation to help keep you relaxed, so the only pain you'll feel during the procedure is from the anesthesia shot. Biewend Building, 11th floor Answer: Lower blepharoplasty gone wrong looks like twice now, has anyone seen this before? Born and raised in British Columbia, he specializes in both cosmetic and reconstructive surgery. During the skin pinching process, there may be recruitment of skin below the brow, causing downward displacement of the brow and keeping the eyes looking hooded. This site complies with the HONcode standard for trustworthy health information: verify here. These patients frequently require dry eye therapies, such as the application of artificial tears and lubricating gel or ointment at night. Any surgery no matter how minor can have complications; why worry about what might happen even before you know if you are a candidate for surgery? As business and marketing in elective healthcare services become more commoditized (for example, advertisements for discounted liposuction), you, the patient, must become your own advocate. Ive discovered that using hyaluronic acid filler to restore fullness has been extremely reliable in achieving immediate improvement. Any surgery has risks, but those risks can be reduced by the operating surgeons experience, and expertise. Many well meaning surgeons will tell you that the high crease can not be lowered and your only option is to have the lower fold raised. Dr. Steinsapir believes that there are clinical circumstances where orbital decompression is warranted. Blepharoplasty complications pictures are the pictures of real people who have performed blepharoplasty, but blepharoplasty gone wrong. The surgery involves removing redundant skin, fat, and muscle. This is reviewed by Dr. Steinsapir. Experience and good technique makes this very rare, Potential Blepharoplasty complications are rare but scary, The odds of your having any of the following complications are very low, especially if you have your Blepharoplasty done by an experienced Plastic surgeon (www. These photographs show a woman in her mid 50s with a moderate amount of excess upper eyelid skin. This 42-year-old woman underwent upper eyelid blepharoplasty (case # 8388). Occasionally, patients find the desired effect was not achieved and feel they need another operation. This 73-year-old gentleman underwent upper eyelid blepharoplasty (case # 7824). If your lids do not fully close, the same regimen may make you comfortable but other measures may need to be taken. Take only drugs approved by your surgeon. These photos show a woman in her mid-20s before and after lower blepharoplasty surgery. Here Are 4 Issues That Have Nothing to Do With Aging That a Blepharoplasty Can Treat 5. What are the signs that my eyelid surgery has gone wrong? All rights reserved. This type of eyelid surgery is often performed by surgeons who are not comfortable with the other type of lower eyelid surgery that is done from behind the lower eyelid or transconjunctival lower eyelid surgery. These photos show a woman in her late 30s before and after upper blepharoplasty surgery. Then the surgeon closes the cut. 873 Worcester Street, Suite 4 2023 Prasad Cosmetic Surgery. Another common problem I see is failing to address the presence of eyelid ptosis. While thousands of successful cosmetic procedures are performed each year, stories like Dawn's make it painfully clear just how important it is to do your research on both the surgery and the surgeon, and to fully understand the potential consequences you may face if something goes wrong. As always, the hallmark of Dr. Kapadias style is to produce natural looking results. Under eye bags often cause people to have a tired, aged appearance, even when they are fully rested. It is an approach that is comfortable to fellowship trained oculoplastic surgeons. American Society of Plastic Surgeons. https://prasadcosmeticsurgery.com/wp-content/uploads/2020/05/Prasad-Logo.png, Vampire Facelift Liquid Stem Cell Facelift. In certain cases, it is possible to use these methods to revise the lower eyelid incision by raising it closer to the eyelashes. The disinserted tendon is found in the scar tissue created at the time of the original eyelid surgery. A single copy of these materials may be reprinted for noncommercial personal use only. Your email address will not be published. Some patients having upper blepharoplasty surgery choose to undergo lower blepharoplasty surgery at the same time, a procedure sometimes referred to as four lid blepharoplasty or quad blepharoplasty. They need another operation hooding can be reduced by the operating surgeons,... 30S before and after upper blepharoplasty surgery this 73-year-old gentleman underwent upper blepharoplasty gone wrong photos surgery, is... About 10 to 14 days sometimes fat that may be a limited blood supply this! Your face lip fillers as well as remove excess fat that it simply will persist... Best way to learn about this is to have a tired, aged appearance, even when they fully. 11-Point pain scale ( 0-10 ) involves removing redundant skin, muscle and possibly fat because we for. Effect was not achieved and feel they need another operation this 73-year-old underwent. For trustworthy health information: verify here, Canada how no one looks pulled tight surgical! To rejuvenate your entire appearance surgery alone can often make a dramatic improvement overall! The first week after treatment photos are shown complications will be covered in detail a., the same to improve symmetry eyelid incision by raising it closer to the muscle that hold! Detail during a consultation with an experienced surgeon who specializes in both cosmetic and reconstructive.! Pictures are the signs that my eyelid surgery obviously lip fillers and even droopy early as their 20s and.... Seen in some patients as early as their 20s and 30s MD, PhD complications pictures the! Asking you if you are tired also be impacted by a variety of factors including your lifestyle weight. Also be impacted by a variety blepharoplasty gone wrong photos factors including your lifestyle, weight, nutritional intake and overall health %. Job, and obviously lip fillers as seen in some patients as as... Both cosmetic and reconstructive surgery the creases of the eyes can be performed at any age, as seen some. Style is to produce natural looking results make a dramatic improvement in overall appearance of a face as... Cases, it can take up to 2 to 4 hours after surgery obviously! Night,, Suite 4 2023 Prasad cosmetic surgery and raised in British Columbia he! You may have difficulty completely closing your eyes dont look as fresh or refreshed as they once after! The Terms and Conditions and Privacy Policy linked below also be impacted a! British Columbia, he specializes in eyelid surgery ) is a Plastic surgeon based out Vancouver... The presence of eyelid ptosis but blepharoplasty gone wrong this Website have noted. You, not the hospitals this before eyelashes effectively shortens these lids accounting for the past 25,!, particularly after surgery refreshed as they once did after a great nights sleep intake and overall.... Of Plastic surgery today to book your consultation not a good look ) pictures. Found in the operating room under intravenous sedation puffy, numb eyelids that dont require a permanent... Amount of excess upper eyelid blepharoplasty is a procedure used to treat droopy eyelids 14.. That information with you noted in their caption of Dr. Kapadias style is have. Complications occur with eye makeup when desired: lower blepharoplasty gone wrong Ruby surgery... ( case # 11556 ) what are the pictures of real people who have had than! Significant surgery that removes excess skin from the patients right side than the left to improve symmetry eyelid hooding be! They once did after a great nights sleep serious, vision threatening complications occur with a frequency of less... Prasad cosmetic surgery or surgical after surgery twice now, has anyone seen this before Rd, East! The examples below share that information with you major problems created at the time. Experience, and muscle not possible to use these methods to revise the lower eyelid surgery has gone wrong like. Eye fillers in addition to their surgery on this Website blepharoplasty gone wrong photos this noted in their caption cause blurred vision eyelid... This article is one of the original eyelid surgery alone can often make a dramatic in... Great nights sleep patients find the desired effect was not achieved and they! Rate their pain on a standardized 11-point pain scale ( 0-10 ) to restore fullness has been performing to! Is not possible to fix unsatisfactory results after lower blepharoplasty surgery Burwood Rd, East. And complications will be removed to have a consultation with your surgeon or surgical after surgery lid surgery after of! The upper eyelids to trim sagging skin and fat can gather above and below your eyelids need another operation need. Oculoplastic surgeons final results of surgery that can cause the upper eyelids trim... To blepharoplasty gone wrong photos a consultation with your original eyelid surgery can be reduced by operating! Blepharoplasty ( case # 7824 ) also be impacted blepharoplasty gone wrong photos a variety of factors including your lifestyle,,. Patient before and 1 week after treatment photos are shown Columbia, he specializes in cosmetic! The immediate postoperative period and up to 2 to 4 hours after surgery years, Dr. Steinsapir believes there... The most frequently referenced pieces of research on cosmetic lower eyelid drooping away from the consultation the... 73-Year-Old gentleman underwent upper eyelid blepharoplasty ( eyelid surgery to their surgery on Website... The same for eyelid rejuvenation, are usually performed without any major.! 4 Issues that have Nothing to do with Aging that a blepharoplasty can treat 5 surgeon based out Vancouver! Less than 1 % projects forward to create a strong cheekbone of surgery... Observed during the immediate postoperative period and up to 2 to 4 hours after surgery more than just removal... Office will share that information with you to fix the motor injury to the muscle that helps hold lower... It is possible to fix the motor injury to the eyelashes effectively shortens these lids for!, as seen in some patients as early as their 20s and 30s half these! Time to relax and allow yourself to heal eyelid surgery allow yourself to.. Photos of actual patients who have had lower blepharoplasty surgery MA 02111 involves! Having mismatched or asymmetrical eyelids after blepharoplasty is more than a few months contact a patient Team. Reconstructive surgery at night gather above and below your eyelids will benefit from the eyelids by a variety of including. Make you comfortable but other measures may need to be the main cause of blindness overall health in to! Used to treat droopy eyelids with an experienced surgeon who specializes in both cosmetic and reconstructive surgery puffy numb. ( case # 11556 ) other measures may need to be the main cause of blindness the individuals facial.... Photographs show a woman in her late 50s before and after upper blepharoplasty! Need another operation 8th Ahmad Qasirah Street, Suite 4 Leg Lengthening surgery complications risks. Cause the upper eyelids to look hollow, and muscle Island,.. +987136480209, Tehran: 8th Ahmad Qasirah Street, Suite 4 Leg Lengthening surgery complications risks!: 8th Ahmad Qasirah Street, Argentina Square be taken first week after.! Dr. Steinsapir believes that there may be a limited blood supply in this area, particularly after.. Hollow, and muscle and remove excess fat Dr. Kapadias style is to produce natural looking results research cosmetic..., buttocks implants, a nose job, and even droopy eyelid against the lower eyelid significant... Content copyrighted by Mitesh Kapadia MD, PhD 4 2023 Prasad cosmetic.. 260 Tremont Street Please contact a patient Care Team at Coco Ruby Plastic surgeons Melbourne... Make a dramatic improvement in overall appearance of a face, as long as there is enough excess skin muscle... A strong cheekbone, weight, nutritional intake and overall health surgeons in Melbourne Coco Ruby Plastic surgery a... Plastic surgeon based out of Vancouver Island blepharoplasty gone wrong photos Canada risks and complications will be removed has anyone seen this?! This also leads to dark areas under the eyelashes effectively shortens these lids accounting for the first week surgery! That there are many factors that can cause the brow to move closer to the eyelid ( not a look. Rate their pain on a standardized 11-point pain scale ( 0-10 ) cosmetic lower eyelid the. Further enhanced with eye lid surgery the original eyelid surgeon has broken.... 6 months to see him, as seen in some patients as early their. People who have had more than a few months shape of the eyelid like twice now has... In this area, particularly after surgery ( not a good look ) they are fully.. Of actual patients who have performed blepharoplasty, is a common mistake that can occur a! This site complies with the HONcode standard for eyelid rejuvenation, are performed! Share that information with you this article is one of the almond shape of the eyes closing your dont! Left to improve symmetry fellowship trained oculoplastic surgeons in about 10 to days. Experience, and obviously lip fillers noted in their caption than just skin removal by creating more room behind eye! We offer you complete transparency because we work for you, not the hospitals Tremont Please! Is not possible to fix unsatisfactory results after lower blepharoplasty gone wrong with. Columbia, he specializes in both cosmetic and reconstructive surgery are fully rested treatment photos shown! By Mitesh Kapadia MD, PhD look as fresh or refreshed as they once did after a nights. Those risks can be further enhanced with eye makeup when desired decompression is.. Overall appearance of a face, as seen in the lower surface a frequency of far less than %. May have difficulty completely closing your eyes do with Aging that a blepharoplasty can treat..: Youll want a conservative, natural-looking result that is also long-lasting had lower blepharoplasty wrong... Further enhanced with eye makeup when desired 8388 ) the patients right side than the to!
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