Tag: Results of breast lift surgery

  • The Difference Between a Breast Lift and a Breast Reduction

    The Difference Between a Breast Lift and a Breast Reduction

    Breast reduction and breast lift due to the advanced techniques provided by cosmetic medicine and the highly experienced and skilled surgeons have gained great popularity among the public recently, not only breasts but also various aesthetic body problems that worsen with age or as a result of any other factor could be easily and safely performed even in the outpatient settings. Both breast reduction and breast tightening share the same aim, however, they are two different synonyms.

    Breasts account for a large proportion of the female body’s external beauty and that’s why breast plastic surgeries acquired great demand among women seeking attractive, feminine, and youthful looks.

    The concept of Breast reduction

    Plastic surgeon, Dr. Yasser Badi, provided a brief overview of the surgical reduction of breast size and emphasized that this cosmetic procedure mainly targets large breasts, especially those accompanied by many problems such as health problems, aesthetic problems, and psychological problems such as excessive sagging or feeling unbearable pain in the neck,  shortness of breath, or the inability to find suitable bras or clothes.

     Dr. Yasser Badi stressed that this procedure is classified as the most common and popular plastic surgery within women’s society.

    What is the difference between tightening your breast and Breast reduction?

    Dr. Yasser Badi introduced several clear differences that distinguish the cosmetic intervention to tighten the breast from the cosmetic intervention to reduce the size of the breast, as the following:

    During the surgical reduction of the breast size, a large number of mammary glands are removed, while this amount is reduced during the lifting breast operation.

    Breast tightening surgery depends on removing the excess skin, stretching the rest, and finally changing the areola position to get rid of sagging breasts without needing to remove any part of the breast tissue. While to get breasts smaller, fat accumulated under the layers of the skin is removed along with a small part of the breast tissue, and then the excess skin is tightened to obtain the required degree of reduction.

    When should breast lift surgery be performed?

    Dr. Yasser Badi clarified the conditions that require a breast lift, and these cases are:

    • Sagging breasts resulting from pregnancy and breastfeeding.
    • Sagging breasts result from the muscles due to age.
    • Massive and/ or rapid weight loss.
    • Sleeve gastrectomy or gastric bypass surgery which results in loss of strength and rigidity of the mammary glands, and thus sagging of the breast.
    • The enlarged breast which results in muscle weakness and thus sagging over time.
    • Breast enlargement or sagging breasts due to genetic factors.

    Breast lift operation possible hazard

    Dr. Yasser Badi reassured all patients who need to perform breast lift operations and confirmed that this procedure is 100% safe, and is performed under local anesthesia within half an hour, and the patient returns home on the same day if everything goes well.

    In addition, Dr. Yasser Badi emphasized the safety of the operation regarding the mammary glands and lactation, as well as it was proved that this surgery is not associated with breast tumors, activation of hormonal cells, or permanent loss of sensation in the breast.

    The Difference Between a Breast Lift and a Breast Reduction
    The Difference Between a Breast Lift and a Breast Reduction

    Important instructions for a healthy lifestyle after a breast lift or breast reduction procedure

    Dr. Yasser Badi provided several important advice and instructions for a quick recovery after plastic breast procedures, and these tips are:

    • Administer the painkillers doses as prescribed by your doctor.
    • Do not lie in a prone position, bend forward, or carry heavy objects.
    • Do not worry and be calm regarding swelling and redness of the breast, as this procedure is a natural reaction of the skin, which completely disappears within days after the operation.
    • Wear a medical compression garment to avoid body fluids accumulation.
    • Avoid strenuous physical effort.
    • Not going to work during the recovery period.
    • Move in your place every 120 minutes.

    Factors for breast lift and breast reduction surgeries Success

    Dr. Yasser Badi, the best plastic surgeon, presented the secrets of successful breast plastic operations, and those secrets lie in the following points:

    • Choosing a certified plastic surgeon with a high level of experience, precision, caution, and skills to perform these types of surgeries.
    • Choosing an accredited treatment center at the highest level of hygiene, sterilization, patient service, and certification to practice the profession.
    • Follow the advice and instructions of the attending physician exactly until a full recovery is achieved and communicate with the plastic surgeon in the event of complications.
    • Conducting comprehensive medical examinations on all body functions to ensure the body’s ability to undergo the operation.

    Non-surgical breast reduction  alternatives

    Ultrasound technology is a non-surgical mechanism for breast reduction, Dr. Yasser Badi explains that this technique is performed through the following steps:

    • Sanitize the breasts.
    • Use local anesthesia to avoid the patient’s feeling of pain.
    • Ultrasound is used to dissolve excess fat in the breast.
    • Fat is melted and suctioned outside the body.
    • Make a surgical incision (T-cut, which is from the nipple to the breast fold on both sides of the breast – or an I-cut that reaches from the nipple to the breast fold – an L-shaped cut that reaches from the nipple to the breast fold in one direction only).
    • Part of the mammary glands are removed.
    • Removing the excess skin and Tightening the rest.

    My experience with breast reduction surgery

    Lama recounted her experience with Breast reduction and evaluated the operation on a famous poll site, commenting on the evaluation, saying, “I was suffering from an enlarged breast to an extent that caused back pain that lasted for many years, and although there are those who prefer large breasts and seek a full chest, It was a burden for me, that I did not find clothes that fit me, and I felt that I needed to reshape the shape of my body from the outside, and at that time I resorted to a cosmetic expert, who told me that I only needed a breast reduction procedure, then a breast tightening procedure as an accompanying process, and indeed I went through the experience and I had a great deal of frustrated until I noticed the difference myself.

    Book now online to get offers and discounts
    Plastic surgery & body contouring specialist

    Bachelor of Medicine and Surgery
    Alexandria University Master of Plastic Surgery
    Egyptian Fellowship for Plastic Surgery

  • Breast lift | Features and prices

    Breast lift | Features and prices

    A breast lift is considered the perfect solution to get rid of drooping breasts. Many women suffer from sagging breasts due to genetic factors, hormonal changes,  aging, and many other factors.  Breast lift results in a more youthful, attractive, and proportional shape.

    Between the lines of this article, we would disclose to you everything related to this procedure and its benefits, as well as how to prepare for it and the cost of the operation.

    What is a breast lift?

    Breast lift is a plastic surgery that aims to lift and re-tighten the breasts to improve their appearance, roundness, and contour and make them more youthful and attractive.

    Breast lift is achieved by removing excess skin, lifting and reshaping the breasts for an ideal and consistent shape, this procedure is the perfect solution for women who suffer from sagging breasts due to aging Pregnancy and lactation, or rapid weight loss.

    For maximum benefits, the operation should be performed by a qualified plastic surgeon who specializes in this field.

    Breasts tightening techniques

     There are several different techniques through which the breasts can be tightened, Dr. Yasser Badi would help you to choose the best technique that fits you according to your current breast shape and size, the target you dream to achieve, and your general health condition.

     The most common techniques for tightening and beautifying the breasts are:

    Surgical breast lift

     This is the most common method and involves surgical removal of excess skin and lifting and reshaping the breasts.

    Laser breast lift

    It is a non-surgical method that depends on laser energy to tighten the skin by stimulating collagen production.

    An injection breast lift 

     This method uses injectable materials containing collagen and fat to tighten the skin and improve the appearance of the breast.

    Tightening and lifting the breasts with exercise

     It is a non-surgical method that uses chest and arm exercises to strengthen and lift the chest muscles.

    Breast lift vs breast implants

    Both breast lifts and breast implants are plastic surgical procedures that are used to improve the appearance of the breasts, but they differ in technique and purpose. Breast lift is usually performed by removing excess skin,  lifting, and reshaping the breasts to achieve a perfect and symmetrical shape.

    While it is different with breast implants, as it is a surgery used to implant silicone or fatty tissue through a small incision in the breast and placing it under the skin to increase the breasts’ size and improve its appearance.

    In both procedures, the patient must consult a qualified plastic surgeon to select the appropriate process for her condition and needs.

    Advantages of breast lift

     Dr. Yasser Badi would explain why you should think about performing a breast lift and the most important advantages of this procedure.

    The most important benefits you gain from this procedure are the following;

    • Breast reshaping, lifting, and removing excess skin, which improves its appearance and makes it look more youthful and attractive.
    • Improving the appearance of the breasts enhances self-confidence.
    • Breast lift surgery helps relieve pain in the back and neck caused by large and heavy breasts.
    • Results obtained from breast lift surgery are permanent results while maintaining a healthy diet and exercise.
    • Improving the patient’s mental health and relieving the psychological stress she suffers from due to the appearance of her breasts.
    breast lift Features and prices
    breast lift Features and prices

    How to choose the best plastic surgeon for a breast lift?

     Choosing the right plastic surgeon for a breast lift is very important to ensure safety and efficacy.  Dr. Yasir Badi provides the following  tips that would help you to choose the right surgeon:

    Experience and competence

    You must be ensured that the surgeon has the essential experience and competence in performing breast lift surgeries. It is also possible to view the surgeon’s medical record and verify the number of successfully performed operations.

     Accreditation license

    You must ensure that the surgeon is licensed and accredited by the competent health authorities in your country.

    The first Consultation

     Your first consultation should be booked with the surgeon to discuss the available options and choose the appropriate method for your condition.

    Confidence and comfort

     You should feel confident and comfortable with the chosen surgeon, and the surgeon should be able to listen to your concerns and answer all your questions.

    Previous patients’ feedback

    Previous patients’ recommendations and reviews can be viewed online to check the surgeon’s reputation and quality of work.

    Cost

     You must obtain details of prices and costs related to the operation and ensure that it fits your available budget

    How to prepare for a breast lift procedure?

    Preparing for a breast lift operation requires following some important tips to achieve the best results and reduce potential risks.

     Here are some points  that must be followed to prepare for a breast lift operation;

    Book a medical consultation 

    Book a medical consultation with a specialized plastic surgeon to determine whether a breast lift is an appropriate method for your condition and to know the operation steps.

    Psychological preparation 

    Which includes ensuring that you understand the risks and expectations related to the operation.

    Medical examinations

    Conducting the necessary medical examinations to determine your general health and to identify any health problems that might affect the operation.

    Stop smoking

    Stop smoking at least two weeks before the operation to reduce potential risks.

    Your current medications

    Tell your surgeon about any medications or nutritional supplements you’re taking to assess if they affect the procedure.

    And finally 

    Stop eating and drinking for 8 hours before the operation.

    Prepare the necessary comfortable clothes and pillows.

    Is breast lift the perfect solution?

    The main goal of breast lift surgery is to lift and tighten the breast, in addition to removing excess skin and reshaping the breasts to obtain a more youthful and attractive appearance. However, breast lift surgery is not the ideal solution for everyone. You should discuss with your surgeons your targets to help you to choose the appropriate method for your condition.

    Moreover, Dr. Yasser Badi ensures that breast lift surgery is the perfect solution for those who suffer from sagging breasts, excess skin, and muscle sagging, but it is not suitable for people who suffer from enlarged breasts or people who want to increase the size of their breasts.

    Breast lift surgery cost

    The cost of a breast lift operation varies according to many factors such as;

    • The clinic’s location. 
    • The surgeon’s experience. 
    •  The technique used in the operation.
    •  The materials used in the operation.   
    • Anesthesia costs.
    • The recovery period.

      The actual cost of the operation cannot be determined before the initial consultation, in which the doctor determines each of the previous factors.

     It should also be noted that a breast lift is a cosmetic operation, so health insurance does not cover the costs of this operation.

    What are the possible complications associated with a breast lift?

    Breast lift is a surgical procedure that carries some potential risks and side effects like any other surgery, but these risks increase in case an inappropriate doctor is chosen to perform such an operation or in case the necessary medical examinations and analyses are not performed for the patient before the operation, and among these risks are:

    • Wound inflammation and infection.
    • Bleeding and bruising.
    • Changes in the breasts and/ or nipple sensation.
    • Scar formation and changes in the shape of the breasts.
    • Changes in the shape of the nipples.
    • Fluid collection under the skin.
    • Collection of blood under the skin.
    • Changes in the shape of the breasts after a period of time.
    Book now online to get offers and discounts
    Plastic surgery & body contouring specialist

    Bachelor of Medicine and Surgery
    Alexandria University Master of Plastic Surgery
    Egyptian Fellowship for Plastic Surgery

  • Breast augmentation surgery |My experience

    Breast augmentation surgery |My experience

    Many women dream of symmetrical and symmetrical breasts in a way that suggests the beauty and femininity of women, so that dream is no longer difficult to achieve, and thanks to breast augmentation surgery and modern technologies, there are only hours between you and the dream to get an attractive female body and full and symmetrical breasts with all defects fixed so that the body looks perfect with the addition of various cosmetic fillings made of silicone or implants.

    What is breast augmentation surgery?

    Dr. Yasser Badi answered, explaining that breast augmentation surgery is considered one of the plastic surgeries that treat the problems of small breasts or asymmetrical breasts by adding artificial fillings made of silicone, medical implants, or Autologous fat injection.

    As Dr. Yasser Badi said, the success of the operation depends on the correct diagnosis of the doctor and the selection of the technique that suits the condition of each patient separately, and the second matter depends on the patient herself in terms of following recovery and safety procedures after the operation.

    Candidates for breast augmentation surgery

    Dr. Yasser Badi explained the cases for which it is appropriate to perform this operation, and they are:

    • Women who suffer from breast atrophy.
    • Women face the problem of inconsistency in the size of their breasts.
    • Women who suffer from the problem of small breast size.
    • Women with breast cancer.
    • Women who have undergone breast surgery.

    Steps to perform breast augmentation surgery using implants

    Below, Dr. Yasser Badi explains how to perform breast augmentation surgery by using medical-cosmetic implants:

    • Conducting medical analyzes and ensuring the patient’s health ability to perform breast augmentation surgery.
    • A good examination of the patient and selection of the type of implants or fillings.
    • Anesthetizing the patient either using local anesthesia or general anesthesia, according to the doctor’s decision.
    • Make a surgical incision in the area of the dark areola, through which cosmetic implants will be inserted.
    • Adjusting the position of the implants so that they are in their normal position and then fixing them.
    • Lift sagging breasts and remove excess skin.
    • Adjust the consistency of the nipples to their new position.
    • Using medical thread to close the surgical incision. And put on a medical bandage.

    Advantages of breast augmentation surgery

    The following are the most important advantages that Dr. Yasser Badi talked about regarding breast augmentation surgery for women:

    • Treatment of breast problems, especially the problem of atrophy.
    • Harmonizing the shape of a woman’s body and highlighting the beauty of the breasts.
    • Achieving the shape of a prominent round chest that is full and stretched upwards.
    • Achieving consistency between the shape of the body and the size of the breasts.
    • Modern techniques do not leave traces of scars on the skin, and the doctor uses cosmetic stitches to hide the effects of surgical incisions.
    • Enhancing the girl’s self-confidence and obtaining immediate results.
    • Controlling the desired breast size through different types of cosmetic fillings.
    • The speed of carrying out the operation and leaving the hospital will not take more than two hours only.
    • Speed of recovery after the operation.
    My experience with breast augmentation surgery
    My experience with breast augmentation surgery

    Recovery after breast augmentation surgery

    Dr. Yasser Badi confirmed that the operation does not cause inflammation or sensitivity, but the recovery period varies from one patient to another according to the extent to which the instructions recommended by the doctor are followed and also according to the extent to which the body accepts these fillings, but at the latest, the patient leaves the medical center on the same day of the operation and the recovery period continues One week the patient follows the following:

    • Commitment to take medical painkillers and anti-inflammatory drugs prescribed by the doctor at their respective appointments to avoid infection.
    • Wearing a medical compression garment of an appropriate size to maintain the new breast shape and to avoid the accumulation of fluids under the skin.
    • Eat healthy food.

    Cost of breast augmentation surgery

    Dr. Yasser Badi explained how difficult it is to determine the cost of the operation due to the presence of several hidden factors, the most important of which are the following:

    • Different prices of breast implants used in breast augmentation.
    • The cost of surgeries associated with breast augmentation, such as breast lift, sagging removal, and breast atrophy treatment.
    • The experience and reputation of the attending physician in the field.
    • The type of anesthesia used in operation, the cost of the medical assistant, and the anesthesiologist.
    • The cost of the cosmetic medical center and the duration of stay.
    • Medical analyzes and examinations before and after the operation.
    • The cost of a ticket to the country where the operation will take place.

    How long is the recovery from breast augmentation surgery?

    Dr. Yasser Badi answered, explaining that it would take about 6 weeks, at most, for the traces of the wound to disappear completely, and also for the swelling and redness to completely disappear, and for the breast to begin to appear in its new shape.

    Is it necessary to wear a corset after the operation?

    Dr. Yasser Badi answered, stressing the need to wear a medical compression corset suitable for the size of the chest for two months daily to maintain the new breast shape, then the corset is replaced with a sports bra of an appropriate size until the breast is tightened, strengthened and supported in its new shape for three months.

    Dr. Yasser Badi’s advice after breast augmentation surgery

    Dr. Yasser Badi advises the patient with several tips, the most important of which are the following:

    • Communicate with the doctor in case of a high temperature, dermatitis, or unlikely side effects.
    • Avoid sleeping on the stomach so as not to cause excessive pressure on the breasts. It is preferable to lie on the back.
    • Avoid playing strenuous sports, carrying heavy weights, or climbing stairs.
    • Avoid hot water baths or direct exposure to sunlight.

    What are the factors for choosing a plastic surgeon to perform breast augmentation?

    Dr. Yasser Badi answered, explaining the criteria by which the most suitable surgeon is chosen to perform plastic surgeries, and those criteria are as follows:

    • You are choosing a doctor after reviewing the opinions and evaluation of previous patients.
    • Choose a doctor who has a scientific degree from the American Board.
    • Choose a doctor with experience in the field of plastic surgery.
    • Inform the doctor of all that is new in the world of cosmetic implants and breast augmentation in terms of types, sizes, and features.
    • See the scientific certificates obtained by the doctor.

    My experience with breast augmentation surgery

    One of the girls tells of her experience with the operation, where she said that she had been suffering from small breast size since she was in the university stage until she was approaching the age of twenty-five. Her body growth was still going well except for the breasts, and she was always embarrassed and hated wearing tight dresses and clothes. 

    This girl went through several natural experiments to enlarge the breast and did not achieve the required feasibility, then she tried breast augmentation surgery using medical implants. 

    The operation achieved positive and successful results and enabled that girl to listen with natural breasts of the same size that was agreed upon with the doctor, as for the pain after the operation The girl explained that she felt some possible pain in the first week, which she controlled through painkillers and following the doctor’s instructions.

    The girl expressed her happiness from that beautiful experience.

    Book now online to get offers and discounts
    Plastic surgery & body contouring specialist

    Bachelor of Medicine and Surgery
    Alexandria University Master of Plastic Surgery
    Egyptian Fellowship for Plastic Surgery

  • Breast lift surgery

    Breast lift surgery

    Breast lift surgery is one of the important plastic surgeries for all women, as most women dream of having beautiful and full breasts as well as lifted and taut, and therefore Breast surgery works to achieve this dream for every woman, and many factors prevent the realization of this wish such as Pregnancy, breast-feeding, etc., but with Dr. Yasser Badi, this dream is now easy to achieve safely, using all modern techniques in Breast lift surgery.

    What is Breast lift surgery?

    In this surgery, sagging breasts are reconstructed and reshaped to form a natural breast. This method is used for those women who are not satisfied with the shape of their breasts, as over time the breasts become loose because the breast tissue loses its elasticity.

    From a medical point of view, this change and relaxation do not represent any problem, but for women, the matter is different, as this loses the woman’s self-confidence and makes her in a very bad psychological state. In this case, breast lift surgery is the appropriate solution to achieve the ideal appearance of sagging breasts.

    Causes of sagging breasts

    Many reasons lead to sagging breasts, and then breast lift surgery is performed, as Dr. Yasser Badi explains that the breast is one of the areas that are always subject to change in its shape, in terms of size and shape, and the reason for this is the many changes of hormones, which in turn effect on that area, and environmental factors also cause it, so Dr. Yasser Badi explains the most important factors causing sagging breasts, including:

    • Breast enlargement in adolescence due to excessive weight gain.
    • Unhealthy nutrition.
    • In cases of breast augmentation using incorrect methods.
    • Another reason is excessive exposure to the sun, which is considered one of the environmental causes that cause sagging breasts.
    • Breastfeeding or pregnancy.
    • Smoking, drugs, and alcoholic beverages.
    • The interruption of the menstrual cycle leads to a decrease and relaxation in the breast tissue.
    • Applying silicone fillings to enlarge the breast and using them in the wrong way.
    • Aging of the body and exposure to gravity.

    Breast lift surgery and breast reduction surgery and the difference between them

    1- Breast reduction surgery:

    • Is completely different from breast lift surgery, as the intended breast reduction is the removal of all the fat and glandular tissue present in the breast, as all this fat is dispensed to get rid of the large breast and obtain a small breast.

    2- Breast lift surgery:

    •  This fat or glandular tissue is not completely removed from the breast, as only an amount of excess skin is removed, and this amount is the main cause of breast sagging, meaning that Breast lift surgery has nothing to do with changing the size of the breast, but rather with reducing surface area only.

    Cases that are prohibited from performing Breast lift surgery

    Dr. Yasser Badi says that all women must ensure the suitability of the procedure with the woman’s health condition, as some cases are dangerous for women when performing this operation, and some cases may reach the risk of developing cancer. breasts, these cases are:

    • The presence of infections may affect the procedure.
    • During pregnancy.
    • Poor wound healing.
    • Breastfeeding period.
    • Cases of poor blood clotting.
    • Various autoimmune diseases.
    Breast lift surgery
    Breast lift surgery

    Necessary examinations before Breast lift surgery

    Despite Dr. Yasser Badi’s clarification above that some cases must be refrained from Breast surgery for them because of the danger they represent, but also for normal cases, the patient’s health condition must be confirmed before performing such an operation, through some examinations required by the doctor, and this shows the extent of medical honesty and honesty that Dr. Yasser Badi adheres to, and these procedures include the following:

    • Mammography.
    • Knowledge of the patient’s medical history.
    • Conducting a physical examination on the breasts in particular, to know the nature of the skin, the direction of the nipple, and the extent of the elasticity of the skin.
    • View previous surgeries.
    • Knowledge of the medications taken and the types of allergies that the case suffers from.

    Breast lift surgery

    • Breast lift surgery is done under general anesthesia, and it takes two to four hours.
    • Dr. Yasser Badi determines the method of making the incision in the breast as a result of the condition of the breast itself, as it is possible for the incision to be made in the crease under the breast, in the armpit, or around the circumference of the nipple.
    • After making the appropriate incision, the appropriate implant is inserted into the breast, and the incisions are closed by stitches in the breast tissue.

    Results of breast lift surgery

    • After the procedure, you will notice a slight swelling in the breasts after removing the bandages and the presence of some incision scars.
    • Dr. Yasser Badi confirms that all these symptoms will disappear within about a month.
    • There is some pain resulting from the operation, which will certainly disappear with the painkillers prescribed by the doctor, and it will completely disappear in a short time.
    • Dr. Yasser Badi emphasizes the need to wear the bandage for 3 days after the procedure, so the arm can be moved freely and then all the usual activities can be done
    • A supportive bra should be worn to help the wound heal quickly and maintain the shape of the breast.

    Ways to lift and tighten the breast

    There is more than one method through which breast lift surgery is performed, as it depends on the condition of the breast itself and the degree of its sagging, as follows:

    1- Simple breast lift

    In this case, breast lift surgery works to tighten the breast and raise it to a simple degree, by removing excess skin in the lower region of the breast, and then reducing the areola and moving the nipple up, as this is done by various cutting techniques, and in this case, the breast will not be relaxed once again.

    2- Breast lift while reducing the size

    This procedure is very suitable for those patients with large and sagging breasts, as it combines both a lift and partial removal of the glandular tissue of the breast.

    3- Breast lift with implant filling

    Some patients choose to have breast augmentation with implants at the same time, because breasts are usually smaller after the procedure, even though no glandular tissue has been removed from the breast.

    For this reason, two steps are performed in one, as when performing the traditional breast lift surgery, breast augmentation cannot be performed until six months after the lifting operation, due to the occurrence of slight sagging after the breast lift.

    Breast lift surgery cost

    The cost of procedure with Dr. Yasser Badi is subject to several different factors, as it is impossible to apply a single cost to all patients, due to the difference in each case from the other, and some perform other operations with Breast lift surgery such as breast lift, breast reduction, or enlarge it and so on, all of which of course affects the cost of the operation.

    If you want to speak with Dr. Yasser Badi and set an appointment to explain your health and talk about all the details that you want according to your condition; you can book by clicking here and make an appointment with the doctor.

    Book now online to get offers and discounts
    Plastic surgery & body contouring specialist

    Bachelor of Medicine and Surgery
    Alexandria University Master of Plastic Surgery
    Egyptian Fellowship for Plastic Surgery

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