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Everything about
Liposuction

Liposuction operation improves the lines of your body and your body’s proportion by removing excess fat in different areas of the body. Liposuction makes you thinner, reshapes your body and increases your satisfaction with it.

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Success in Liposuction

Liposuction surgery may seem easy as a concept but similar to all other operations, it is in fact quite a detailed procedure. A qualified surgeon is well-educated in every topic related to liposuction surgery, and can explain to you as detailed as you wish.

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Am I a good candidate for liposuction?

The most suitable candidates for this operation are people who have average or a little over average weight, healthy and who have regional fat that do not disappear with diet and exercise. Liposuction is not an effective treatment for patients who have cellulite or loose, sagging skin.

Liposuction is a surgical operation and includes risks. Because of that, you should be healthy to be able to have liposuction.

Doctors do not advise those who have problems with blood flow, heart disease or diabetes or a weak immune system to have a liposuction.

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Prior to the Operation

There are a few steps patients can follow to minimize the discomfort after operation and decrease risks of complication prior to the operation.

Examination

You will have a conversation with your doctor for the detailed plan of the surgery prior to the operation. During the conversation, you will talk about the procedure, risks, side effects and the things you should do before the surgery. Your doctor will inform you about topics such as the type of anesthesia that will be used, the cost of the operation and the medicine you should take beforehand.

Treatment Plan

Your doctor will explain to you the different liposuction procedures, and you will together decide the one that suits your needs and aims the best. Explain the result you aim to your doctor as detailed as possible, so that your doctor can create the most suitable treatment plan for you and you can gain the maximum effect from the treatment.

Determination of Risks

In order to determine the risks of liposuction for you, you will talk about your health history and lifestyle. Your doctor will ask you about the medicine you are using, whether you smoke or not and whether you have any kind of health problem. It is crucial for the operation that you are completely honest to your doctor.

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Liposuction Operation

Liposuction procedure may seem easy as a concept, but it is in fact a quite detailed procedure just like any other surgeries. A qualified surgeon is well educated when it comes to everything about liposuction procedure, and can explain the procedure to you as detailed as you wished. Of course, every procedure changes depending on the area on which the treatment is performed and the type of liposuction that is applied. However, every procedure is performed on the same bases.

Anesthesia

Liposuction can be performed with local or general anesthesia. The term anesthesia means “painless”. In most liposuction techniques, a solution including anesthesia medicine is applied on the operated area. For a local anesthesia, the surgeon only numbs the operated area, and you will be awake during the operation. In general anesthesia, you will be asleep during the operation thanks to the anesthesia medicine that is given in gas form or via injection.

Making the Cuts

After the anesthesia is applied (and in certain cases, liquid injection is made), the next phase is to make small cuts in the area where the fat will be removed. These cuts are generally very small.

Removing the Fat

Then, your surgeon will place a thin vacuum tube (cannula) through the cut towards the fat layer deep inside. Your surgeon will move the cannula forward and backward to break the fat into pieces, and pull the fat outside with the help of an injector or a vacuum pump. Because a significant amount of blood and other bodily fluids will be taken as well, fluid will be given through the vain during and after the operation. Of course, this part of the procedure may slightly change depending on the type of liposuction that is applied.

Closing the Cuts

Depending on the surgeon’s preference, cuts may be left open or they may be closed with a few stitches. Some doctors prefer not to close the cuts to decrease bruising and swelling that may occur during liposuction.

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Combining Liposuction with other Procedures

Doctors usually combine liposuction with other operations to get more comprehensive and satisfactory results. If you want more serious changes, talk to your surgeon about them during your consultation.


The areas on which liposuction is most commonly performed are chin, neck, tummy, inner and outer thigh, knees and ankles. In addition, liposuction is also used to treat gynecomastia (swelling of breast tissue in men).

Body Shaping

Many surgeons use liposuction together with various body shaping procedures. The surgeon can get more effective results by using liposuction while tightening the muscles and removing excess skin.

Tummy Tuck

The surgeon may tighten the tummy area with tummy tuck, which is one of the most popular procedures among body shaping procedures. In addition, the surgeon may lift the belly button higher with a full tummy tuck surgery. A flatter and in shape tummy area may be achieved with the use of liposuction during the procedure.

Body Lift

Body lift surgeries are more comprehensive treatments that target the tummy, thighs and butt at the same time. During the body lift procedure, the surgeon makes cuts that circle groin area, waist and butt. In addition to tightening damaged muscles, the surgeon may perform liposuction as well to remove fat from these areas.

Thigh Lift

Doctors usually perform thigh lift surgery to solve the problem of excess skin that occur on the thighs after losing excess amount of weight. If there is the problem of stubborn fat that cannot be solved with diet and exercise, liposuction may be an important component of the procedure.

Arm Lift

As the age advances, many patients especially women complain about the excess skin and fat on their upper arm area. When tissue removal is combined with liposuction, a thinner and more in shape upper arm area can be obtained.

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Fat Transfer

Thanks to fat transfer, it is possible to increase the size of an area in the body while decreasing the size of another. To achieve this, the surgeon firstly applies liposuction on the problematic area such as the tummy, thighs or upper arm area. Then, your surgeon purifies fat cells with centrifuge. Finally, they inject the fat cells in another area of the body to give plumpness or decrease the effects of aging.

With a fat transfer;

  • Plumpness can be given to breasts
  • A more sizeable and attractive butt can be achieved
  • Deep wrinkles on the face (especially around the mouth and nose) may be hidden
  • The size of lips can be increased
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Why Vanity Aesthetics?

Liposuction operations of Vanity Aesthetics are performed by Surgeon Güray Yeşiladalı. He has performed over 2000 successful surgeries in Germany, USA and Turkey in aesthetic and plastic surgery over the years. He is very experienced in liposuction and fat transfer operations. Every operation in Vanity Aesthetics are under the assurance of ISAPS (International Society of Aesthetic and Plastic Surgery), which only 57 surgeons have in Turkey.

Every operation performed by Vanity Aesthetics are done in A+ hospitals that have JCI certificate and European Assembly 2016 best hospital award. A professional medical team assists Surgeon Güray Yeşiladalı during the operations.

At Vanity Aesthetics, you can get an examination free of charge, look at before-after photos of previous patients and find out about their experiences. Also, you can ask Doctor Güray about anything you wish to know.

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Areas where Liposuction can be Performed On

Liposuction is not a weight loss operation. It gives efficient results when used to improve the general appearance of the patient by removing excess fat in certain parts of the body. It can present very successful results on tummy, butt, thighs, arms and breasts.

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Liposuction on Tummy Area

Liposuction is very effective in shaping the tummy area of both women and men. Especially the lower tummy area tends to be enduring diet and exercise. Because of that, those who are in great shape and active may feel uncomfortable with their appearance. Pregnancy and giving birth via C-section may cause deterioration in the lower part of tummy. These also cannot be corrected with exercise and diet. Because a big part of the fat in the tummy is right below the skin, it can easily be removed via liposuction. On the other hand, the fat that is deep in the stomach (between intestines) cannot be removed via liposuction, because this causes serious risks of complication. Tummy liposuction can be performed together with tummy tuck surgery.

Liposuction on the Sides of Body

Side fat in men occurs right above the belt area, on the sides of body and on the back. Liposuction can improve the appearance of these areas significantly, and decrease the amount of fat that exceed over the belt. As for women, the fat below the bra line, on the sides of body and on the back are targeted.
Side area liposuction is performed with local anesthesia so that the patient can roll over to the side and ensure the surgeon to reach the back. It is dangerous to bring back a patient who is under general anesthesia, because this may affect the position of the breathing tube. Side area liposuction can be done together with body lift.

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Liposuction on Hip Area

Hip liposuction is usually more successful in creating lines that are more in shape. This liposuction procedure is usually performed on women, because men do not tend to experience problems in that area as much as women. Patients who have liposuction to improve the appearance of thigh area may need to have additional procedures to get the lines the thigh area. Hip liposuction is usually performed with general anesthesia. It can be performed together with an extended tummy tuck surgery.

Liposuction on Thigh Area

Applying liposuction on the whole thigh area (peripheral liposuction) is not advised because it causes an increase in swelling and prolonging of recovery period. Instead of this, thigh liposuction should be performed as a series of operation in which operations are performed between one month intervals. Thigh liposuction may be performed together with thigh lift operation.

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Liposuction on Buttock Area

When buttock area is aimed, shaping the buttock is more important than decreasing its size. Taking excess amount of fat from the buttock may cause asymmetric, lumpy and saggy appearance. Buttock area is important when it comes to the general aesthetic appearance of the body. Liposuction done on the buttock area should be carried out with great sensitivity.

Liposuction on Arm Area

Satisfaction rate from liposuction on arm area is quite high. The thinness achieved through this operation may give the body an appearance that is more in shape. Arm liposuction may be performed together with arm lift surgery.

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Liposuction on Breasts

Very big breast may cause women to have back and neck pain, headache and low self-esteem. Compared to other breast surgery operations, liposuction is a less invasive and more effective surgery. Removal of excess fat by liposuction creates a natural lifting effect on the breasts, because the weight that pulls the breasts down are decreased with this operation.

Liposuction on Breasts for Men

Liposuction may also be performed as a breast reduction operation on men, but certain factors should be considered beforehand. The surgeon should identify whether the excess tissue in the boobs are fat or gland tissue. If the breast mostly consists of fat tissue, liposuction is a great method to decrease the size of breasts and improve the appearance of the chest.
If the reason behind the expansion of the breast is gland tissue, liposuction is not an option; hormonal treatments or medicine treatments should be given. If breasts are asymmetrical or if they have shape deformity, patient should first check if there is a tumor. Breast x-ray is the most efficient method to identify tumors and breast cancer.

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Liposuction for Face, Neck and Chin

Face liposuction is performed to remove the fat in certain areas such as chin, neck and double chin. Face liposuction gives the patient a younger appearance by removing the excess fat in these areas. It is an efficient and safe procedure.
Face liposuction is generally performed by using micro-cannula. In certain situations, face liposuction is more efficient than other surgical techniques performed on the face.

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After the Operation

Recovery after liposuction may take between a few days up to a few months depending on the size of the area where the procedure was performed and the type of the performed liposuction.

First Few Weeks

Doctors suggests patients to wear compression clothes at least during the first weeks to accelerate healing process. A few weeks later, many patients start to feel comfortable enough to take off compression clothes.

Some patients feel pain in the day after liposuction operation. This discomfort is usually mild, and can be eased with painkillers and medium-level walking. A little bit before a week, most of the patients can move and walk normally, in fact they can go back to work with mild discomfort. Patients should shower instead of taking baths in the first week after surgery. In this period, swelling, bruising and numbness start to disappear.

The anesthetic solution used during the operation leaks through the cut areas for a few days after liposuction. This is normal. Besides, it helps recovery and decreases the recovery period.

Swelling that Lasts in the First Few Months

Swelling keeps going down during the few months after the surgery. As the swelling decreases, the permanent results of the treatment start to appear. If the treated area is big, recovery takes longer. As well as swelling, the skin on the treated area may seem loose, but it tightens over time. The skin goes back to normal depending on the flexibility of the skin (this depends on age and genetics).

Patients should keep monitoring the areas that were cut in case of infection risk, and they should set control appointments with the surgeon for the monitoring of recovery period. Excess swelling can sometimes be an indicator of other risks or side effects. Because of that, it is crucial that you are in contact with your doctor to make sure everything is going well.

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Exercising after Liposuction

You should consult your surgeon before you start exercising. Many aesthetic surgeons encourage their patients to start doing a light walking routine within 3-4 days after liposuction. Light exercise helps prevent clot formation in legs and other complications that may occur after the surgery.

Patients can usually start increasing their level of activity within 2 weeks following liposuction. However, it is necessary to avoid heavy exercising for at least a month in order to give the body enough time to recover.

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Results

The definite results of liposuction surgery become visible in a few months after surgery. Liposuction is performed to shape the body, it is not an option for weight loss. Excess fat which is not possible to get rid of through diet and exercise can be treated efficiently with liposuction.

First Results

The result of liposuction are noticeable to some degree right after the operation. The results may be inadequate at first. This is normal because swelling and bruising overshadow the result. Besides, the skin on which the treatment is performed may seem loose, it takes time for the body to adapt its new shape. Many surgeons ask the patients to wear compression clothing so that it would help the recovery process. Wearing compression clothing helps decrease the long term effect of swelling, bruising and scars after liposuction.

Definite Results

It takes 1-3 months until swelling and bruising disappears, and up to 6 months until the skin on the area where fat is removed is lifted. Definite results of liposuction will be visible 3 months after the surgery. After the recovery period, you will have a body more in shape and a younger appearance. The results are not the same for everybody but many patients experience a serious increase in their confidence after liposuction.

The benefits of liposuction are not only limited to aesthetics. Liposuction can be the first step of a healthier, more active lifestyle. Many patients start to be careful about their diet and exercising to protect the results of liposuction. The results of the operation can be permanent for years with the correct care.

Protection of Results

Even though liposuction is a great way to get the excess fat in certain parts of the body away, removal of fat cells from the body doesn’t mean that you will not gain weight in the future. The cells taken away by liposuction do not form again. However, patients who undergo liposuction surgery are more prone to experience weight issues on the parts of their body where they didn’t have weight issues before if they do not make changes in their exercising and eating routines.

Lifestyle

There is no definite eating order to be followed after liposuction because every patient has a different diet and lifestyle. Many patients see liposuction as a starting point to a healthier lifestyle.

Diet

After liposuction, patients should eat a lot of fat-free proteins, dairy products rich in calcium, fresh fruit and vegetables and whole grains. You may consider consulting to a nutritionist for more personalized food supplements

Exercise

Regular exercising is very beneficial because it decreases the risk of heart disease, high blood pressure and depression. Patients who undergo liposuction do not need to start having an exercising routine immediately.

Physical Activity

Physical activity is important because it prevents weight gain and increases the appearance of muscles. Patients are advised to do activities for at least 5 days a week. The activities include jogging, walking, cycling, yoga, swimming, dance classes and so on.

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What Should You Expect?

Fat cells are permanently removed during liposuction. As a result, if you gain weight after the procedure, the weight will not gather in the area where treatment was performed on. However, liposuction does not prevent you from gaining weight. You should have a good diet and exercise regularly to protect your body after liposuction.

What Shouldn’t You Expect?

Liposuction is not a weight loss operation. Many patients only use 1-2 kilograms following the operation.

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What Should You Do Before the Procedure?

Although it is a widely performed, it should not be forgotten that liposuction is a surgical operation. On the other hand, patients can significantly get rid of the anxiety that result from the surgery by being informed about the procedure.

2 Weeks before the Operation

You should stop taking medicine similar to aspirin and vitamins that affect the clotting ability of the blood 2 weeks before liposuction. If you are smoking, you should stop smoking at least 2 weeks before the operation.

One Day before the Operation

Complete your preparations for the operation. Prepare comfortable clothes, get a good night’s sleep the day before the operation and arrange a vehicle for your return home after the operation.

The Day of the Operation

If the operation will be performed under general anesthesia, you should stop eating and drinking for at least 6 months before the operation. This is to prevent nausea. When you reach the facility where the operation will be performed, you are going to sign a document stating that you know and understand the risks, benefits and possible results. Even though the procedure changes from one doctor to another, your surgeon is possibly going to mark the area on which the operation will be performed on your skin, and taking a photography to compare with your results.

Frequently Asked Questions

How long does the operation last?

The certain duration of the operation changes depending on the type of liposuction and the size of the area on which liposuction is performed. The procedures done on bigger areas such as the back and the tummy take longer. However, the operation usually lasts 1-4 hours.

Can obesity be treated by liposuction?

No. A candidate for liposuction should be at their ideal weight or close to their ideal weight. The aim of the liposuction candidate should be making their appearance better and having smoother lines. The aim of liposuction is to get the regional fat away from your body which you cannot get rid of with diet and exercise. During the operation, the surgeon should not remove more that 4,5 kilograms of 5 liters. Excess removal of fat may cause fluid imbalance and serious complications.

How long should compression clothing be worn?

This period depends on the procedure done specially for you and the preferences of the doctor. While in some cases it is necessary to wear compression clothing up to 6 months, in other cases especially if your prefer open tumescent liposuction, wearing compression clothing only for a couple of days is enough.

Does liposuction leave a mark?

Yes, liposuction leaves a mark, but these marks are very small. Besides, your doctor pays attention to make all the cuts in a way they will be hidden in natural lines of your body. Many patients do not feel uncomfortable with these barely noticeable marks.

When can I go back to work?

Recovery period changes from patient to patient, but usually it is possible to go back to work 2-4 weeks after the operation. The required time depends on where the treatment is applied and the natural recovery process of your body. If you have a job that requires serious physical effort, you may need to take leave for longer. Doctors suggest to wait for at least 3 weeks before starting doing aerobic exercise.

Is it possible to correct the results of a badly resulted previous liposuction?

This changes from situation to situation. Correcting every bad result of previous operations is sometimes not possible. However, significant success is achieved in many cases. In order not to have a badly resulted liposuction, you should behave carefully when picking your surgeon.

Why are compression clothing worn after liposuction?

Many doctors suggest compression clothing to be worn or bandages being on the treated area after liposuction. Compression clothing decreases bleeding after surgery, minimizes discomfort and accelerates recovery process. The surgeon leave the cuts open when performing open tumescent liposuction. Compression clothing enables anesthetic fluid to leave the body quickly in this type of liposuction. As for closed liposuction, the surgeon stitches to close the cuts. In this condition, compression clothing ensures that your body absorbs fluids faster and that you recover quicker.

Are the results of liposuction permanent?

Liposuction permanently puts the fat cells away, but it does not stop you from gaining weight. On the other hand, if you gain weight, the fat will probably accumulate in other parts of the body. For that reason, for example if liposuction is performed on your tummy area, that area will remain thin for years even if you gain weight, but the weight you gain will accumulate on your arms, buttock or in other areas.

Can I smoke after liposuction?

Smoking disrupts the oxygen flow in the body and affects recovery negatively. It may sometimes cause serious complications. Many doctors suggest you not to smoke until at least 2 weeks after the operation.

Liposuction or tummy tuck?

If there is seriously loose skin on your tummy area or your tummy muscles are weakened because of pregnancy, weight loss and/or weight, you may consider tummy tuck. However, if you have a healthy skin that encircle your body’s natural lines, liposuction is possibly more suitable for you. The only way to define the procedure that is suitable for you is to consult an experienced aesthetic surgeon.

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Combination of Liposuction and Tummy Tuck

Liposuction and tummy tuck is a good combination for many patients. Based on a study conducted by American Plastic Surgeons Association in 2012, 98% of the patients who have both these operations in a combined way say that they would have these surgery in this way if they could go back, and over 99% stated that they suggest this combination to other people as well. According to this study, satisfaction rate from this combination is over 99%, and this rate is much higher than that of these procedures being performed individually.

Combining these two procedures shortens the total recovery period as well.

Terms You Should Know

Take informed and smart decisions about your procedure. Make sure that you have the right surgeon for your procedure. Understand your options, potential results and risks.

Breast Reduction

Reduction of breast size with a surgery.

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Cannula

The thin and empty tube used during liposuction

Face lift

The surgical procedure that is performed to decrease the sagging in the middle area of the face, neck and double chin.

General Anesthesia

The use of medicine to make the patient sleep during the operation.

Tumescent Liposuction

The type of liposuction in which adrenaline, and sometimes a salty solution is given to the area prior to the removal of fat.

Intravenous Sedation

Injection of sedatives in the vein to make sure you relax.

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Liposuction

Pulling away the fat under the surface of the skin.

Local Anesthesia

Injection of medicine where the operation is performed to ensure relaxing during the operation.

Hematoma

Blood accumulation under the skin.

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Risks

The decision to undergo an aesthetic surgery is completely personal. You should decide whether the benefits of the operation are enough for you to reach your aims and if the risks and potential complications of liposuction are at an acceptable level.

  • Risks of anesthesia
  • Bruising
  • Change in skin sensitivity (permanent or temporary)
  • Structures that are deeper down to have damage, such as nerves, veins, muscles, lungs and organs in the tummy area
  • Clotting of deep veins, complications related to the heart and surgery
  • Fluid accumulation
  • Infection
  • Irregular lines or asymmetry
  • The need for a corrective surgery
  • Scars that do not recover properly
  • Loose skin, worsening of cellulites
  • Swelling

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Terrace Fulya Residence,
Teşvikiye Mh. Hakkı Yeten Cd.
No 11-13 Fulya İstanbul/TURKEY

E: info@vanity.com.tr
P: +90 (553) 913 00 93

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Liposuction

Lipolysis and liposuction are contour correction surgeries which are performed along with one another. Lipousction is applied to the people who are not satisfied with some parts of their body and whose skin maintains its elasticity. It can be applied to any part of the body including jowl, arms, waist, abdomen, thighs and legs. However, it is not a weight-loss surgery.

Genetically diet resistant fat deposits are present in some parts of the body. These parts are thighs, interior waist and knees in woman, and abdomen and waist in men. Liposuction is quite suitable for the people who cannot make these parts thinner no matter how hard they go on a diet.

Lipolysis is the process in which the exclusive adipose tissues in the areas of fat deposits are melted down using various methods. Lipolysis process is mechanically performed using tumescent technique in a conventional manner. Lipolysis process is called laser lipolysis when performed using laser energy, and called ultrasonic lipolysis (VASER) when performed using ultrasound energy. All three methods will create similar results. Op. Dr. Güray Yeşiladalı will decide which technique will be more suitable for you.

No matter what technique is used, the fats, which are melted using lipolysis, are drawn out of the body using small cannulas through a process called liposuction. If the removed fats are to be transferred to another part of the body, in other words, if fat injection will be performed, liposuction is performed manually. Otherwise, the vacuum devices remove the excessive adipose tissues away from the body.

Lipolysis and liposuction can be used as a complementary process to arm and leg plastic surgery, abdominoplasty or breast reduction. They are efficiently used to make arms and legs thinner in cases that there is no sagging skin.

Laser or ultrasound energy cannot be used for lipolysis if the fats, which is removed after liposuction, will be used as fat injections on other parts of the body. Conventional liposuction method would be the most suitable method in this case because the removed fats will survive in the injected areas if they receive as least damage as possible.

Regional liposuction is performed as a general or local anesthesia procedure through 1-cm cuts using specifically-produced devices. You can return to your daily life approximately 3 days after surgery. Use of corsets is required for 3 weeks in order to ensure a firm skin. These corsets do not restrict the daily life and they are similar to elastic swimsuits which can also be used with daily clothing.

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