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韩东亮副主任医师 医生集团-上海 整形外科 唇部整形较为简单,所以恢复时间也较短。 一般来说,唇部变薄术在术后5~7天即可拆线,在遵守注意事项的前提下,短时间内即可恢复。 唇部整形前准备工作(1)术前一周要不要吃瓜子、花生、海鲜和一些辛辣刺激性的食物。 (2)为创造良好的身体环境,术前3天需要患者温水冲服板蓝根、静脉注射甲硝唑或其他的广谱抗生素。 (3)女生要避免在月经期间进行手术,经期过后一周可以进行手术。 唇部整形后注意事项(1)术后一周之内需要用抗生素软膏涂抹切口,由于伤口不包扎,还需同时口服抗生素一周以避免伤口感染。 (2)手术后要经常使用漱口液漱口以保持口腔清洁。 (3)手术后4天内尽量吃流食,以保证手术的效果。 (4)手术后,尽量不要使用唇膏等等的化妆品,最好平常嘴巴说话幅度不要太大。2021年08月02日
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果Objective and Effect改善唇形，提高气质To improve the appearance of vermilion唇形说明 Aesthetic Consideration“屁股唇”：下唇中央收窄，两侧又饱满的侧唇珠，适合脸庞圆润、婴儿肥、气质清纯可爱的女性。明星代表：汤唯、杨幂。“月牙唇”：下唇正中最厚，向两侧逐渐收窄，适合标准瓜子脸、五官大气、性感高贵的女性。明星代表：Angela Baby、柳岩手术方法Surgical methods手术参考价格（2020年1月~）Price (Since Jan. 2020）下唇修薄/“屁股唇”成形/“月牙唇”成形 ￥15,000元Lower lip vermilion plasty ￥15,000 RMB临床案例Clinic cases案例1 Case 1女，30岁，下唇“屁股唇”成形，术前与术后2月30-year-old female, lower lip vermilion plasty, before and 2 months after.案例2 Case 2女，25岁，上唇M唇+下唇“屁股唇”，术前与术后2月25-year-old female, upper lip M-shape plasty and lower lip plasty, before and two months after.案例3 Case 3女，24岁，上唇M唇+下唇“屁股唇”，术前与术后半年24-year-old female, upper lip M-shape plasty and lower lip plasty, before and 6 months after.案例4 Case 4女，30岁，上唇M唇+下唇“月牙唇”，术前与术后1年30-year-old female, upper lip M-shape plasty and lower lip plasty, before and one year after.案例5 Case 5女，30岁，上唇人中缩短+下唇“屁股唇”（脂肪填充）30-year-old female, upper lip lift and lower lip plasty by autologous fat injection.案例6 Case 6女，42岁，上唇人中缩短+下唇“屁股唇”42-year-old female, upper lip lift and lower lip plasty .案例7 Case 7女，23岁，上唇M唇+下唇“屁股唇”，术前与术后2年23-year-old female, upper lip M-shape plasty and lower lip plasty, before and two years after.案例8 Case 8女，22岁，上唇M唇+下唇“月牙唇”，术前与术后半年22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 6 months after.案例9 Case 9女，22岁，上唇M唇+下唇“屁股唇”，术前与术后8月22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 8 months after.术前注意事项Notes before surgery1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情况：上颌骨前突、红唇外翻等，手术效果可能欠满意，需要当面评估手术效果，慎重考虑。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、术后2-3月之内切口可能略红，触之稍硬，偶有瘙痒，建议此段时间内避开重要社交场合。之后逐渐恢复，稳定后一般社交距离不易看出，但极个别瘢痕体质患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、由于唇部组织松软，切除量难以精确掌控，术后可能会出现左右局部不对称（发生率50%）。一般轻微不对称多能逐渐缓解，如3个月后仍存在明显差异需要再次手术修复 50% cases may occur post-operativeasymmetry but most of which would recover within 6 months. If asymmetry continue，repair should be needed.麻醉方式 Anesthesia局部神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).术前准备 Preparation before lip surgery1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效) Regular test:局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；For localanesthesia:routine blood test，routine urine test，coagulation function，screening of infectious diseases静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片Forgeneral anesthesia: The above andblood biochemistry，ECG，chest X-ray2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆 Keep the face clean, cut thenasal hair and beard. Do not make up.4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量）、漱口水（1周量） Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery)术后注意事项Post-operative Care1、术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、术后当晚可能术区会比较疼痛，必要时可以服用止疼药或安眠药帮助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、术后前3天进软流食，避免过热食物，进食后注意漱口。1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and local movement should be avoided to the maximum extent.4、黑色边缘缝线术后7天拆除。口内可吸收缝线可不拆，1个月内自行吸收脱落。Suture will be removed 7 days after surgery. If absorbable sutures are applied, leave them fall offspontaneously in about a month.5、术后术区出现水肿、青紫、淤血等，属于正常现象，一般在术后2-3天时水肿最厉害，可服用消肿药。大部分在1-2周后逐渐消退，如发现肿胀淤血或疼痛加剧、出血等等，请即联系医生。Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.6、水肿时可能会发生个别缝线脱落可能，一般不致伤口裂开，所以不必惊慌，将缝线吐出即可。个别万一发生伤口裂开者请立即联系医生。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.7、术后瘢痕组织软化和淡化需要大约3-6个月时间，这段时间内有可能会出现切口疤痕硬、鼓起，笑不开，表情不自然，僵紧感，左右不对称，黏膜脱屑等，请耐心等待，一般随瘢痕组织逐渐软化而缓解。 It need 3-6 months for the incision scar to recover. During this period, stiff sense and unnatural expression may occur.8、由于术后两侧恢复速率可能存在差异，短期内轻微不对称可能比较常见，一般彻底恢复后能逐渐不明显；另外个别案例术后可能存在局部欠平整，一般随疤痕软化后会缓解流畅，最终效果可在术后至少3月以后再评价，如果存在矫正不足或过度、不对称或者局部不满意，如彻底恢复后仍存在可在半年后再次修复。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2013年08月18日23222
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果Objective and Effect改善唇形，提高气质To improve the appearance of vermilion唇形说明 Aesthetic Consideration北京大学第三医院成形外科(整形外科)潘柏林M唇：表达可爱、清纯、阴柔气质，明星代表：韩雪、林志玲M-shape：To express young and prettyΩ唇：表达硬朗、职业、性感气质，明星代表：宋慧乔、舒淇Ω-shape: To express sexy and tough手术方法Surgical methods手术参考价格（2020年1月~） Price (Since Jan. 2020）上唇修薄/M唇成形/Ω唇成形 ￥15,000元Upper lip reduction/M-shape/Ω-shape ￥15,000 RMB临床案例 Clinic cases案例1 Case 1女，24岁，上唇M唇成形，术前与术后半年24-year-old female, M-shape plasty, before and 6 months after.案例2 Case 2女，33岁，上唇M唇成形术后1年+口角上提术后1年33-year-old female, M-shape plasty and oral commissure lift, before and one year after.案例3 Case 3女，26岁，上唇M唇成形+硅胶隆下巴。术前与术后2年26-year-old female, M-shape plasty and chin augmentation, before and two years after.案例4 Case 4女，25岁，上唇M唇成形，术前与术后6月25-year-old female, M-shape plasty, before and 6 months after.案例5 Case 5女，23，上唇M唇成形23-year-old female, M-shape plasty, before and 6 months after.案例6 Case 6女，26岁，唇裂继发畸形，红唇肥厚，缺乏“丘比特弓”。 手术方案：上唇修薄，红唇缘唇峰成形。26-year-old female, secondary deformation of cleft lip withunclear peak and thick vermilion, received upper lip reduction and vermilion peak lift,before and 6 months after.案例7 Case 7女，22岁，上唇M唇+下唇月牙唇22-year-old female, M-shape plasty and lower lip plasty, before and one year after.案例8 Case 8女，25岁，上唇M唇+下唇“屁股唇”，术前与术后2月。25-year-old female, M-shape plasty and lower lip plasty, before and two months after.案例9：“微笑唇”套餐 Case 9女，33岁，上唇M唇+口角上提手术。术前与术后1月33-year-old female, M-shape plasty and lower lip plasty and oral commissure lift,, before and one months after.案例10 Case 10女，27岁，上唇M唇成形术，术前与术后3个月。27-year-old female, M-shape plasty, before and three months after.案例11 Case 11上唇M唇+下唇“屁股唇”，女，28岁，术前术后半年28-year-old female, M-shape plasty and lower lip plasty, before and six months after.案例12：女，23岁，上唇M唇+下唇“屁股唇”，术前与术后2年23-year-old female, M-shape plasty and lower lip plasty, before and two years after.案例13 Case 13上唇M唇+下唇“屁股唇”，女，22岁，术前术后8个月。22-year-old female, M-shape plasty and lower lip plasty, before and 8 months after.术前注意事项Notes before surgery1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情况：上颌骨前突、红唇外翻等，手术效果可能欠满意，需要当面评估手术效果，慎重考虑。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、术后2-3月之内切口可能略红，触之稍硬，偶有瘙痒，建议此段时间内避开重要社交场合。之后逐渐恢复，稳定后一般社交距离不易看出，但极个别瘢痕体质患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、由于唇部组织松软，切除量难以精确掌控，术后可能会出现左右局部不对称（发生率50%）。一般轻微不对称多能逐渐缓解，如3个月后仍存在明显差异需要再次手术修复 50% cases may occur post-operativeasymmetry but most of which would recover within 6 months. If asymmetry continue，repair should be needed.麻醉方式 Anesthesia局部神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).术前准备 Preparation before lip surgery1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效) Regular test:局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；For localanesthesia:routine blood test，routine urine test，coagulation function，screening of infectious diseases静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片Forgeneral anesthesia: The above andblood biochemistry，ECG，chest X-ray2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆 Keep the face clean, cut thenasal hair and beard. Do not make up.4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量）、漱口水（1周量） Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery)术后注意事项Post-operative Care1、术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、术后当晚可能术区会比较疼痛，必要时可以服用止疼药或安眠药帮助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、术后前3天进软流食，避免过热食物，进食后注意漱口。1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and local movement should be avoided to the maximum extent.4、术后7天拆除上唇边缘缝线。Suture will be removed 7 days after surgery. Keep the incisioin clean before stiches removal.5、术后术区出现水肿、青紫、淤血等，属于正常现象，一般在术后2-3天时水肿最厉害，可服用消肿药。大部分在1-2周后逐渐消退，如发现肿胀淤血或疼痛加剧、出血等等，请即联系医生。Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.6、水肿时可能会发生个别缝线脱落可能，一般不致伤口裂开，所以不必惊慌，将缝线吐出即可。个别万一发生伤口裂开者请立即联系医生。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.7、术后瘢痕组织软化和淡化需要大约3-6个月时间，这段时间内有可能会出现切口疤痕硬、鼓起，笑不开，表情不自然，僵紧感，左右不对称，黏膜脱屑等，请耐心等待，一般随瘢痕组织逐渐软化而缓解。 It need 3-6 months for the incision scar to recover. During this period, stiff sense and unnatural expression may occur.8、由于术后两侧恢复速率可能存在差异，短期内轻微不对称可能比较常见，一般彻底恢复后能逐渐不明显；另外个别案例术后可能存在局部欠平整，一般随疤痕软化后会缓解流畅，最终效果可在术后至少3月以后再评价，如果存在矫正不足或过度、不对称或者局部不满意，如彻底恢复后仍存在可在半年后再次修复。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2013年08月18日50655
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果：修薄红唇，改善唇形适应证：上唇或下唇红唇过厚、重唇、外翻，或者唇形平坦欠佳者手术方法：手术参考价格：（2020年1月~）重唇、厚唇修薄术(一片唇） ￥15,000元 （包含唇形塑造）临床案例：案例1：女，19岁，下唇厚唇修薄，术前与术后1月案例2：女，38岁，下唇厚唇修薄，术前与术后2月案例3：男，24岁，下唇厚唇修薄，术前与术后3月案例4：女，25岁，右上唇瘢痕，唇形不对称，予局部修薄，术前与术后半年。案例5：男，20岁，上唇重唇矫正，术前与术后2月。案例6：男，24岁，上唇厚唇修薄，术前与术后6月。术前注意事项：1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。2、长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。3、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。4、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。5、因术后局部轻微肿胀可能延续2-3个月甚至半年，此时唇部形态略欠自然，故手术安排时请考虑在此段时间内避开重要的社交场合。6、由于唇部组织松软，切除量难以精确掌控，术后可能会出现左右局部不对称（发生率50%）。一般轻微不对称多能逐渐缓解，如3个月后仍存在明显差异需要再次手术修复。7、个别人可能存在切口瘢痕增生风险，如发生需进一步后续治疗。麻醉方式：局部神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。术前准备：1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效)局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量）、漱口水（1周量）术后注意事项：1、 术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟2、 术后前3天进软流食，不能用吸管，可以用勺。避免过热食物，进食后注意漱口，漱口后外涂红霉素软膏。1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。可以刷牙，但注意轻柔，勿触碰伤口。3、 术后1周内忌烟酒、鱼虾、辛辣刺激食物。4、 术后7天拆线。5、 除特殊交待以外，一般不常规用抗生素。可服用消肿药。手术当天晚上如疼痛可以服用止疼药。6、 术后术区出现水肿、青紫、淤血等，属于正常现象，一般在术后2-3天时水肿最厉害，可服用消肿药。大部分在1-2周后逐渐消退，如发现肿胀淤血或疼痛加剧、出血等等，请即联系医生。7、术后瘢痕组织软化和淡化需要大约3-6个月时间，这段时间内有可能会出现切口疤痕硬、鼓起，笑不开，表情不自然，僵紧感，左右不对称，黏膜脱屑等，请耐心等待，一般随瘢痕组织逐渐软化而缓解。8、 术后可能出现唇部局部麻木或感觉迟钝，一般半年左右逐渐恢复。9、 最终效果可在术后3个月以后再评价，如果存在局部矫正不足或矫正过度、不对称或者局部不满意可在3个月后再次修复10、 半年后请联系医生复诊。请登陆本网站留下您的看病经验和评价。2012年01月06日41276
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