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The forehead flap is then raised. Wide undermining is then performed with the monopolar cautery at the edges of the donor site. In doing this, the forehead flap should be transposed into appropriate position. The donor site is closed superficially with interrupted prolene sutures placed in a vertical matress fashion in order to evert the skin edges. The periosteal strip is sutured to the eyelids with a Vicryl suture. This is performed in a cross swords fashion so that the upper limb engages the lower eyelid and the lower limb engages the upper eyelid.

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A 15 blade is used to make an incision through the periosteum and a freer periosteal elevator is used to elevate the flap and reflect it medially. At the conclusion of the case, the flap should appear healthy. This can sometimes be challenging due to tension at the closure and further undermining may be necessary.

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Median forehead flap. In addition, the defect involves the medial portion of the upper and lower lid. At the conclusion of the case, the flap should appear healthy. In addition, the defect involves the medial portion of the upper and lower lid.

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Comments:

Positif at 06.11.2019 at 07:51
Hey Renee, how are you doing? Any updates? I'm still suffering in silence. Sent him a text today but no reply and he's not been online tonight. Paranoia grows by the hour. I feel like a fool!
Espouse at 03.11.2019 at 23:49
Me too. She's so cute!
Totes at 03.11.2019 at 01:21
If you own it, take responsibility in a confident manner, things should get much better.
Pandation at 06.11.2019 at 23:37
noway g. 3 for me!
Santiest at 04.11.2019 at 11:08
I understand that and I agree if we talk about this specific thing she did. But I'm sure she is a good girl. A year ago J had a car accident and was in the hospital, his insurance wasn't covering the surgery and his relatives/friends couldn't afford it. She used her own savings for this (a lot of money) and she doesn't want the money back. J should work ten years or more to get that much. I don't mean money buys love. I say you don't resign your life savings to help someone you don't care about.
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Awoken at 01.11.2019 at 19:07
what a bod on righty!
Geospiza at 09.11.2019 at 17:22
I'm just telling you how it looks from a guys point of view, from your words it is not like he didn't know Dan existed until he snooped. So I assume you did mention him, but when you say you didn't tell him much about Dan...well, if he knew Dan was your best friend and yet you didn't say much about him..to me, to a guy..that would seem almost like you are "guarding" that relationship from me, so to speak.
Arvesen at 01.11.2019 at 09:43
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Gormand at 10.11.2019 at 03:32
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Takechi at 04.11.2019 at 23:04
Thousands of women around the world have to deal with "ghosting", where men they've been sleeping with suddenly stop answering the phone.
Setmode at 09.11.2019 at 09:04
Oh yeah, she's worried I'm going to become too controlling. Her friend told her to "beware of that." Her friend lacks even the tiniest shred of empathy, as does my oh so perfect girlfriend.
Vedro at 02.11.2019 at 05:26
Yeah. This pic is fucking awesome.
Appomattox at 01.11.2019 at 21:59
Don't turn all this on yourself. Your wife was cheating on you PERIOD. If not, however, she didn't love you anyway or she would have stopped whatever she was doing to cause you to distrust her. Instead of saying, "Oh, gosh, Honey, you're right, all this looks bad. I don't want to cause any discomfort for you or our relationship. I will handle it immediately".
Pillars at 06.11.2019 at 14:38
Maybe give people a chance? more than 1 date? Like the ice cream guy.
Corruptionist at 02.11.2019 at 00:59
If you ever get pregnant, if the guy you're in a relationship with is smart, he'll get a paternity test. You've already proven you can't be trusted, and when it comes to being stuck supporting another male's children, the stakes are just too high.
Appoint at 07.11.2019 at 13:15
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Saihati at 05.11.2019 at 09:32
Wonderful. A nice gap on one and a sweet ass on the other.
Odometer at 05.11.2019 at 23:56
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Dionysus at 01.11.2019 at 16:04
My son is almost 23 and I've raised him with good morals and to respect women. He has a girlfriend of 3 years. They have very open communication and are in love. It doesn't bother her at all for him to say someone on tv is good-looking (or hot or whatever), and vice versa.
Pogonip at 07.11.2019 at 17:48
Yep, as a short girl I can confirm that is my ideal also. Plus getting carried like a princess or getting a piggyback ride is the best-est! Plus this might sound weird but I like feeling even smaller. Thats why I mentioned the power dynamic thing haha.
Sharika at 09.11.2019 at 06:24
she looks a little weird but really cute