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Plastic and Reconstructive Surgery • May 2019

Fig. 4. Photographs obtained ( above , left ) preoperatively and ( above , right ) 9 months postoperatively after right modified selective neurectomy, platysma myotomy, revision bilateral rhytidectomy, and autologous fat grafting ( see Video, Supplemental Digital Content 2 , http://links.lww.com/PRS/D439 ; see Video, Supplemental Digital Content 3 , http://links.lww.com/PRS/D440 ). Photographs obtained ( below , left ) preoperatively and ( below , right ) 10 months postoperatively after right modified selective neurectomy, platysma myotomy, bilateral rhytidectomy, upper blepharoplasty, autologous fat graft ing, and fractionated carbon dioxide laser resurfacing. Both patients had not had any neuromodulators at the time the postoperative photographs were taken for at least 6 months. Note that the blue dots in below , right , are planned sites of botulinum toxin type A injections at the time of this postoperative visit. (Courtesy Facial Paralysis Institute.)

video of the patient in Fig. 4, above , 1 month after right modified selective neurectomy, pla tysma myotomy, revision bilateral rhytidectomy,

autologous fat grafting, and botulinum toxin type A injection into the periorbital region and contra lateral face performed by the senior author (B.A.)

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