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Fig. 1.) A small “U” shaped incision is made around the earlobe.

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Fig. 2.) A “bloodless” dissection is made until the muscles of the face – SMAS and Platysma are identified.

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Fig. 3.) A “permanent” suture is placed into the playsma and SMAS muscle.

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Fig. 4.) The sutures are then tied close to the earlobe tightening the SMAS and platysma and therefore the jowl and neck area.

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Fig. 5.) Excess skin is trimmed and the skin is closed using a microsuture technique.

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Fig. 6.) A final result shows improvement in the jaw and neck line.

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