Rhinoplasty

In san francisco

Introduction to Rhinoplasty

The nose is the centerpiece of the face, which is why so many patients will come to Raj Dedhia MD Facial Plastic Surgery in San Francisco, CA, after many years of being bothered by or insecure about their nose for correction with Rhinoplasty surgery. There are also other cases in which a deviation in their nose makes breathing difficult, causing discomfort in their everyday life. Dr. Raj Dedhia’s goal is to make his patients feel confident by helping them achieve their desired changes to the form/shape of their nose and improve the functionality (breathing) of the nose. With his eye for detail and vast experience, Dr. Dedhia can help you achieve transformative but natural-appearing results. To learn more, please continue reading below.

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What is Rhinoplasty?

Rhinoplasty, otherwise referred to as a “nose job,” is a cosmetic and functional nasal surgery that can improve the appearance of the nose and correct serious functional issues, such as breathing. Rhinoplasty describes the process of contouring the nose and is a standard cosmetic surgical procedure. As an experienced surgeon in San Francisco, CA, Dr. Raj Dedhia delivers exceptional rhinoplasty results that optimize facial harmony and treat any issues with nasal anatomy and breathing.

There are many reasons why patients seek rhinoplasty surgery, including the following:

  • Reducing a nasal hump (the dorsal hump)
  • Narrow a bulbous or wide nasal tip
  • Lift a droopy tip
  • Nasal tip refinement and projection
  • Nasal width/ Nostril reduction
  • Improve breathing through their nose
  • Fixing a broken nose
  • Reshaping a nose
  • Straightening a crooked nose
  • Improving facial harmony
  • Nasal reconstruction
  • Fixing a congenital disability

What’s Unique About Dr. Dedhia’s Rhinoplasty Approach?

Dr. Raj Dedhia’s approach to rhinoplasty is unique because of his emphasis on both artistry and precision, tailoring each procedure to the individual needs and anatomy of his patients. As a Double-Board Certified Facial Plastic Surgeon, Dr. Dedhia combines his expertise in both aesthetic and functional aspects of the nose, ensuring that his patients achieve a beautiful, natural result and improved breathing function when necessary. 

He takes a comprehensive, patient-centered approach by listening carefully to each patient’s goals, using advanced imaging technology to visualize potential outcomes, and crafting a customized plan for each surgery.

What sets Dr. Dedhia apart is his focus on long-term results and minimal scarring, achieved through minimally invasive techniques and careful surgical planning. His ability to balance cosmetic enhancements with nasal function and his dedication to delivering results that enhance, rather than drastically change, the patient’s facial harmony is what makes his rhinoplasty approach so distinctive. Whether patients seek subtle refinements or more significant transformations, Dr. Dedhia’s skill and attention to detail ensure a highly personalized, effective experience.

A Defined approach

Types of Rhinoplasty

Primary Rhinoplasty

Primary rhinoplasty is a complex and technical surgical procedure aimed at altering the nose’s shape, size, or function. It addresses cosmetic concerns such as nasal humps, asymmetry, or a bulbous tip, as well as functional issues like breathing difficulties due to a deviated septum. The surgery typically involves reshaping the nasal bones and cartilage through carefully planned incisions made inside the nose or sometimes externally. Surgeons may use techniques such as cartilage grafting to enhance nasal structure and achieve the desired aesthetic outcome.

Revision Rhinoplasty

Rhinoplasty is one of the most intricate and complex plastic surgery procedures. When performed by a skilled surgeon, it can yield fantastic results. Unfortunately, a primary rhinoplasty may not meet the patient’s expectations due to surgical complications, injury, or changes in aesthetic preferences, and it can be difficult to find a surgeon for a Revision Rhinoplasty to correct those issues. 

Revision Rhinoplasty, also known as Secondary Rhinoplasty, is a surgical procedure performed to correct issues or imperfections resulting from a previous nose surgery. At Raj Dedhia MD Facial Plastic Surgery, we recognize the delicate equilibrium between aesthetics and functionality, and our methods of handling Revision Rhinoplasty establish a standard of excellence in San Francisco. Read more about Revision Rhinoplasty at our dedicated page for the surgery.

Functional Rhinoplasty with Septoplasty (or Septorhinoplasty)

Many men and women struggle with functional issues associated with the nose, such as an obstructed airway that can make breathing inconvenient and difficult at times. Functional Rhinoplasty with Septoplasty (or Septorhinoplasty) is a technique that can address specific functional concerns associated with the nose and nasal passageways.

This procedure can help those who have experienced a nasal fracture, a crooked or deviated septum (the cartilage that separates the nostrils), obstructed airways, or enlarged turbinates (bony shelves that help regulate airflow in your nose). Read more about functional rhinoplasty at our dedicated page for the procedure.

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Ethnic Rhinoplasty

The beauty of humanity lies in its individuality and uniqueness. This principle holds true in the realm of plastic surgery, where not every technique applies universally. Dr. Dedhia offers variations in his Rhinoplasty procedures to cater to the diverse needs of our San Francisco Bay Area patients, ensuring that they can enhance their appearance while preserving their Ethnic identity.

The Ethnic Rhinoplasty procedure aims to minimize nasal flaws, enhance definition, size, shape, and symmetry, promote facial harmony, and safeguard one’s unique beauty and heritage.

Dr. Dedhia understands that every individual is unique and has an extensive skillset and toolbox to treat every patient’s specific goals and anatomy. Examples of Ethnic Rhinoplasty requests Dr. Dedhia frequently encounters include Asian Rhinoplasty and African American Rhinoplasty. 

We use several techniques when performing this surgery, such as cartilage grafting, which can bolster nasal architecture. Asian and African American rhinoplasties often require augmentation to improve projection and tip definition. Dr. Dedhia harvests cartilage from the septum, ear, or rib, which is then carefully shaped and sewn into a specific part of the nose. 

Cartilage grafting can be used to extend an under-projected, under-rotated, and poorly defined tip of the nose. Some roundness must remain, and too much narrowness should be avoided. Elevating the nasal bridge can also be performed with the help of grafting. This has the effect of narrowing the bridge of the nose by creating more definition, which must be done conservatively. Caudal septal extension grafts, crushed and diced cartilage grafts, lateral crural strut grafts, shield grafts, and alar rim grafts may be used in this type of rhinoplasty.

Asian and African American rhinoplasties can also reshape and conservatively reduce cartilage, soft tissue, and bone. These techniques can correct several issues, including flared nostrils.

Learn more about Ethnic Rhinoplasty Here.

Gender and Rhinoplasty

At Raj Dedhia MD Facial Plastic Surgery, we firmly believe in empowering our patients to embrace their true selves confidently. We recognize the significant role that gender identity plays in a patient’s self-perception and confidence levels. That’s why we are committed to delivering rhinoplasty outcomes that align with each individual’s gender identity and reflect their unique identity. By integrating considerations of gender identity into our approach, we aim to provide personalized, inclusive, and affirming aesthetic results.

At Raj Dedhia MD Facial Plastic Surgery in San Francisco, we treat patients who desire both feminine and masculine changes to the nose.

Male Rhinoplasty is designed to preserve a strong, prominent nose with a less rotated nasal tip, ensuring harmony with a masculine face. This is why our male patients seeking changes to their nasal shape and size or wishing to address a nasal “bump” require a slightly more specialized approach.

During this process, Dr. Dedhia considers all the unique features of a male nose, including nose width, the angle of the nasal tip, facial shape and structure, and the angle of the nasal bridge.

Learn more about the differences between male and female rhinoplasty at our blog — The Difference Between Male & Female Rhinoplasty

Teenage Rhinoplasty

Growing up is difficult for numerous reasons, and unfortunately, kids with overly prominent physical features tend to have it a little harder. The teen years are a period in life when individuals are the most self-conscious about their appearance. Teenagers seek out nose jobs for the same reason adults do—they’re unhappy with their nasal appearance.

For teenagers, a nose that feels out of proportion or has noticeable imperfections can deeply impact self-esteem and confidence. Dr. Dedhia’s approach to teenage rhinoplasty is designed to create a more harmonious and balanced nasal shape, improving overall facial proportions. By carefully refining the nose, these techniques help enhance the overall appearance, promoting greater self-assurance and a more cohesive facial aesthetic.

For teenagers looking to get a Rhinoplasty, we encourage you to wait until your nasal growth is complete, which typically occurs around the ages of 14 or 15, with boys usually requiring a bit more growth time. Dr. Dedhia will help you decide if this procedure is best for you at this time.

Learn more about Teenage Rhinoplasty here.

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Approaches and Techniques

Dr. Dedhia will perform a thorough evaluation of your nose and will guide you on the approach that will best help you achieve your goals.

 

Open Rhinoplasty

Open Rhinoplasty is a surgical approach that involves a small external incision across the columella (the bridge of skin separating the nostrils). This incision extends to additional incisions hidden inside the nose, allowing the surgeon to delicately lift the nasal skin, nasal muscles, and soft tissue from the underlying structures. The surgeon can then access the underlying structures of the nasal bridge and nasal tip and reshape the nasal cartilages and paired nasal bones as desired.

The open approach allows the surgeon to get an expanded view of the structures in the nose and can be essential in complex nasal reconstructions. This approach also allows for more direct and precise corrections. After the surgery, the incision is closed with stitches. The external scar is small and rarely noticeable or perceptible.

 

Closed Rhinoplasty

Closed Rhinoplasty is a less invasive type of nose surgery that does not use the external incision used in open rhinoplasty. The incision is made internally, and through a more limited approach, the soft tissues of the nose are separated from the underlying structures. The surgeon then reshapes the structures of the nasal tissues through the internal opening.

The advantage of this approach is that there is less visible scarring. The disadvantage is that the surgeon may not have adequate access to the nasal structures. Dr. Dedhia is extensively experienced in all rhinoplasty techniques and will guide you on the approach that will best help you achieve your goals.

Before your closed rhinoplasty surgery begins, you will be given either general anesthesia or local anesthesia. General anesthesia is used when the surgery is more extensive. Local anesthesia is used for minor surgeries.

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Preservation Rhinoplasty

Preservation rhinoplasty is a refined surgical technique that prioritizes maintaining the natural structures of the nose during aesthetic enhancement. Unlike traditional approaches that involve extensive tissue removal, preservation rhinoplasty aims to conserve nasal cartilage and bone whenever possible. Raj Dedhia, MD, Facial Plastic Surgery, uses preservation techniques for eligible cases.

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Piezoelectric or Ultrasonic Rhinoplasty

Piezoelectric technology is increasingly utilized in rhinoplasty procedures for its precision and safety. This technique employs ultrasonic vibrations to precisely sculpt the bone, allowing surgeons to perform delicate maneuvers with minimal tissue damage. Piezoelectric devices minimize trauma to surrounding tissues by selectively targeting bone and cartilage, reducing postoperative swelling and bruising. This can lead to quicker recovery times and more precise surgical outcomes. In San Francisco, Dr. Dedhia incorporates the latest technology in Rhinoplasty surgery.

What are the benefits of a Rhinoplasty?

Our rhinoplasty patients in San Francisco have discovered many wonderful benefits from their Rhinoplasty surgery, some of which include:

  • Has a positive effect on your overall facial aesthetics
  • Enhances the balance and harmony between other facial features
  • Increases or reduces the size of your nose
  • Changes the shape of the tip or the bridge
  • Narrow the space between your nostrils
  • It gives the nostrils a new shape
  • Changes the angle between the nose and upper lip
  • Improves the nasal airway for better airflow

Rhinoplasty can also correct a congenital disability or a nose altered by injury or relieve certain breathing problems. It is important to note that sometimes when looking at the nose, we forget that its primary purpose is for breathing. Changing the outer appearance of the nose can also alter its function–and not always for the better. For this reason, rhinoplasty must achieve a pleasing shape without compromising one’s ability to breathe smoothly and comfortably.

Who are the best candidates for the Rhinoplasty procedure?

The best candidates for a San Francisco Rhinoplasty are individuals who:

  • Maintain realistic expectations
  • Are in good physical health
  • Are emotionally prepared for the surgery and healing
  • Have specific concerns about their nose
  • No serious underlying medical conditions (i.e., uncontrolled high blood pressure)
  • No history of bleeding, clotting, or negative reactions to anesthesia
  • Are at least in their late teens
  • Are well-informed about the procedure
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Rhinoplasty Consultation

What’s the first step?

The first step in getting Rhinoplasty in the San Francisco area is to contact Raj Dedh,ia MD of Facial Plastic Surgery. When you come in for this appointment, you will meet with Raj Dedhia, M.D., who will examine your nose and facial proportions, ask you questions about your medical history and lifestyle, answer any questions that you may have, and discuss the various surgical techniques that he can use for your rhinoplasty. During your visit, you will undergo photography and morphing to communicate desired changes to your nose. It’s important to be open and honest with Dr. Dedhia during your Rhinoplasty consultation, as this will allow him to make informed decisions tailored to your needs and prevent unnecessary risks.

If you want to proceed with the surgery, Dr. Dedhia will create your procedure plan, and our Patient Coordinator will schedule your surgical date and time. We will also provide you with some necessary instructions to follow to make your procedure safer and more successful.

How Do I Prepare for My Rhinoplasty?

Preparing for rhinoplasty surgery is crucial to ensuring a smooth procedure and a quicker recovery. Follow these helpful tips to ensure the best possible outcome.

  1. Choose a Skilled Surgeon: The first step in preparation is choosing a highly qualified and experienced rhinoplasty surgeon. Ensure they are board-certified in facial plastic surgery and have a good track record of performing rhinoplasties. Review before-and-after photos and ask to see examples of cases similar to yours. A trusted surgeon will provide personalized recommendations and help set realistic expectations.
  2. Follow Pre-Operative Instructions: Your surgeon will provide specific pre-operative instructions. These may include dietary restrictions, medication adjustments, or stopping certain supplements, such as aspirin, which can increase the risk of bleeding. Be sure to follow these guidelines carefully, as they are designed to reduce risks during the surgery and promote optimal healing.
  3. Stop Smoking and Avoid Alcohol: If you smoke, it’s essential to quit at least a few weeks before surgery, as smoking can impede healing by reducing blood flow to the tissues. Alcohol also interferes with recovery, so it’s a good idea to avoid it for at least a week or two before surgery. This will help reduce complications and speed up recovery time.
  4. Arrange for Transportation and Help: Since rhinoplasty is performed under anesthesia, you won’t be able to drive yourself home after surgery. Arrange for a friend or family member to take you to and from the surgery center. Having someone stay with you for the first 24-48 hours is also helpful to assist with any needs and ensure your comfort as you recover.

5. Prepare Your Home for Recovery: Create a comfortable and clean space where you can rest during your recovery. Set up a recovery area with pillows to keep your head elevated, as this will help reduce swelling. Stock up on soft foods, drinks, and medications, and make sure you have any prescribed pain relievers, ice packs, or saline sprays on hand to make your recovery as smooth as possible.

6. Plan for Downtime: Rhinoplasty recovery usually requires several days of rest and limited physical activity. Plan time off from work, school, or other obligations, and give yourself plenty of time to heal. It’s important not to rush back into your regular activities, especially exercise, until your surgeon clears you to do so.

7. Stay Mentally Prepared: Rhinoplasty is a big step, and it’s normal to feel a mix of excitement and anxiety before surgery. Take time to mentally prepare by understanding the recovery process, the potential risks, and your goals. Having a positive mindset and setting realistic expectations for your post-surgery results can help reduce anxiety and keep you focused on the long-term outcome.

*Following these tips and staying in close communication with your surgeon can help ensure a smoother experience leading up to your rhinoplasty and a quicker recovery afterward.

What to expect on the day of Rhinoplasty surgery

On the day of your rhinoplasty, you will meet with Dr. Dedhia and our anesthesiologist, who will review your medical history and administer the anesthesia. Rhinoplasty is most commonly performed under general anesthesia, although minor changes can be performed with light sedation and local anesthesia. Once you are comfortably sedated, Dr. Dedhia will begin the surgical process, meticulously reshaping and refining your nasal structure according to the pre-discussed treatment plan.

A Rhinoplasty can occur as either a closed procedure (incisions are hidden inside the nostrils) or an open procedure where the incision is made across the columella (the narrow strip of tissue separating the nostrils). Dr. Dedhia will discuss which option is best for your particular case. 

Reshaping the structure of your nose may require either removing bone and cartilage to reduce the size or using cartilage grafts to improve the overall shape. It is very common for cartilage from your septum to be used, but depending on what is discussed during your consultation, it could involve cartilage from your ears or a section from your ribs. When harvesting cartilage from the rib, Dr. Dedhia performs a meticulous dissection to limit pain during recovery. He uses a minimally invasive approach to keep the incision small and places the incision in the inframammary crease when possible to make the scar inconspicuous.

During this surgery, Dr. Dedhia can also correct post-traumatic deformities by straightening and reducing the projections in your nose to improve breathing problems and appearance. Finally, the nasal tissue and skin will be redraped, and the incisions will be closed.

After the surgery is completed, you will be moved to a recovery area, where you will be monitored as you wake up from anesthesia. Dr. Dedhia and his team will provide detailed post-operative instructions and support to help facilitate a smooth recovery process. Your comfort and satisfaction are our top priorities, and we will be with you every step of the way to ensure your Rhinoplasty experience is as comfortable and successful as possible.

Rhinoplasty recovery

Rhinoplasty is an outpatient procedure so that you can return home on the same day as your surgery. You can expect to experience some swelling, bruising, and tenderness around the nose and face. Dr. Dedhia and his team will provide you with detailed post-operative instructions, including how to care for your nose, manage any discomforts, and minimize swelling. To allow your body to heal, you will need to rest, keep your head elevated, and avoid laborious activities.

You may also need to wear a nasal splint or bandage to support and protect your nose as it heals. The initial swelling and bruising typically subsides within the first few weeks, and the remaining swelling can take one to two years to go away before your final Rhinoplasty results become apparent.

Avoid activities that may elevate your blood pressure for the first three or four weeks, such as vigorous exercise, lifting, or straining. Dr. Dedhia and his team will monitor your recovery and inform you when they feel it’s safe to resume your normal routine gradually. You are also highly encouraged to continually wear nasal protection when performing intense activities to maintain the integrity of your nose.

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Recovery Tips Following Surgery

Recovering from nasal surgery (rhinoplasty) requires patience and careful attention to post-operative instructions to ensure optimal healing and results. The recovery process can vary from person to person, but following these essential tips can help reduce discomfort, minimize complications, and promote faster recovery.

  1. Follow Dr. Dedhia’s aftercare instructions
  2. Rest and keep your head elevated
  3. Utilize cold compresses to minimize swelling
  4. Avoid strenuous activities
  5. Stay hydrated/ eat nutritional food
  6. Keep your nose clean and AVOID touching it
  7. Manage your pain with your prescribed medications
  8. Avoid smoking and/or consuming alcohol
  9. Attend your follow-up appointments
  10. Be patient

Pro Tip — Following these recovery tips and maintaining open communication with your surgeon can help ensure a smooth and successful recovery following nasal surgery. Remember, the key to achieving the best results is taking proper care of your body, being patient, and allowing your nose the time it needs to heal.

Nasal Surgery Alternatives

Non-Surgical Rhinoplasty (Liquid Rhinoplasty)

Non-surgical rhinoplasty involves using dermal fillers, like hyaluronic acid, to reshape the nose temporarily. This treatment can smooth out bumps, lift the tip, or correct asymmetry, with results visible right away and lasting anywhere from 6 to 18 months, depending on the type of filler. While it’s a great option for enhancing the nose’s overall shape, it can’t reduce its size or fix internal issues like a deviated septum or breathing problems. The procedure is quick, requires no anesthesia, and has minimal downtime, with results appearing immediately. On the downside, the changes are temporary, so you’ll need touch-ups over time, and it may not be suitable for those looking to address more significant concerns like wide nostrils or nasal function issues.

Thread Lift for the Nose

A thread lift for the nose is a minimally invasive procedure where dissolvable threads are inserted into the skin to lift and reshape the nose. As the threads dissolve, they stimulate collagen production, which helps maintain the results. This procedure can effectively improve the appearance of a drooping nose tip or correct minor asymmetry. The treatment is non-invasive with a relatively quick recovery time, and results can last up to a year or even longer. However, it’s limited to more subtle changes and isn’t suitable for addressing larger nasal deformities. There’s also a risk of visible scarring if the procedure isn’t performed properly.

BOTOX for Nasal Corrections

BOTOX is commonly used to smooth wrinkles, but it can also help correct minor nasal imperfections by relaxing specific muscles around the nose. It can soften “bunny lines” (wrinkles on the sides of the nose) and, in some cases, lift or refine the nose tip. The procedure is quick with minimal discomfort; results are usually visible within a few days. However, the effects are temporary, typically lasting between 3 to 6 months, and it doesn’t significantly alter the overall shape of the nose. BOTOX is best for those seeking subtle cosmetic changes rather than major reshaping.

Rhinoplasty cost

How much does a Rhinoplasty cost in San Francisco, CA?

At Raj Dedhia MD Facial Plastic Surgery, you are sure to get patient care and excellence. Dr. Dedhia’s cosmetic surgery focuses on obtaining natural and long-lasting results. As an experienced Rhinoplasty surgeon, Dr. Dedhia believes each person is unique and provides a personalized treatment plan during each consultation. We should be your choice of practice for your Rhinoplasty in San Francisco.

Dr. Raj Dedhia is a Double-Board-Certified Facial Plastic Surgeon specializing in cosmetic and reconstructive surgery of the face and neck. He has over 10 years of surgical experience, with a focus on Rhinoplasty and Facelift surgery. He is board-certified and a diplomate of the American Board of Otolaryngology-Head and Neck Surgery (ABOHNS), the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS), and the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).How Do I Prepare for My Rhinoplasty?

why choose us

Why choose Dr. Dedhia?

At Raj Dedhia MD Facial Plastic Surgery, you are sure to get patient care and excellence. Dr. Dedhia’s cosmetic surgery focuses on obtaining natural and long-lasting results. As an experienced Rhinoplasty surgeon, Dr. Dedhia believes each person is unique and provides a personalized treatment plan during each consultation. We should be your choice of practice for your Rhinoplasty in San Francisco.

Dr. Raj Dedhia is a Double-Board-Certified Facial Plastic Surgeon specializing in cosmetic and reconstructive surgery of the face and neck. He has over 10 years of surgical experience, with a focus on Rhinoplasty and Facelift surgery. He is board-certified and a diplomate of the American Board of Otolaryngology-Head and Neck Surgery (ABOHNS), American Board of Facial Plastic and Reconstructive Surgery (ABFPRS), American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).

Rhinoplasty FAQ’S

“Dedhia did a phenomenal job with my rhinoplasty!”

Dedhia did a phenomenal job with my rhinoplasty! I’m about 6 months in my recovery journey and I am loving the results! Dr. Dedhia is truly passionate about his work and really cares about making sure you are comfortable throughout the entire process. He also ensures that you have all the information you need and gives you time to ask questions. Highly recommend! 10/10 experience.

Jhoanna H.

“The surgery results exceeded our expectations. I highly recommended Dr Dedhia. ”

To say we are happy with Dr Dedhia is an understatement. My teen daughter required rhinoplasty for a deviated septum and a minor cosmetic fix. From the very first visit to our 6 month post-op, he has always taken his time to answer every question, address any concern, and fully explain everything in detail to help us feel at ease. He is very knowledgeable and thorough during all of our visits and on surgery day checked in often with updates. We have already recommended other family members and friends with him for similar procedures . His staff has always been very courteous and helpful as well. The surgery results exceeded our expectations. I highly recommended Dr Dedhia.

Monica V.

“I cannot say enough great things about my experience with Dr. Dedhia.”

Dr. Dedhia is the best! He took time to understand the struggles I was having with my deviated septum and made sure that the end results were exactly what I wanted. He is very detail oriented and thorough with explaining every step of the journey which I appreciated a lot being someone who struggles with a lot of anxiety surrounding medical procedures. I cannot say enough great things about my experience with Dr. Dedhia.

Olivia V.

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