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After getting fillers,

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light facial massages are fine,

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but XX XXX is absolutely forbidden!

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For example, if you’ve had under-eye filler

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and wear XX that create strong suction,

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even six months later,

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(Could affect the filler...)
that pressure can still flatten or shift the filler.

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PD: Dr.Lee, I’m really curious about something.

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What is it?

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PD: My friend got fillers three years ago,

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PD: but she still feels like something is left.

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PD: Do fillers really disappear completely?

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Hmm…

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To be honest…

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Hello!

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I’m Dr. Lee, who pursues the most beautiful look.

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“Filler” comes from “fill”

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plus suffix “-er”.

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So it literally means something

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 that fills something up.

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(Great for adding volume!)
It’s a super effective treatment for restoring volume.

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Short procedure time,

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immediate effects,

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and relatively affordable cost,

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as well as a relatively safe profile,

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make it a popular treatment for many people.

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When patients come in for fillers,

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they always have a few common questions.

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(Frequently asked questions)
Today, I’ll briefly go over

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some truths about fillers that many are curious about.

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(Filler FAQ
Does Korean vs. imported make a difference?)

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Yes, there is a difference!

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What really matters

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 is whether you use 1cc, 2cc, or 3cc.

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But even with the same amount,

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 the volume and lasting power can be different.

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Imported fillers have pretty uniform particle sizes.

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So if you use a firmer filler,

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it’s filled with firm particles.

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If it’s a softer one,

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 it’s mostly soft particles.

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Korean fillers

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 have improved a lot,

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(Korean fillers: particle size not always uniform)
but due to the manufacturing process, the particles can be slightly mixed.

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So even along the same injection line,

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it might feel firmer in some spots

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 and softer in others.

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The second point is how long it lasts.

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Korean fillers usually

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 last about 6 months to a year,

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while imported ones

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 tend to last 1 to 2 years.

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Say the imported one

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costs twice as much,

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but it also lasts twice as long.

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So many people think,

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“Then why not just get the imported one?”

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and end up choosing imported fillers.

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That said, Korean fillers

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 have come a long way lately,

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they hold volume pretty well too.

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So basically,

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if the same doctor

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 uses the same amount,

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imported fillers will usually give better results.

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But in the end, what matters most is the design and aesthetic sense.

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That’s why the practitioner’s experience

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 is key to getting a look you’re happy with.

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(Filler FAQ
Can filler move or spread?)

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Since filler isn’t a solid implant,

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it can move.

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It can move or shift.

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It tends to move less over time,

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since it bonds with the surrounding tissue.

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Imported fillers generally move a lot less.

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In spots like the lips or under the eyes,
where there's a lot of movement,

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pressure or gravity

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 can mess with the shape or make it sink a bit.

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Some people say their filler moved.

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Among them, they say their forehead filler

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moved to one side

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so one side looks empty while the other still looks full.

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(Sometimes it's the filler shifting)
That could be the filler shifting,

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(Other times it's uneven dissolve)
or maybe the sides dissolved faster

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than the center,

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which can make it look uneven.

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Either way, it’s a good idea to get it checked by a doctor.

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About two weeks

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 after getting filler,

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it starts to bond with the surrounding tissue.

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So if you adjust the position before it fully settles,

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it usually stays in place after that.

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That’s why we always ask

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patients to

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 come back two weeks after the filler treatment

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so we can check if the filler

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 has settled exactly where it was intended.

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PD: Is it okay to massage after getting filler?

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After getting fillers,

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light facial massages are fine,

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but do not get a gua sha or intense facial massage.

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For example, if you’ve had under-eye filler

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and wear tight goggles that create strong suction,

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(Goggles with strong suction can leave marks)
swimming goggles when you wear when swimming,

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even six months later,

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(Could affect the filler...)
that pressure can still flatten or shift the filler.

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PD: So does that mean I shouldn't swim

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PD: after getting under-eye filler?

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If you’ve had under-eye filler,

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(Try to avoid swimming for 1–2 months)
it’s best to avoid swimming for a month or two.

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For one to two months.

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(Shh! It's only between us!)

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(Filler FAQ
What if I don’t like how it looks?)

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Gradually even without other procedures

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Filler naturally breaks down on its own,

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(Filler fades over time)
so if you wait it out, it’ll eventually disappear.

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(But I want it gone right now!)
If you really don’t like how it looks right now

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 when you see yourself in the mirror,

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(Hyaluronidase injection to dissolve filler)
you can get a hyaluronidase injection.

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It starts working right away,

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(Most of it’s gone by the next day)
and in most cases, the filler is

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 mostly gone by the next morning.

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That's how it works.

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Unlike fat grafting or surgery,

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If you want a taller nose

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(Some get it just to test the look)
but you wonder if it will suit you,

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for those who want to check the shape,

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filler could be and easy way to to try it out.

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PD: If I had nose filler before surgery,

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PD: does it all have to be removed?

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Usually, the filler is dissolved

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 2–3 weeks before surgery.

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There used to be fillers that didn’t dissolve,

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so-called “semi-permanent fillers”.

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They weren’t made of hyaluronic acid,

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but other ingredients

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 that lasted much longer.

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They were actually super popular for a while.

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The downside of semi-permanent fillers

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is that they’re really hard to dissolve or remove.

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So if it gets lumpy or uneven,

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 it’s tough to fix.

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Same goes for fat grafts.

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If you don’t like the result

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and want to take some out,

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there’s really nothing to take out, which makes it hard to fix.

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These days, most fillers are hyaluronic acid-based.

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(Filler FAQ
Does filler really disappear 100%?)

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In most cases, we say filler does fully go away.

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Most fillers use hyaluronic acid, which breaks down over time

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through natural enzymes

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 like hyaluronidase,

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and is gradually absorbed by the body.

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Sometimes, even after the filler is gone,
you might still feel a lump.

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With some low-quality fillers,

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or due to inflammation or fibrosis,

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even after the filler is gone,

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the surrounding tissue can harden or change,

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(No filler left, but still feels like a lump)
making it feel like there’s still a lump.

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In some cases, the filler is still there,

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but fibrosis happens around it, forming what's called a capsule.

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It wraps around the filler like a capsule,

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and because of that,

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 blood vessels and enzymes can’t reach it

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which means it might not dissolve properly.

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In those cases, the filler can stay there for three years.

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Sometimes, if you use a thick needle and press,

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the filler comes out just like when it was first injected.

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In theory, all filler should dissolve,

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but in reality, some of it can stick around.

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So just keep that in mind.

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But even if some filler sticks around,

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it can still be removed with dissolving injections,

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so there’s no need to worry too much.

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So instead of overthinking about whether it’s filler,

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if it goes away after the dissolving shot, then it is filler.

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But if it doesn't go away,

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then it's probably not filler.

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It could just be sagging skin

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of fat that's shifted a bit.

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How was it?

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Today, we learned about fillers.

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If you use the filler well,

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it helps to naturally balance your face

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and make the overall impression

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look soft and youthful.

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If today's video was helpful,

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please set a like button, subscription, notification.

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I'll come back next time.

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Thank you for watching until the end.

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You'll all be pretty.