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Hi, all. I haven’t posted here much since my last procedure in 2015, but happy to share an update with everyone about my latest surgery. As background, I had my first transplant with Dr. Robert Niedbalski in June 2012. I was a NW 2-3, and he transplanted 1,450 grafts via strip to form a lower, but still recessed, hairline. I wanted a flat hairline, so I had a subsequent procedure with Dr. Rahal in October 2015, when he transplanted 2,200 grafts, again via strip. The hairline design was great, but the right side grew in a little sparse. Nothing awful, and I could’ve gone without addressing it, but I wanted to go back to the well for a fuller hairline. I just turned 36, BTW. I've been on Avodart and Propecia for six years and essentially no longer lose hair--my loss is fully halted. I use Rogaine but discontinued before surgery per instructions. Links to thread about my earlier procedures are here: https://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2858 So, last week I drove from Seattle down to Portland for a third procedure--this time with Steve Gable. I’ve known Dr. Gabel for about five years and have really looked forward to working with him. He’s a precise, thoughtful guy, and I knew he’d be a great choice to refine my results. I left Seattle at 3am to check in at Dr. G’s clinic at 6:30. His clinic just moved to a brand-new facility, and it’s gorgeous--two ORs, a lovely lobby, and overall just a great, clean, attractive space. We sat down and discussed hairline approach, and agreed that we weren’t going to lower the hairline. I didn’t need it, and lowering it even a few millimeters would mean that I’d need to get in again to spruce up the density, and I wanted to be done. (My hair is still very dense and I want the hairline to match, so I don’t want to get stuck in a loop of chasing density in an ever-lower hairline.) We agreed 1,000 more grafts across the hairline--and concentrated in the right side--would do the trick. The procedure was very smooth. Strip excision took about 30-45 minutes and I didn’t feel any pain. Dr. G excised part of my prior scar, which ran from just inside left ear to above my right ear. He didn’t need to run all the way from end-to-end on the scar. He closed the strip with staples, which I hadn’t had before; he thought they’d do a better job at holding the tension and has had good luck with them recently. Once the wound was closed, he did the incisions--nothing eventful, and nothing painful. I didn’t bother to watch TV, but just spent the time chatting with Dr. G and his techs. If you haven’t met him, he’s a really personable, chatty guy, which was engaging during surgery. I had a Valium before surgery but didn’t feel it much, which was fine; I’m not the anxious type and was perfectly relaxed during surgery. I seemed more comfortable than my previous surgeries, but that’s probably due in part to the fact that it was fewer grafts so the sit was shorter. When we got to placing grafts, I’d estimate that Dr. G placed about 50%. He places grafts in all his procedures, and I was his only patient that day, so there wasn’t any need for him to pop out and attend to someone else. If you haven’t gone through a transplant before, it’s really disconcerting when you feel like a surgeon disengages from the procedure once the incisions are made and just turns everything over to the techs. Dr. G was omnipresent and was in the room for virtually the whole procedure. That’s not the norm. Of my three procedures, this was the smoothest and easiest. That’s no knock on Niedbalski or Rahal, but a huge compliment to Dr. G and his staff. The post-op materials were first-rate and included a calendar specialized for my surgery date so I didn’t have to count post-surgery days. That’s a nice touch that I hadn’t seen before. The recipient area was also very clean--virtually no blood or scabbing. They carefully washed it the next day and showed me how to shampoo. Great post-op hand-holding all the way, and Dr. G responded to an email same-day later in the week. Pictures are below, and obviously there’s not much to report in terms of growth. My scabs are falling off, but the recipient area is hardly noticeable because although it was shaved, I’m combing my hair forward. Hard to cover up the staples, but they’ll be out in another week. I’m definitely experiencing a lot of tightness in my donor area given that it’s been excised three times, so I’m trying especially hard to keep my head tipped back to keep tension off the scar. I’m a little concerned about a widened scar given that it’s my third strip, but I’ll keep everyone posted as that progresses. Please fire away with questions/comments; I’ll be checking in every day. Thanks! When reviewing pics, please keep in mind that the after pictures are both immediately post-op and then the next day; my hair is wet in both. Remember that the transplanted area contained both native hair AND previously transplanted hair, so the density will be much, much higher than the number of grafts you can see. -
Patient presented with a Norwood Class 4 pattern with the intent of restoring density to the frontal recession and crown region. He had undergone an initial FUE elsewhere that was not successful. Total of 773 grafts allocated to the vertex and 2573 grafts to the frontal third. *Manual motorized FUE * Prp/Acell *Propecia -
Dr. Robert Dorin would accommodate you. -
2342 ultra-refined FUs transplanted to recontour frontal frame and add internal density. 728 singles, 1569 doubles, 45 threes. PRP administered intraoperatively.
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Having attended many of the International Society of Hair Restoration Surgery (ISHRS) annual meetings over the years, I've long known that Dr. Robert Haber is highly respected by his physician colleagues. In 1995 he was recognized for his innovative techniques with an "Award of Excellence" by the ISHRS. In 2001 he was awarded the Archimedes Prize by the Italian Society of Hair Restoration and the Michelangelo Award in 2002. He also served as the President of the ISHRS from 2002 to 2003. But seeing him and his staff in action confirmed that he "walks the talk" in all aspects of his hair restoration surgery from A to Z. The issue of how hair bearing tissue is removed from the donor area has been a particularly hot topic on the Internet the past few years. Patients have been concerned about minimizing scarring in the donor area, while maximizing the amount of hair follicles that are successfully transplanted. Dr. Haber is very much at the cutting edge of addressing these issues so that patient's get the optimal amount grafts from a given amount of limited donor tissue, while minimizing the visibility of any donor scar. In fact, his new device, the "donor spreader", which virtually eliminates any transection (severing) of hair follicles in the donor area during donor removal, was a big sensation when it was introduced at the annual ISHRS meeting in Australia in August of 2005. Dr. Haber's new "Donor Spreader" ??“ making Donor Harvesting Transection Free. The donor spreader enables a surgeon to remove a single donor strip from the patient's donor area without transecting the follicles along the edges of the donor strip. This single strip of hair bearing donor tissue is then carefully "slivered" (trimmed) under microscopes into smaller sections, which are then trimmed into 1, 2, 3 and 4 hair follicular unit grafts. While many leading hair transplant surgeons have the skill to cut along the edge of the donor strip and carefully remove a single donor strip with minimal transection of the follicles along the single blade incision, the donor spreader makes this process easier and more assured. This single bladed donor removal and dissection process, when skillfully performed, makes the harvesting and trimming of donor tissue into follicular unit grafts virtually transection free. Thus a patient can know with confidence that every follicle that is harvested from their limited supply of bald resistant hair follicles in the donor area is going to be carefully preserved and transplanted. Such careful attention to maximizing a patient's limited bald resistant donor tissue is the hallmark of physicians who really care about the patient's long term well being. Such care is often not taken by clinic's who use "multibladed" knifes to quickly remove and trim the donor area in one step without carefully avoiding transecting and damaging the precious donor follicles. Such multibladed knifes and other patient unfriendly means of donor removal, while expedient for the clinic, are silent killers of hundreds of thousands of precious bald resistant hair follicles each year. In my opinion, Dr. Haber's new donor spreader is an outstanding and innovative tool that will save hundreds of thousands of precious follicles in thousands of patients as leading physicians incorporate it into their practices. I really commend him for making the donor harvesting process virtually transection free! Making the Donor Scar Virtually Invisible Dr. Haber also uses a relatively new technique for closing the donor area called "Trichophytic" closure, which can often make the donor scar virtually undetectable to the naked eye. This technique, also referred to as the "ledge" technique, was also detailed on this forum by Dr. Paul Rose who has championed this technique along with Dr. Mario Marzola of Australia. The "Trichophytic" closure enables the top and bottom lips of the open donor area to be joined together with a slight overlap so that the hair follicles in the lower lip grow up and out through the upper lip thus making the donor scar virtually invisible to the naked eye. To enable the upper and lower lips of the donor area to overlap in a smooth and level manner the top and bottom lips are trimmed and beveled so that they join together flush. Such a high level of care in the harvesting and closing of the donor area is producing optimal hair yield for his patients, while minimizing visible donor scarring so that it will not be an issue for a patient. Given his interest in minimizing the chance of cosmetically significant donor scarring, Dr. Haber likes to limit his typical surgical session to under 2,500 grafts in order to avoid over taxing the donor area. Microscopically Prepared Follicular Unit Grafts and Minimally Invasive Incisions Dr. Haber's technicians take great care to preserve the naturally occurring follicular units, while trimming them into 1, 2, 3 and 4 hair grafts. These grafts are then placed into very tiny graft incisions that are carefully oriented and angled by Dr. Haber. Like other leading hair transplant surgeons, Dr. Haber is sensitive to the varying angles and directions in which hair grows depending on where it is located. By following the natural direction and angulations of hairs in a given area, Dr. Haber is able to recreate a natural flow and direction for the new hair. Patient Focused Care Produces Optimal Results Dr. Haber and his staff also typically focus on one patient for the day. Such individual attention enables them to take the time and care needed at each step of the process to give the patient optimal yield and growth, rapid healing and very natural results. Such quality work, although not widely known or recognized online, has earned Dr. Haber and his clinic a strong local reputation in Ohio. In my opinion, Dr. Haber and his staff are real gems in the rough who quietly and consistently produce excellent state of the art results at very fair prices. -
Here's a 3 month update on our younger landscape guy Robert. Look back a few of my posts and you'll see his case in great detail. Before, during, first week... Well he was supposed to show up for a month scar check, but eventually showed up and did this nice short video. He wears a SHORT haircut and we discuss his scar. He's already been calling in saying its growing but really he's now at only 4 months so it'll be a while but I bet we'll have a 13 month video showing results, if not sooner. The video is: http://www.youtube.com/watch?v=nZOFEJBJHEk&feature=youtu.be and the original video is: http://www.youtube.com/watch?v=N2iy2AUIlfA Dr. Lindsey McLean VA -
Dr. Dorin treated this patient's corner/temporal hairline erosion as well as crown thinning with 1400 grafts FUT. Follicular units consisted of 506 singles, 871 doubles, 3 triples. Bio adjuncts: PRP (applied to recipient areas & overall thinning pattern) & Liposmal ATP holding solution / post-op spray application .
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This patient after 3 previous strip surgeries and 1 FUE consulted with Dr. Dorin on making the most of round 5 after poor donor management and a underwhelming restoration thus far. Dr. Dorin performed a hairline session via manual FUE consisting of 888 grafts - 377 singles, 439 doubles, and 72 threes. This result is post-op 12 months.
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I'm sitting in the very nice guest house next to Dr. Rahal's clinic recovering from a 2,123 graft strip procedure (my second) on Thursday, October 9. The entire experience has been as easy and pleasant as surgery can be, and I have nothing but positive things to say about Dr. Rahal and his staff and facility. I'll add more details in the sections below; my previous pictures, both from before and after my first procedure, are in the link below. I'm getting my immediate pre- and post-op pics from Dr. Rahal's office, as well as my graft breakdown count, this coming week. I'll update then. Hair Restoration Websites Background I had a 1,450 FUT procedure in June 2012 with Dr. Robert Niedbalski in Seattle, where I live. I was a NW II prior to the procedure and was not on a DHT inhibitor. My procedure turned out well, especially for a surgeon that's not a member of this community. However, Dr. Niedbalski barely discussed hairline design with me, and implanted a very steep V-shaped hairline that I never cared for (pics in the link above). I wanted a lower and flatter hairline, and after years of research I settled on Dr. Rahal. I also began using Proscar, Nizoral/Regenepure, and Rogaine in September 2012. (Dr. Niedbalski did not mention getting on a DHT inhibitor prior to surgery.) I decided to "upgrade" to Avodart in mid-2013, and I currently take both Proscar and Avodart. That seems redundant, I know, but there's at least one study that suggests that they complement one another and have a greater inhibitory effect when used in tandem. The medications slowed my loss dramatically, if not halted it altogether. I cannot really tell a difference between my hair now and its appearance after full growth from my first surgery. If there has been any loss, it has been extremely minor and virtually undetectable. My Experience with Dr. Rahal I did an online consultation with Dr. Rahal in mid-2014, and we settled on a 2,000 graft procedure. As I explained, I wanted to boost the density a bit from my first procedure and then flatten and reshape the hairline. I dislike the V shape, and the angulation of the grafts from the first procedure was a bit off. The grafts were placed too perpendicular to my scale and stood straight out--I couldn't comb my hair down and have it lay on my forehead. I wanted that corrected. I flew to Ottawa from Seattle two days before my procedure so I could make my pre-op appointment the day before. At my pre-op, Dr. Rahal listened to me explain my goals, then examined my donor and recipient areas. He spent about half and hour drawing and re-drawing the hairline, which I appreciated. I pushed him to work on my right temple a bit more; it has always (since I was a kid) been weaker than the left, so he spent a bit of time combing through that area and outlining where he was going to reinforce it. Once the hairline was finished, I was done for the day. On the day of the surgery, I arrived at 5:30am. Dr. Rahal had to leave that afternoon to travel, so he wanted plenty of time with me to avoid being rushed; I was his only patient for the day. The procedure was extremely straightforward; strip excision took roughly 30 minutes and was completely painless. Even the numbing process was barely a pinch. After the strip was removed, the rest of the staff left to dissect the grafts and Dr. Rahal and I chatted while he made the incisions. He has a pretty reserved demeanor that's very analytical and cautious; he doesn't project any of the arrogance or aloofness that sometimes comes with plastic surgeons. He was pretty candid with his thoughts about the industry and his practice, which I appreciated. (I'll keep those private out of respect for his candor.) I couldn't feel a thing while he made the incisions. Once he wrapped things up, a swarm of techs descended on me on started implantation while I watched a movie and listened to music. His lead tech led the entire process and kept an eagle eye on everything that was happening; she was especially watchful of the front edge of the hairline and was inspecting all the grafts placed. She's been with Dr. Rahal for a long, long time ("I'd need a calculator to tell you how long," she said), and his pickiness has clearly trickled down. I started to regain some sensation after about 90 minutes, so Dr. Rahal re-numbed me. The entire thing wrapped up by about noon. Dr. Rahal sat down with me while I ate lunch and gave me his cell phone number so I could get in touch while he was traveling. His assistants took post-op pics and went over aftercare, then gave me my care package and walked me the whopping 50 feet to the guesthouse. I had a post-op appointment the next day to go over cleaning procedures and make sure everything looked up to par. The Guesthouse Here's the best thing about going to Dr. Rahal, aside from the great work: the guesthouse. The guesthouse sits immediately next door from the clinic, so it's a whopping fifteen second commute back and forth. The house is brand new; the clinic moved last year and both the clinic and guest house were new construction). The house is a large common area (roughly 1,000 square) feet with an open kitchen, living room, and dining nook. There are five guest rooms, each with their own bathroom, that open off the common space. The fridge is stocked with breakfast food--milk, juices, eggs, etc., and there are some other things, like bread, provided. There's a fireplace, an entertainment system with Netflix, and a washer/dryer. I'll upload some pics soon, but suffice to say that it's gorgeous--really nice finishes and furniture all around. The great thing about the guesthouse is the camaraderie. There were four other guys staying there when I arrived, and we hit it off right away. They were all in various post-op stages (two FUT and two FUE), and they let me take a look at their work. They inspected me, too, and looked at my first scar. I had my first procedure locally, so I went right back home and resumed my life. But I can't imagine traveling and recovering in a hotel room in isolation, surrounded by people who'll look at you funny if you poke your head outside the room. At the guesthouse, though, you're all in the same boat, and you can socialize without feeling self conscious. We walked around the house with the grafts exposed, ordered take out together, and took walks to Starbucks to stave off cabin fever. One of the guys even stayed a few extra days because he was having such a good time. I can't recommend the guesthouse highly enough; it's a huge, huge benefit of going to Dr. Rahal. (Doesn't hurt that it's also dirt cheap.) All in all, I had a great experience. I'm following the aftercare to a T and feel pretty close to 100%, aside from the tug at the back of my scalp from the scars. I'll update regularly. The attached pics are all 1-3 days post-op.
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3200 Follicular Units added to the front and top of the balding pattern 661 singles 2542 doubles 5745 hairs transplanted Propecia initiated at the time of the transplant This result is 3.5 years post-op.
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Bernstein Medical - Center for Hair Restoration Patient AVQ had thinning localized to his crown. He had one hair restoration session of 1,281 follicular unit grafts to his crown. His “after” photos were taken 14 months following his hair transplant. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hair Restoration: These photos show the demarcation of the area to be transplanted, the placement of 1,281 grafts and the donor area immediately after robotic harvesting. Before Transplant Head Shaven Placement of Grafts - Top View Immediately After Hair Transplant 14 Months Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Additional Resources: View Patient AVQ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel -
Hello Guys, I just heard of Dr. Haber in Davie, Florida near Fort Lauderdale. They are offering Hair Transplants for only $1.45/graft. Too good to be true. If anybody had a procedure with him please share your experience which will help me In deciding to go for him. Thanks
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Donor Miniaturization Issues and Options ?
Markee replied to Markee's topic in Hair Restoration Questions and Answers
My Local HT doctor put on his magnifying glasses and sifted through the back of my head and said no problems there your donor area is looking good I've sent my pictures already to many of the doctors recommended on this site and not one other then Erdogan sees any miniaturization issues in the donor area ? After seeing my donor pictures and video whats your opinion you have alot of HT experience here Do you think Dr. Jim Harris, Denver, CO - Dr. Robert True & Dr. Robert Dorin would turn me down ? -
Sparky, I know that a number of hair restoration physicians recommended by our community do offer body hair transplantation however, in terms of like hair specifically, I’m not 100 cent positive. You could always check with Dr. Robert True. I know he had presented something on body hair transplantation in the past. I can’t recall specifically as to whether or not he mentioned leg hair but it certainly would be worth looking into. Are you considering a body hair transplantation procedure yourself? Is there a reason why you don’t wanna consider Dr. Umar who has an outstanding reputation for producing excellent results? Best wishes, Bill
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I have been looking for more info on Dr.McClellan.I have seen some of his results and was impressed enough when I met him to sign up to have surgery on the 28th.He has done over 10,000 transplants and the past 10 years has performed well over 3000 Microscopic Follicular Unit Hair Transplants.He was also mentioned in the Hair Transplant Network.But on this forum I seen his name mentioned only once,and nothing else said. -
FUE manual harvest - 1248 Follicular units transplanted - 469 singles, 708 doubles, 68 threes
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Hello, Are there any specific horror stories about Dr. Robert Jones in Toronto, Canada? I've come across a statement calling him an FUE pioneer, but there are not many positive reviews for him on this forum. Apparently he personally does all FUE extractions, which is of interest to me. Are there any specific user experiences (preferably with photos) that l can reference? Thanks!
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Hi, has anyone here had a procedure with Dr. Robert Bernstein in new york? Can anyone provide any useful feedback on him? Much appreciated. thanks
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Bernstein Medical - Center for Hair Restoration Patient UTQ is a Norwood Class 6, with straight, white, fine hair and a donor density of 1.9. Results after 1st hair transplant session of 2,556 follicular unit grafts. Patient UTQ has written a letter to Dr. Bernstein which we have posted on our Letters from Patients page. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Before Transplant 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: White, Straight Hair Weight: Fine Donor Density: 1.9 hairs/mm2 Additional Resources: View Patient UTQ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel
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Bernstein Medical - Center for Hair Restoration Patient BEO is a Norwood Class 5, with slightly wavy, dark brown, medium weight hair and a donor density of 2.3 hairs/mm2. Results after two hair transplants using 4,152 follicular unit grafts. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Evolution of hairline over two hair restoration sessions. Before Transplant Position of Hairline Placement of Grafts 1 Year After 1st Hair Transplant 1 Year After 2nd Hair Transplant See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 2 Sessions Hair Character: Dark Brown, Slightly Wavy Hair Weight: Medium Donor Density: 2.3 hairs/mm2 Additional Resources: View Patient BEO's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel
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Hi All, Wanted to let you know the latest news from Dr. Bernstein. Dr. Bernstein closed the 2017 ARTAS Users Meeting with a discussion of five advanced techniques in robotic hair transplant procedures that he developed at Bernstein Medical. His presentation covered the benefits of pre-making recipient sites, long-hair FUE, tensioner placement, feathering edges in harvesting, and robotic graft selection. The “Hair Restoration Pearls” presentation included case studies, photographs, and videos demonstrating the techniques to the audience of hair restoration physicians. The two-day affair, held in Coronado, California, was a huge success with over 260 attendees from around the world representing 204 robotic hair restoration practices. READ FULL ARTICLE Additional Resources: View our blog on the Bernstein Medical website Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel
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Bernstein Medical - Center for Hair Restoration Patient EUQ is a Norwood Class 6 with straight brown, fine hair of average density. Results after 2 hair transplant sessions totaling 3,328 follicular unit grafts. The patient’s appearance of fullness was enhanced by side-to-side weighting in the hair restoration. Overview: Before / After: Before Hair Transplant After Two Hair Transplants Detail of Hairline: Detail of hairline after two hair transplantation sessions. Note the integration of the hair transplant with the patient’s existing hair. Position of Hairline 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 2 Sessions Hair Character: Brown, Straight Hair Weight: Fine Additional Resources: View Patient EUQ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel
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