Hair Loss - 4683 FUSE grafts - 9 mth update (TH)

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Hair Transplant Patient Reviews
 

Dr. Arvind

Homepage E-mail

New Delhi, India,
26.01.2008, 02:07
 

4683 FUSE grafts - 9 mth update (TH) (Hair Transplant)

Dear forum readers,
TH revisited our clinic at 9 months since his first HT, for second part of his hair restoration surgery.

Patient particulars
TH is a NW 6 patient of Maori descent.
He has had no other hair restortion surgeries ever.

His 5 month update can be read at
http://hairtransplantcentre.blogspot.com/2007/10/dear-forum-readers-patient-th-sent-his.html

Graft details of 1st HT -
4683 FUSE grafts (of which only 2099 are from the scalp) - 44%.

719 chest, 1533 leg, 206 armpit and 126 abdomen grafts make the rest - 56%.

We shall present the detailed pre operative, intra operative and 9 month post operative pictorial history.
Thereafter, we shall discuss the 2nd time FUSE (scalp + BHT) performed recently.

But first, a quick before and after picture comparison.
Before
[image]

After 9 months (we expect further improvement in the first HT's density in the next 3 months).
[image]

[image]


Regards,
Dr. A


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
26.01.2008, 02:20

@ Dr. Arvind

Pre op Pictures and surgical plan

TH being a Norwood 6 had an extensive area to cover.
In the first stage, the options were to go for a low hairline (almost Norwood 1) or to remain conservatively high.
As the pictures below show

[image]

[image]

[image]

[image]


Some closer pictures showing the extent of hairloss.

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
26.01.2008, 02:24

@ Dr. Arvind

More pre op pictures

[image]

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
26.01.2008, 09:20
(edited by Dr. Arvind, 26.01.2008, 09:34)

@ Dr. Arvind

Intra operative pictures from the first HT (2007)

Pictures of the scalp donor area immediately after extractions. A 26 gauge needle (diameter 0.45mm) is juxtaposed in the picture for comparison.

[image]

[image]

[image]

Recipient area pictures

Day 1 - Scalp and body hair grafts placed in ratio of 1:1. Body hair grafts consisted of chest and leg hair.
[image]

[image]

[image]

Day 2 - Scalp hair and body hair grafts used in a ratio of 1:2.
Body hair consisted of grafts from the chest, armpits, abdomen and the legs.
[image]

[image]

Day 3 - Scalp hair and body hair grafts placed in a ratio of 4:1 in the front three rows and in ratio of 3:1 thereafter. The body hair grafts for the purpose were extracted from the legs only.

[image]

Regards,
Dr. A


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

marco

U.K,
26.01.2008, 09:38

@ Dr. Arvind

4683 FUSE grafts - 9 mth update (TH)

O.K you got us all on this one. :-)

marco has 1 Personal Journal(s). Click here to view
marco is located in U.K and he is available to meet: NO

coolguy

26.01.2008, 10:12

@ marco

4683 FUSE grafts - 9 mth update (TH)

» O.K you got us all on this one. :-)

Not all of us ;)


coolguy is located in [NA] and he is available to meet: NO

marco

U.K,
26.01.2008, 10:29

@ coolguy

4683 FUSE grafts - 9 mth update (TH)

» » O.K you got us all on this one. :-)
»
» Not all of us ;)


What got me in that I new he was of Maori discent but my due dilligence suggested that very few Maoris travel to the mambai regeon. Togeter with this a background was taken with a carl zeise 385-UM lense and these are not available in India. Taken together I had to discount Dr. A. If it were not for these issues it was obviousely a mixed BHT scalp FUE of about 4700, probably performed in mambai somewhere near Nehru Place. Is it too late to edit my original conclussions??:-P

marco has 1 Personal Journal(s). Click here to view
marco is located in U.K and he is available to meet: NO

Dr. Arvind

Homepage E-mail

New Delhi, India,
27.01.2008, 02:09

@ marco

Marco

» O.K you got us all on this one. :-)

Dear Marco,
The intention was not that.
However, I wanted to see reactions of the readers if they do not know which technique - the strip FUHT or the stitchless FUSE - was used.

When TH visited us this time, I asked my doctor colleagues as well as technicians working since a long time to give me an estimate - based on the hair growth you see, with how many strip grafts would you have been able to acheive similar growth at 1 year?

The estimates ranged from 3500 grafts (my own estimate)to 5000 and 4500(of 2 of my technicians who have worked alongside me for 8 and 5 years respectively).


I am glad many readers considered the result good enough for strip.

Regards,
Dr. A


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
27.01.2008, 02:20

@ Dr. Arvind

9 months after pictures of recipient area

[image]

[image]

[image]

[image]

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
27.01.2008, 02:25

@ Dr. Arvind

9 months after (buzzed donor area pictures)

TH keeps his scalp donor area buzz cut. Something that is possible following the FUSE extractions.
In TH's first HT, 2099 grafts were extracted.

The following pictures show the scalp donor area after 9 months.

[image]

[image]

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
27.01.2008, 02:36
(edited by Dr. Arvind, 27.01.2008, 02:48)

@ Dr. Arvind

2nd HT (Jan 2008) - the plan

In the second stage of his hair restoration, TH wishes to go for a lower hairline and to fill in the crown areas behind the previous transplant.

[image]

[image]

[image]


The plan -
The final hairline will consist of mostly scalp hair mixed with hair from the thigh and the chest.

The crown will be filled using some scalp hair grafts mixed with grafts from the armpit, pubic, chest and beard areas.
The aim being to focus on the more robust hair, rather than on sheer numbers to provide coverage. That is to say, better coverage value per graft.


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
27.01.2008, 02:46

@ Dr. Arvind

2nd HT pictures (Jan 2008)

[image]

[image]

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

marco

U.K,
28.01.2008, 13:22

@ Dr. Arvind

Marco

» I am glad many readers considered the result good enough for strip.
»
» Regards,
» Dr. A

To be honest Dr.Arvind, I am an intelligent guy. I have no axe to grind and i am getting to the point that I really need to get my first HT. I am also more than able to put evidence together and get to the bottom line. Having read comment and seen the results of a lot of surgeons over the last few years, I remain totally confused as to the right direction to go in; i.e strip BHT FUSE numbers needed one or multi sessions and now whether to include botox in any scar if I go for strip. The comments by the surgeons are clear and decisive and .... mostly at odds with each other. It make all of this quite difficult.

marco has 1 Personal Journal(s). Click here to view
marco is located in U.K and he is available to meet: NO

HairSite

Homepage E-mail

All Over,
28.01.2008, 13:37

@ marco

Marco

» » I am glad many readers considered the result good enough for strip.
» »
» » Regards,
» » Dr. A
»
» To be honest Dr.Arvind, I am an intelligent guy. I have no axe to grind
» and i am getting to the point that I really need to get my first HT. I am
» also more than able to put evidence together and get to the bottom line.
» Having read comment and seen the results of a lot of surgeons over the
» last few years, I remain totally confused as to the right direction to go
» in; i.e strip BHT FUSE numbers needed one or multi sessions and now
» whether to include botox in any scar if I go for strip. The comments by
» the surgeons are clear and decisive and .... mostly at odds with each
» other. It make all of this quite difficult.

Marco,

If you feel overwhelmed or confused by this, the best thing is to sit tight and NOT do anything at this point. As a general rule, I think people should be at least 80% comfortable with the idea before taking the plunge.

Where possible, do smaller sessions.


HairSite is located in ALL OVER and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

ipod

28.01.2008, 14:13

@ Dr. Arvind

2nd HT (Jan 2008) - the plan

You got me on this one Dr. Arvind. Very natural for body hair, I thought it was strip from HDC. I am curious how many more grafts can you spare from his scalp?


ipod is located in [NA] and he is available to meet: NO

---
NW3 -
Propecia /Saw Palmetto
Topical Spiro / Rogaine Foam (quit REMOX IV)
High does vitamin C / Lysine / Nizoral / Tea Tree Oil Shampoo

marco

U.K,
28.01.2008, 14:53

@ HairSite

Marco

» Where possible, do smaller sessions.

Even that is contentious. Some surgeons will say try not to revisit an area once transplanted (H&W). Many will say do not perform small strip sessions. Others will say do not re-visit an FUE donor area (Feller / BHR). Others will say do not perform FUE as the first call since it may be tapped out (BHR).

so even the single point "do smaller sessions" is contentious!

I do not feel overwhelmed. In truth I am very clear in my conclusion. The advice from HT surgeons is contradictory.

marco has 1 Personal Journal(s). Click here to view
marco is located in U.K and he is available to meet: NO

johnp

E-mail

New Jersey,
28.01.2008, 15:00

@ marco

Marco

» » Where possible, do smaller sessions.
»
» Even that is contentious. Some surgeons will say try not to revisit an
» area once transplanted (H&W). Many will say do not perform small strip
» sessions. Others will say do not re-visit an FUE donor area (Feller /
» BHR). Others will say do not perform FUE as the first call since it may be
» tapped out (BHR).
»
» so even the single point "do smaller sessions" is contentious!
»
» I do not feel overwhelmed. In truth I am very clear in my conclusion. The
» advice from HT surgeons is contradictory.

I think you are like me. The more I come to these sites the less I feel the urge to get a hair transplant. I still want to get something done but I don't feel the urgency like I used to a couple years ago. I just want to wait and see right now.

johnp has 1 Personal Journal(s). Click here to view
johnp is located in NEW JERSEY and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

johnp

E-mail

New Jersey,
28.01.2008, 15:01

@ ipod

2nd HT (Jan 2008) - the plan

» You got me on this one Dr. Arvind. Very natural for body hair, I thought it
» was strip from HDC. I am curious how many more grafts can you spare from
» his scalp?

It looks good because the hair is cut very short. Less is more, that's always the key.

johnp has 1 Personal Journal(s). Click here to view
johnp is located in NEW JERSEY and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

Dr. Arvind

Homepage E-mail

New Delhi, India,
29.01.2008, 08:14

@ Dr. Arvind

2nd HT (Jan 2008) - beard donor area pictures

Following are some pictures of the facial/beard donor area before any extractions (Jan 2008).

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
29.01.2008, 08:44

@ Dr. Arvind

2nd HT - hairline design

Dear forum readers,
TH has opted for temple closure and a three peaked feathered hairline.
The following pictures explain the hairline design.

[image]

[image]

[image]


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
29.01.2008, 09:11

@ Dr. Arvind

2nd HT - graft details (TH)

In TH's 2nd HT in Jan 2008, 5386 grafts were transplanted.

Out of the 5386 grafts,
2167 were from the beard/facial areas,
1746 from scalp,
802 from the pubic,
285 from the armpits,
271 from the chest and
115 from the thighs.

Total grafts of first and second HT = 4683 + 5386 = 10,069.


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
29.01.2008, 09:15
(edited by Dr. Arvind, 29.01.2008, 09:21)

@ Dr. Arvind

2nd HT - intra operative pictures of crown(TH)

The crown area on different days of the procedure.

[image]

[image]

[image]


For readers knowledge, TH was the patient update featured in the mystery section at
http://www.hairsite.com/hair-loss/board_entry-id-20305.html
Regards,
Dr. A


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

readyfreddy

29.01.2008, 13:43

@ Dr. Arvind

2nd HT - intra operative pictures of crown(TH)

His donor looks amazing right now after 1700 grafts but I think that's about the maximum you can get or the donor will look unnatural.


readyfreddy is located in [NA] and he is available to meet: NO

HairSite

Homepage E-mail

All Over,
29.01.2008, 17:20

@ readyfreddy

2nd HT - intra operative pictures of crown(TH)

» His donor looks amazing right now after 1700 grafts but I think that's
» about the maximum you can get or the donor will look unnatural.

Dr. Arvind did say more will be harvested from the scalp in order to lower his hairline.


HairSite is located in ALL OVER and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

arun

31.01.2008, 08:48

@ Dr. Arvind

2nd HT - graft details (TH)

» In TH's 2nd HT in Jan 2008, 5386 grafts were transplanted.
»
» Out of the 5386 grafts,
» 2167 were from the beard/facial areas,
» 1746 from scalp,
» 802 from the pubic,
» 285 from the armpits,
» 271 from the chest and
» 115 from the thighs.
»
» Total grafts of first and second HT = 4683 + 5386 = 10,069.

10K grafts taking a norwoo6 back to norwood 1. Thats what I like. Please keep us posted of his progress. Nice work.


arun is located in [NA] and he is available to meet: NO

abcxyz

31.01.2008, 10:18

@ arun

2nd HT - graft details (TH)

» » In TH's 2nd HT in Jan 2008, 5386 grafts were transplanted.
» »
» » Out of the 5386 grafts,
» » 2167 were from the beard/facial areas,
» » 1746 from scalp,
» » 802 from the pubic,
» » 285 from the armpits,
» » 271 from the chest and
» » 115 from the thighs.
» »
» » Total grafts of first and second HT = 4683 + 5386 = 10,069.
»
» 10K grafts taking a norwoo6 back to norwood 1. Thats what I like. Please
» keep us posted of his progress. Nice work.

Is that really a norwood 1?


abcxyz is located in [NA] and he is available to meet: NO

---
Rogaine foam + Propecia + Nizoral 1% + Lysine
No longer use topical Dutas as of Nov 2007.

Dr. Arvind

Homepage E-mail

New Delhi, India,
02.02.2008, 07:51

@ abcxyz

arun, abcxyz

» » » In TH's 2nd HT in Jan 2008, 5386 grafts were transplanted.
» » »
» » » Out of the 5386 grafts,
» » » 2167 were from the beard/facial areas,
» » » 1746 from scalp,
» » » 802 from the pubic,
» » » 285 from the armpits,
» » » 271 from the chest and
» » » 115 from the thighs.
» » »
» » » Total grafts of first and second HT = 4683 + 5386 = 10,069.
» »
» » 10K grafts taking a norwoo6 back to norwood 1. Thats what I like.
» Please
» » keep us posted of his progress. Nice work.
»
» Is that really a norwood 1?

Dear arun and abcxyz,

The transformation will not be from a NW 6 to a NW 1, for the simple reason that only 10,000 grafts have been used in total to replace 25,000 scalp grafts that a NW 6 would have lost.

However, the front hairline of TH is, approximately, in a location where he had it before he started losing hair (i.e., at NW 1 level). In that way, this HT attempts to give an illusion of coverage over all the norwood areas.

The pictures below, of the planned hairline during TH's Jan 2008 hair transplant, show the planned NW 1 location of hairline.

[image]

[image]

[image]

Regards,
Dr. A


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

Dr. Arvind

Homepage E-mail

New Delhi, India,
02.02.2008, 08:05

@ Dr. Arvind

Video footage

Dear forum readers,
The following link shows the video of the recipient area.

Its best to post pictures as well as videos of the result.












Regards,
Dr. A


Dr. Arvind is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
Dr.(Capt) Arvind Poswal
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Hours-10a.m.to 5p.m
Scalp & Body hair transplants

carrot

02.02.2008, 09:19

@ Dr. Arvind

4683 FUSE grafts - 9 mth update (TH)

Nice transformation.

For a slick bald on top to what he has achieved now is really a nice job.


carrot is located in [NA] and he is available to meet: NO

V

New Delhi, India,
03.02.2008, 02:20

@ Dr. Arvind

Video - donor shaved - for those concerned about donor scarring

This video shows what the donor site looks like SHAVED. This is worth
watching for those concerned about donor scarring as a result of FUE.













V is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
I work for Dr. A's Clinic. I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
Our blog - http://hairtransplantcentre.blogspot.com/
website - www.fusehair.com
email - hairadvise@yahoo.com

V

New Delhi, India,
03.02.2008, 03:20
(edited by V, 03.02.2008, 03:27)

@ V

Forgot to mention

» This video shows what the donor site looks like SHAVED. This is worth
» watching for those concerned about donor scarring as a result of FUE.
»
»











Once the buffering is complete, Double Click on the video to view in full screen mode.


V is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
I work for Dr. A's Clinic. I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
Our blog - http://hairtransplantcentre.blogspot.com/
website - www.fusehair.com
email - hairadvise@yahoo.com

V

New Delhi, India,
04.02.2008, 00:14

@ Dr. Arvind

Side by side pictures

[image]

[image]

[image]

[image]


V is located in NEW DELHI, INDIA and he is available to meet: YES
email hairsite@aol.com to arrange a meeting.

---
I work for Dr. A's Clinic. I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
Our blog - http://hairtransplantcentre.blogspot.com/
website - www.fusehair.com
email - hairadvise@yahoo.com

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