Made a Change of Surgeon, but Still Gonna Get my Body Back!! - Miami, FL

Well, I thought I would've used Dr Salama, then...

Well, I thought I would've used Dr Salama, then was switched to his partner (or once partner) Dr Ghurani, because Salama was too busy for me. Now, I have found a new love... "VANITY COSMETICS - Miami"!!. It was kinda hard to choose between Dr Fisher, Dr Salas, or Dr Hassan. Vanity Cosmetics has a group of doctors to choose from, plus the price is affordable. They even now have a special for TT w/ 2 areas of lipo for $4299. Based on my research, Dr Fisher seems to specialize in BBL, Dr Salas gives a beautiful curve for TT patients, and Dr Hassan is double board certified, & have a wide range of expertise. Sooo, I have decided to go with.... Drum roll please..... DR RAFAEL SALAS!!!! I'm looking to get back my curves, with a new belly button, which I think Dr Salas is best able to provide. #Excited #CantWait :)

I have another review with my preop pics... New review so i added preop pics here as well

Here are some of my preop pics... Its saddens me a lil. Monday, hurry up and come!!!! Lol

Hey realselfers! I've copied & paste info for "tummy tuck recovery". Hope this helps!!

Preparation for Tummy Tuck Surgery

These recommendations have a specific purpose such as reducing risk of bleeding (herbal supplements, aspirin, Advil, etc.), blood clots (estrogen hormones, smoking), wound healing complications (smoking). Begin 2-4 weeks before surgery.

Continue or begin conditioning exercise such as aerobic exercise, yoga, Pilates, swimming or weight training. Strengthening your body through aerobic exercise will enable you to recover from surgery more quickly.
Begin a high protein diet that includes foods such as lean chicken, fish, eggs, beans, and protein shakes. Protein enables your body to more effectively heal wounds.
NO SMOKING for one month before surgery and one month after surgery. There should be NO SMOKING by anyone in any closed environment during this period. Smoking compromises the body’s ability to heal and increases the likelihood of complications occurring.
Stop birth control pills or hormone replacement therapy, including topical or vaginal estrogen creams, for one month before and one month after surgery.
Avoid aspirin and other over the counter anti-inflammatory medications such as Advil or Aleve (for a full list contact my office) for two weeks before and two weeks after surgery.
Avoid over-the-counter herbal supplements For two weeks before and two weeks after surgery.

Do not shave the pubic area for one week before surgery to lessen infection potential.

Two weeks before surgery, begin taking the VitaMedica Recovery Support vitamins that are provided to you to aid in wound healing and lessen bruising and swelling.
Tummy tuck recovery tips from a patient’s perspective

For at least one to two weeks following your tummy tuck procedure, it will be important for you to pamper and care for yourself and to allow others to, as well. When you’re a busy mom who is used to caring for others and running a busy household, it can be tough to switch gears to be on the receiving end of care. However, as one tummy tuck patient and mother of grown children advised, “Be kind to yourself and rest.” Doing so will speed your recovery and help you to return to your normal daily routine feeling more refreshed and renewed.

If you have young children, you will want to arrange for help to care for them.

Some patients plan to have a cleaning service come to their homes prior to their surgery and/or while they are recuperating.
Consider preparing or purchasing meals ahead of time that can be frozen and reheated.
In addition to making arrangements for household help, it will be helpful for you to have certain items on hand prior to your surgery:

Loose, soft clothing such as yoga pants or sweatpants—you’ll temporarily be more swollen than usual, so loose clothing will be most comfortable. Also you’ll want to avoid anything with a snug waistband that could potentially irritate your incision.
Antibacterial soap for your hands and antibacterial body wash—this will be important to help prevent infection of your incision.
Books, magazines, DVDs, recorded television shows, a laptop—these are nice to have on hand while you are recovering and taking it easy.
Laxatives such Miralax and Ducolax—constipation is common the first week following surgery.

A big water bottle—you will need to ensure you drink plenty of water and/or fruit juices to help you stay hydrated—at least eight cups a day, or 16 cups if you have liposuction

To reduce constipation after surgery, eat a liquid diet, and have a bowel movement, even if a laxative or Fleets enema is required.
To reduce the risk of infection, thoroughly cleanse with antiseptic soap at least the night before and the morning of surgery. Areas of most concern include the armpits, genitalia, and anal areas. Do not shave the pubic area.
Take a Xanax or sleeping medication to help you sleep, if needed.

Have nothing to eat or drink after midnight. Do not chew gum.


Most Patients will stay overnight in our fully accredited facility with attentive and prompt care provided.
Sequential Compression Devices (SCD’s) will be kept on the legs overnight to reduce the risk of blood clots and to eliminate the need to get out of bed for a walk that evening.
Many patients (if deemed clinically appropriate) will receive an injection of a blood thinner (Lovenox, Arixtra) for three days after surgery to the reduce risk of blood clots.
Dressing and garment change will occur between 5 am-6 am the morning after surgery, and discharge from the surgical center will occur at about 7 a.m.

During surgery, a long-acting non-narcotic local anesthetic injection (Exparel) is given, or a pain catheter may be placed into the area where it is most needed for pain control. This will reduce discomfort, though it will not eliminate it completely. Pain medication will be required, and is better to take it and get up and around than to lay all day avoiding movement for fear of pain.
Getting out of bed and walking with assistance for 10-15 minutes every two hours during normal waking hours is critically important to speed recovery and reduce the risk of clots.
Beginning on the  second day after surgery, you may shower with assistance using an antiseptic soap such as Dial. The shower should be equipped with a stable plastic sitting stool. A hand-held shower head can be helpful, as well. You should NOT be left alone in the shower as it is common to experience lightheadedness and unsteadiness. Bathtub showers are difficult to use and should be avoided during your recovery because of the challenge that is presented to get in and out of them.
To avoid straining sutures, walking in a slightly flexed (stooped) position at the hips is required for 4-7 days, gradually becoming more upright each day.
Flexion and extension of the feet at the ankles activates the calf muscles and pumps blood out of the legs, reducing risk of blood clots. This should be done consistently throughout the day while awake.
Eating a light diet of foods that are easily digestible (to avoid constipation), high in protein (improves wound healing), and low in salt (reduces swelling) is ideal.
An ACPS certified home healthcare provider will come to your place of stay on the second and third days after surgery to assist and teach wound care and dressing change.
Constipation is common, especially when using pain medication. We advise regular use of laxatives for the first week or so and drinking plenty of water (at least 8-12 cups a day).
Alternating or adjusting resting positions is helpful to avoid muscle stiffness and tightness.

Gradually increasing light activity is recommended. Walking without assistance for 15-30 minutes every two hours and improving posture should be pursued.
A family member should have been trained to assist with dressing changes once daily by now, usually done after a shower.
You may still need assistance when showering.

It is advisable to shower after bowel movements.

Avoiding contact with animals reduces risk of infection.

Avoiding contact with ill family members is mandatory.

Eat a high protein diet with limited salt intake.
Tummy tuck recovery tips from a patient’s perspective

In the first week of tummy tuck surgery, it is normal to feel a mix of emotions. At this point, you may still feel swollen, sore and tight, and your attractive new contours are not yet fully visible due to swelling. However, with each passing day, you’ll feel better and stronger. One of the number one pieces of advice our tummy tuck patients recommend is to carefully follow Dr. Patronella’s recovery instructions. These guidelines will help to speed and optimize your healing and provide a positive recovery experience.


You will become progressively more mobile with about 30% of your time spent up and about in the home engaging in light activities such as walking, sitting, flexing at the knees and hips, and limited household duties.
No driving or exercising.

It is normal to have a slight stoop while walking, progressing to a fully upright standing position by 7-8 days.
Incisional care is simplified to cleansing with mild soap and water with application of steri-strips (supportive paper tape). These are provided for you and changed about every 3-4 days. You will use these for 5-6 weeks. If an allergic reaction occurs, indicated by redness, irritation, whelps or blistering, remove the strips and notify my clinical care team.
Most sutures (stitches) are dissolvable; only a few suture tags require removal.

Usually the pain pump catheter and the drains (if present) are removed in this time frame. Being freed from the suction drains and the pain catheter provides some relief and added comfort.
Tummy tuck recovery tips from a patient’s perspective

“During the first week of my recovery after tummy tuck surgery, I was wondering if I had done the right thing. But after the first week, I turned a corner—it got better and better. What really helped me was having the postsurgical therapeutic massages at Dr. Patronella’s Added Touch Medical Spa. They helped to ease swelling and discomfort.”

A., Missouri City, Tx


Fully upright walking is expected, though it may be slightly tight and uncomfortable initially.

Leaving the home to attend indoor activities is encouraged. Riding in a car is acceptable, but should be limited to no more than 30 minutes at a time. Lengthy drives in a car or a plane can predispose a postoperative patient to blood clots and should be avoided.
Walking for half a mile twice a day in cool temperatures is encouraged.
Tummy tuck recovery tips from a patient’s perspective:

“When you’re recovering from surgery, look six weeks down the road to the great clothes you’ll be able to wear. That’s the great fun—trying on clothes you never thought you’d be able to wear, and seeing how great you look in them! You’re going to love your new tummy.”


Increasing walks to one mile twice a day in cool temperatures improves mobility and prepares you for return to work during this time.
Usually a minimum of 10 full days of recovery is required before you can return to work with light duty restrictions: no lifting, stooping, prolonged standing (two hours or more), physical exertion, or strenuous activity.
Continued incisional care with twice weekly application of new steri-strips

Driving is allowed at the 12-14 day point if you are fully mobile, with good torso turning ability, and do not require pain medication.

Exercise is limited to brisk walking or a stationary bicycle for 45-60 minutes. Be careful to avoid straining or lifting.
Travel should be limited to short trips of no more than one hour in a plane or car.

Patients are beginning to feel pretty good by now, so the tendency is to push harder with physical activity. The key to avoiding a setback is to progress slowly and cautiously. Keeping the exercise routine to about 75% of what you feel you are capable of is prudent at this juncture.
While increasing aerobic exercise with walking, stationary bicycle, or elliptical trainer, proceed with caution, avoiding abdominal straining at all times. Light upper body weights for toning is acceptable as long as there is minimal abdominal work required.
Swimming may begin.

Travel in a plane or car should be limited to 2 hours, with a short walk at the midway point to ensure good venous circulation in the legs.
Continued use of steri-strips through the 5-6 week mark is beneficial for optimal protection and support of the incision.

Progressively increasing exercise tolerance to full capacity is acceptable as long as it is reached gradually. You may begin incorporating more strenuous exercises such as aerobic exercise, jogging, Pilates and yoga. Isolated abdominal exercise (sit-ups, crunches, etc) are not allowed until a full 12 weeks from the date of surgery has been reached. Weight lifting can proceed with caution, avoiding intense abdominal straining until the full 12 week mark.
Travelling more than 2 hours in a plane or car is acceptable, as long as a short walk is taken every hour during the trip. An aisle seat for plane travel is advised.
Dr. P’s Scar Therapy Program begins at 5-6 weeks. Several products are used to optimize the appearance of the scar. Treatment is required for 6-12 months depending on scar responsiveness. Consistent use and patience is essential.
Tummy tuck recovery tips from a patient’s perspective

In the months following tummy tuck surgery, it is common to experience numbness, which may take one to two years to diminish, and occasional twinges of pain in the abdomen. In addition, swelling may come and go for months. To help alleviate this, shapewear that provides compression such as Spanx can be worn. This can be purchased online or at department stores.

The tummy tuck scar will continue to fade over a period of one to two years. To ensure optimum diminishment of the scar, is it important that you consistently follow the ACPS scar therapy program for 6-12 months. To prevent darkening of the scar, liberally apply sunscreen to the scar, and avoid exposing it to the sun.

For Dr. Patronella’s patients, tummy tuck surgery is enormously rewarding for the aesthetic transformation and accompanying increase in self-confidence that it provides. The results typically are long-lasting provided that you follow healthy eating and exercise habits that help you to maintain a stable weight. Many patients find that tummy tuck surgery inspires them to implement positive lifestyle habits that help them to feel their best and maintain their new attractive new contours.

Copyright © 2011 Christopher K. Patronella, M.D. All rights reserved.


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Arrived in Ft Lauderdale last-night..

Sooo, i arrived in Ft Lauderdale last night. My flight was delayed, so instead of landing @ 11pm, i didn't land til 1:30am. Which meant my car rental was canceled, &the rental office was closed, which meant i had to go thru the whole process of re-renting & waiting til 4am for them to open again... Aaahhh!! Anyway, I'm @ Vanity Cosmetics now waiting to meet with Dr Salas. I got my urine & blood work done. Results will be available monday. Now they're telling me im scheduled for surgery on tuesday, & NOT monday. Also, while i met with my cordinator Anna, she claimed it seems i have a hernia, which might cost more! I told her plain & simple "i dont have a penny more". She was looking @ my pictures while telling me this. N the whole time im thinking to myself, "didnt u see this when i sent the pics longtime ago". Anyway, i am not gonna be forced to pay more for something that they failed to explain to me. I will let yall know how that goes when i see Salas in a few mins. My opinion so far, the office is nice, most employees here speaks spanish more than english lol. I had read another review with a patient saying the ladies here work on commision, so they always want MONEY. I kinda think it might be true, because she always wants more "deposit" & now telling me i probably need to pay extra smh... I will let yall know if Dr Salas naughty or nice lol

Met with Dr Salas on Saturday

Ok, so i finally met with the man himself. He was late because he had an unexpected surgery, or surgery delay (or sumin like that). Anyway, we shook hands (he had such soft hands too! lol). He started to ask about my health, paperwork, procedure & stuff. He was very professional & knowledgeable. He then asked me to step behind the curtain so he can see what exactly needs to be done. When he came back there he was like "woaw, kids beat u up!" Lol. Its a good thing i have a great sense of humor to know he was just kidding & not to take offense (even tho them kids really did lol). After that,we went back to the desk for further question/concerns. I went on to talk about his anaesthsiologist. I asked if they are certified & all. He informed me that they have a group of anesthesiologists, some of which are certified anesthesiologists, & some are trainees (CRNA's- Certified Registered Nurses Assistants). I asked if i could have a preference of a certified anaesthesiologist & he said sure, but it depends on the date & time i want my surgery bcus sometimes they are busy. If they were not available during MY scheduled procedure, then i could get on THEIR time schedule to fulfill my request. I then went on to ask about if he has ever had any procedure gone wrong or anything negative/bad. He said no (while he knocked on his wooded desk) & said he hopes that never occurs. He then said "he then jokingly said "u tryna jinx me or sumin". I said noooo just asking questions. Ladies, i was sooooo nervous. In my head i kept saying "i cant believe im really doing this". & kept looking @ my friend who was there with me. I guess the doc saw that & started saying i cant be so negative, & that im making him not wanna do the surgery because im so uneasy. I then said, no doc, im just a lil nervous, but never negative. He started explaining that studies prove that whats in my mind, reflects on how things turn out. He started saying be positive, relax, & just think about how wonderful everything will turn out. I asked a few more questions, he expertly answered. Overall, despite the fact that he thought i was being negative @ one point, i really do think he is a great doctor. I was very comfortable in his presence. I came home & my friend & i prayed together. I begged GOD for a successful procedure, a healthy & speedy recovery, & also to calm my nerves and be optimistic. I reasoned with him from my heart, as to how much this surgery means to me. I must say, i am feeling very relxed now. I leave it all to God. Ladies, lets say a prayer for each other. Afterall, we are all on the same journey...

Info to speed up recovery & have drains removed faster!

While i was speaking with my cordinator @Vanity - Anna. She informed me of what i needed to consume for faster recovery. She said they recommend lots of pineapple juice sipped thru a straw. She also recommended papaya & cucumber juice sipped just the same. These help drain u faster... They will help with elimination to get the fluids out (when u have ur drains in. I wanna have my drains removed asap). Dr Salas also said i should drink gatorade a few days before in order to keep my body hydrated. He said to drink it afterwards as well, & to make sure i walk for 15mins every hour, so as to prevent blood clot. He explained i will feel drowsy & as if all i wanna do is sleep... DONT! Keep the blood flowing. Even if im unable to walk (like when im being driven back to the hotel), keep moving my feet/ankles upward & downward. Dont sit/lay all day thinking its ok bcus u just had surgery. No, walk!! Not exercise, just move arnd the apartment. Its also important to watch what u eat. Eat lightly, but healthy. Keep drinking & eating healthy for a few weeks after surgery for the best reaults. I like sharing the info i get... Im just passing it along ladies! :)

Surgery day!!!! Full TT with hernia repair

Ok, so its now a lil after 8am. I have surgery in about 5hrs!! Wow! Im excited, I'm nervous, so many emotions. I leave it all in Gods hands. For my hernia repair, its an additional $500. But being that they failed to tell me this BEFORE i came all the way to miami, they gave me a discount. So its $250 additional. So my cost went up to $4550. Oh well... Lets just get this over with. I pray God sends his angels to watch over me. I will keep y'all posted!!

Made it to the flat side... Thank u Lord

Hey ladies. My surgery was rescheduled from 1pm to 230pm. I went in to the surgery area abt 245pm. Met with the doc to get marked up, then signed some papers (this doc does not carry mal practice insurance). Met with the Anaesthesiologist (also, remember when i daid "trainees"? They r not. CRNA's are Certified Registered Nurse Of Anaesthesia or Aesthetics (sumin like that). The difference between Anesthesiologist and CRNA is that crna are registered nurses (went to nursing school) who have completed their masters & studied Anesthesia, while the anesthesiologist went to medical school. Thats what the CRNA explained to me. Anyway, i had my surgery & it seemed to have gone pretty well. Not in much pain, just discomfort. I took my meds. I got 4 of em: 1 for pain, 1 for constipation, 1 for nausea & 1 antibiotic. Sorry for my blurred explanation & typing... Im typing under the influence. As i was typing, i just vomited (mostly pineapple juice (i braced a pillow to my chest like my coordinator had told me to do if i need to cough). Luckily it was just a big "blah" & the liquid came up, which made me feel a lot better. I go back for my 1st post op tomr. I cant wait to get peek. I will show yall tomr. Gnite

Had my day 1 post op today...

Dr Salas' assistant told me its ok to come in 1 hr. I went as instructed, then still had to wait about 30-45mins to have my consult. I think my doctor is great, but vanity cosmetics employees suck! They are not organized @ all. My coordinator Anna never even mentioned that TT patients have a therapeutic massage for $120 each, or a set of massages for about $300... No1 informed me of this! Just like issue with the hernia! Im not saying anything is wrong with what they offer, but she already knew all this, y didn't u inform me so i can be better prepared?! 1st my surgery was scheduled for monday the 19th, then when i got here she said it was the 20th. Bare in mind my plane ticket was scheduled to leave after 1 week, so now i gotta change that. Then, she saw my pics long ago & they quoted me a price, then when i got there, she looks @ the saaaame pics & said i need hernia repair which is gonna cost a lil more! Now, out of nowhere, they're telling me i need massage! Aaah! was reading questions & answers here on real-self, & they do not recommend massages this early for TT patients. They recommend 4-6 weeks. They said ppl with lipo can do it this early. I mean, i do want whats best for me (because she said it will help with the drainage/fluid to release all fluid from the body resulting from surgery).I told em i would check my expenses & get back to em. Do i need massages after TT? Anyone ever did it?

Day 2 on the flat side... Walk!Walk! Walk!

My hotel is pretty small, so i have been slowly walking around the building. I feel as if im always sleepy bcus of the hydrocodone... Keep moving to prevent blood clots. DONT exercise, just do some flexion & extension on the legs to keep the blood flowing/circulating. Most ppl say they dont have an appetite to eat... Weeell, its the opposite with me. Im always hungry!!

5 days post-op...

I started feeling a lil bit better after day 3... For me it comes with moods swings. This minute i will be happy just chilling & watching tv, then next i will be sad bcus im not as mobile & flexible as i would like to be. When i have my bad days, i must admit the devil rocks my nerves with the negatives. For example, i might get a lil anxious & i start breathing heavily. I have to calm myself down with deep breathing exercises (thats what the docs on here recommend). They also said its normal to feel like we r breathing differently. DO NOT confuse this with shortness of breath.... Shortness of breath is serious. I just feel like my abdomen is tight & i sometimes gotta inhale & exhale deeply. Idk how to explain it. Also, i get up & move arnd a lot so that my blood circulates. I sometimes feel a lil tension/tightness which urges me to move. Again, DO NOT confuse this with tingling or numbness bcus numbness of the body is not normal. Only the abdomen that was worked on should be numb. Some of the feelings that im tryna explain, im not sure you will understand until u actually have the surgery done. When im in my mood swings tho, i think a lot about my surgeon. I had initially chosen a different doc when i just started the searching process. I spent months & hours reviewing this doc. Then i switched in about the last 6 weeks due to personal reasons. Even tho im confident in DR Salas & all, i feel like i made a hasty decision to have him do my procedure. So far, everything is good. But my point is, i get worried when i get a bit of anxiety, or feel a lil pain, or anything @ all, bcus i like to spend lots of time researching b4i go ahead with something, & in this case, i dont feel like i did, so i get worried wondering if he did everything perfectly. I found out a lot of info on him @ the last minute. Again, everything is fine with me & it looks good so far, but it would be nice to have my mind ad ease & not worried if i chose the perfect doc @ the last minute.... Or maybe this is just a side effect of surgery to feel this way.... Idk. Im just trying to give am update that is detailed as possible in terms of everything im experiencing. Also, my drains r a pain in my a$$ lol. I cant wait to have em out. They sometimes leak on my clothes & the binder. I have also kept on my compression socks all day everyday. Imma take em off tomr for abt 30mins to wash & dry em bcus they r very dirty. I keep my binder on all day also. I had my 1st BM on day 3. Once in the morning, then again in the night. Same thing on day 4. I had absolutely no issues releasing... It just came out smoothly (TMI... Sorry!!!!! Lol). I have just been having sponge baths. Im not cleared for shower yet... My doc said to wait til i have the drains taken out. Here are some pics... Lemme know what yall think. Feel free to give some advice. Thanks

Bitter-Sweet may 26th...

Soooo, yall already know Vanity changed my surgery date by 1 day later. I had already booked my return ticket for the 26th (when I thought my surgery was the 19th- which means I would leave after 1 week)... but Vanity, or to be more specific, my coordinator Anna, claimed she told me I was booked for surgery on the 20th! My airline wanted me to re-book a ticket which was gonna be abt $300 since it was last minute... NOPE! So I went for my 1 week postop 1 day early. I went 6 days postop & had my drains removed. While @ the fort Lauderdale airport, my darn phone went missing/mis-placed/stolen... idk! all I know is that it wasn't in my possession anymore. Called it multiple times until the crook shut it off. Sucks for me! But anyway, I have been M.I.A. bcus of this. imma get a new phone tomorrow, & I will try to take some pics of how everything is coming along. I even went back to work yesterday. I sit @ a desk all day, so its no hassle. That's it for now... ttyl!!

2 Weeks PostOp... + Its my Birthday!!!! ????????

Well, yesterday i turn 2weeks postop, and i wrote my update, only for it to be closed/failed! So i just went to bed. Im feeling pretty good. Getting more adjusted to my life b4 surgery. I started wearing my waist cincher on Sundag (12 days postop). I got tired of the same ole compression garment that they give right out of surgery. I like my results, the only issue im having is the massive swelling above my incision.... Im praying it goes away! I started wearing the cincher hoping it will go down. Here are some pics. Suggestions/comments are welcome!!

5 week update! Best decision ever... *tears*

I just wanna let realselfers know, if u are insecure abt ur body like i was, dont even look @ the $$ this will cost. Just go for it! This entire process took a lot of my savings, but im 100% happy i did it. Im 5weeks out, & my confidence is has improved sooo much! Girrrl, not to mention when i got my binder on! Lol (it holds down my swelling when it comes on @ times). It feels soo good not to have a tummy looking like a grumpy old mans face, & not have a flab in my lap when i sit! I have been taking pics since my last update, but just been too busy to post. Its also a process, so take care of urself & allow ur body to heal properly. If yall can recall, i was scared about my "bulge"... Lets just say im calm now lol. Good luck ladies!! ????

More pics...

Pics as the weeks went by... Just able to upload

12 Weeks Later... Loving ME!!

Hi y'all just thought i would add some pics. Its been a while! So far, i LOVE the way i look in my clothes now. No big belly, no muffin tops... Aaahh... Like 'LG', Life's Good ;). I still get the swelling @times. Im ready yo hit the gym & work on these abs. Feeling pretty notmal again... Just with a flat tummy! Lol
Miami Plastic Surgeon

Dr Rafael Salas is one of the plastic surgeons @ Vanity Cosmetics. He gives that beautiful curve that im hoping to regain, to his female TT patients. I'm confident that with him, my results will be amazing

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