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               DECLARATIONS
               Authors’ contributions
               Made substantial contributions to conception and design of the study and performed data analysis and
               interpretation: Schopper H, Humphrey C
               Provided substantial review and editing support: Kriet JD

               Availability of data and materials
               Not applicable.

               Financial support and sponsorship
               None.

               Conflicts of interest
               All authors declared that there are no conflicts of interest.


               Ethical approval and consent to participate
               Not applicable.


               Consent for publication
               Patients seen at our facility sign a release of clinical photography form as part of their intake paperwork that
               gives blanket authorization to use photography (Figure3) for teaching or publication. The copyrights of
               Figures 1, 2, 4, 5 and 7 belong to authors.

               Copyright
               © The Author(s) 2022.


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