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Page 12 of 25                                            Lemperle Plast Aesthet Res 2020;7:40  I  http://dx.doi.org/10.20517/2347-9264.2020.14

                A                                  B




























               Figure 14. The “pinch test” is an easy way to find the best direction for a surgical incision or excision on the extremities of adults and
               older patients, but less valuable in children, younger women, and obese patients (A and B)








































               Figure 15. “Main folding lines” on the face and the logical directions of excisions (drawings by Frank H. Netter 1994)


               Shoulder and arm
               Striae observed in body builders and in patients with linear focal elastosis or Cushing syndrome all point
               in one direction [Figure 8A]: horizontal over pectoral and deltoid muscles. Viewed from the front, the
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