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Page 22 of 25                                            Lemperle Plast Aesthet Res 2020;7:40  I  http://dx.doi.org/10.20517/2347-9264.2020.14

                           A                                      B

































               Figure 29. Langer’s “cleavage lines” were never meant as guidelines for optimal directions for surgical incisions or excisions. Instead, the
               use of “main folding lines” is advocated in young patients (A and B)


                           A                                        B



































               Figure 30. Recommended surgical incisions along the main folding lines (MFL), with sparing of major cutaneous nerves and vessels (A
               and B)
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