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On one-half of the face, surgeons cut the skin at the hairline and pulled it back and up. They pulled and tightened the underlying muscle but did not cut it. In the second, more aggressive procedure, another set of surgeons cut beneath skin and tissue from the side of the face toward the nose, cut and pulled the underlying muscle back and upward. The latter procedure carries a higher risk that nerves will be accidentally cut and the face partly paralyzed. The surgeons were seeking to resolve a 20-year debate about which procedure is more effective. They say there is little if any noticeable difference in the two sides of the patients' faces...
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