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then complete numbness) The marked strip of philtrum skin is excised the dimensions are carefully planned to achieve the desired lift without over-shortening The surgeon dissects the skin edges slightly to allow tension-free closure The deeper tissues (orbicularis oris muscle, if accessed) are secured if needed to anchor the lift The skin is closed in two layers: deeper sutures (absorbable) to support the closure, and surface sutures (fine non-absorbable, to be removed at day 57) along the incision line A thin layer of antibiotic ointment is applied