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Uma das mais lindas jóias da nossa coleção, venha conhecer 🌹
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Somos fabricantes, agende uma visita
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(11) 96262-1020
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#alianca #ouro #ourorose #joias #rubi #diamantes #18k #voumecasar #casamento #noivos2018 #noivos #aliancaspersonalizadas #solitarios #ourobranco #ouroamarelo #or.

Uma das mais lindas jóias da nossa coleção, venha conhecer 🌹 . Somos fabricantes, agende uma visita . (11) 96262-1020 . #alianca #ouro #ourorose #joias #rubi #diamantes #18k #voumecasar #casamento #noivos2018 #noivos #aliancaspersonalizadas #solitarios #ourobranco #ouroamarelo #or ...

Today, I reconstructed not one but ✌🏼 nasal defects due to skin cancer using a paramedian forehead flap with cartilage grafting- rib cartilage in one case and ear cartilage in the other!⁣
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Believe it or not, use of the forehead for nasal reconstruction dates back to ancient India (600-700 BC), when nasal tip amputation was a common punishment for a variety of crimes. 😬⁣
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The forehead flap is still considered the gold standard for 👃🏼 nasal reconstruction, particularly for defects involving a lot of skin and/or extending deep to include part of the structure or inside lining. The color and texture of forehead skin actually matches the skin of the nose quite nicely.⁣
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The only downside is that at least two surgeries are required for a forehead flap. After the first surgery, the forehead is left connected 🔛 the nose for about 3 weeks to allow it to heal and develop new blood supply.⁣
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Fun fact: Patients who undergo this surgery will initially “feel it” in their forehead when they scratch their new nose!⁣
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Happy Monday! 🤓.

Today, I reconstructed not one but ✌🏼 nasal defects due to skin cancer using a paramedian forehead flap with cartilage grafting- rib cartilage in one case and ear cartilage in the other!⁣ ⁣ Believe it or not, use of the forehead for nasal reconstruction dates back to ancient India (600-700 BC), when nasal tip amputation was a common punishment for a variety of crimes. 😬⁣ ⁣ The forehead flap is still considered the gold standard for 👃🏼 nasal reconstruction, particularly for defects involving a lot of skin and/or extending deep to include part of the structure or inside lining. The color and texture of forehead skin actually matches the skin of the nose quite nicely.⁣ ⁣ The only downside is that at least two surgeries are required for a forehead flap. After the first surgery, the forehead is left connected 🔛 the nose for about 3 weeks to allow it to heal and develop new blood supply.⁣ ⁣ Fun fact: Patients who undergo this surgery will initially “feel it” in their forehead when they scratch their new nose!⁣ ⁣ Happy Monday! 🤓 ...

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Sometimes I don’t wanna go out to the park because I’m so tired , but I still want to wear them out , and not go crazy while doing it . This is our pass time .. singing and dancing .. and it’s keep our home energy poppin and free 🖤🖤 #bonding #squadgoals #twins #twinlife #twinmommy #dojacat #moo #imacow #or #ifeellikeone.

Sometimes I don’t wanna go out to the park because I’m so tired , but I still want to wear them out , and not go crazy while doing it . This is our pass time .. singing and dancing .. and it’s keep our home energy poppin and free 🖤🖤 #bonding #squadgoals #twins #twinlife #twinmommy #dojacat #moo #imacow #or #ifeellikeone ...

Anything in mini form is so cute☺️
🍴Nutella, Honey + sea salt, Cinammon sugar, Candied bacon maple, The dirty wu, Banana foster
🍴Flight of Chai - Spicy chai, Campfire chai, Toasted coconut chai, Herbal chai, Thai tea chai
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📍Pip’s Original Doughnuts, Portland, OR
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#foodiegram #foodofinstagram #instafood #foodstagram #eeeeeats #PDXeats #portland #oregon #OR #forkyeah #satisfeed #doughnuts #donuts #chai.

Anything in mini form is so cute☺️ 🍴Nutella, Honey + sea salt, Cinammon sugar, Candied bacon maple, The dirty wu, Banana foster 🍴Flight of Chai - Spicy chai, Campfire chai, Toasted coconut chai, Herbal chai, Thai tea chai ⠀ 📍Pip’s Original Doughnuts, Portland, OR . . . . . #foodiegram #foodofinstagram #instafood #foodstagram #eeeeeats #PDXeats #portland #oregon #OR #forkyeah #satisfeed #doughnuts #donuts #chai ...

With so many incredible tools out there to chose from, how could one possibly decide which are the most essential!? Watch Tony and Corey break down their essential tool list in our newest video “Tony and Corey’s Essential Tools!” You can find that at www.youtube.com/weekendwarriorshomeimprovmentshow
#weekendwarriors #parr
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#diy #parrlumbercompany #build #builder #tools #tool #construction #project #doityourself #howto #homeimprovement #lumber #construct #homeimprovements #remodel #or #oregon #parrlumbercompany #contractor #woodworker #woodworking #hardware #lumber #youtube #homeimprovementshow.

With so many incredible tools out there to chose from, how could one possibly decide which are the most essential!? Watch Tony and Corey break down their essential tool list in our newest video “Tony and Corey’s Essential Tools!” You can find that at www.youtube.com/weekendwarriorshomeimprovmentshow #weekendwarriors #parr • • • • • • #diy #parrlumbercompany #build #builder #tools #tool #construction #project #doityourself #howto #homeimprovement #lumber #construct #homeimprovements #remodel #or #oregon #parrlumbercompany #contractor #woodworker #woodworking #hardware #lumber #youtube #homeimprovementshow ...

“Fly or Die” is featured in this month’s Journal of Parapsychology beside a longitudinal study by Jacobs, Schmidt and Robinson (2017) showing corollary activation of neuronal pathways between human subjects in their early to late 20s and bird subjects before and during their first flight.

#fly #or #die #sky #the #limit #bird #brain #high #fall #wings #nest #blessed #encouragement #art #artist #artwork #sketch #sketchbook #illustration #drawing #positivevibes #positivity #motivation #inspiration #psychology #science #animals.

“Fly or Die” is featured in this month’s Journal of Parapsychology beside a longitudinal study by Jacobs, Schmidt and Robinson (2017) showing corollary activation of neuronal pathways between human subjects in their early to late 20s and bird subjects before and during their first flight. #fly #or #die #sky #the #limit #bird #brain #high #fall #wings #nest #blessed #encouragement #art #artist #artwork #sketch #sketchbook #illustration #drawing #positivevibes #positivity #motivation #inspiration #psychology #science #animals ...