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We widen the grafting area by separating and loosening the musculus orbicularis oculi, gaining 5 mm of space by this technique (one-fifth longer than eyelid), which can elongate the graft by 10 mm for optimal results

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Some of them found increased TEWL in smokers 4 , and in mice 5 or skin explants 6 exposed to cigarette smoke whereas others observed no significant differences in TEWL between smokers and non-smokers 7, 8