■ The surplus skin is pulled down under slight traction to define the resection boundaries. 2.0 Monocryl key sutures are placed at equal intervals, and this allows the surgeon to identify as early as this stage of the operation how far the resection must be taken laterally if "dog-ears" are to be avoided. The incision can be extended in a lateral direction at this stage of the operation, depending on this. The trick for all tightening operations is that the amount of skin that must be removed can be defined exactly prior to resection by positioning key sutures. This ensures that the later result will be good and the scar pleasing.
■ The individual key sutures are placed one after the other so that individual corrections can be made at any time.
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