 So what we're doing today is twofold. One our patient has been wearing heavy earring so you could see her earlobe earring hole has elongated and it's become long over time. The other thing is her earlobe due to aging has become a little bit hanging so we're gonna rejuvenate her earlobe at the same time. So what we're going to do is take out a little wedge resection and bring this to here which will make the earlobe smaller and at the same time she's we're gonna repair this long hole we're gonna close it off and later she could just get another piercing. So first thing is we're gonna give her some numbing so you can see her earlobe looks fuller rejuvenated and smaller it's not as it doesn't have excess skin like it did before and it looks fuller just like when people these days they put filler or other stuff in their ear we just feel it just looks more filled in because there's more tissue in there.