 The flaps were then rotated and advanced posteriorly and then superiorly, and incremental cuts were made and the suspension points in the pre and post auricular area were done with 2-0 Tycron suture. 
The flaps were then rotated and advanced posteriorly and then superiorly , and incremental cuts were made and the suspension points in the pre and post auricular area were done with 2 - 0 Tycron suture .