 The platysma was identified and approximated with a #4-0 Vicryl suture and the subdermal plane was approximated with a #4-0 Vicryl suture. 
The platysma was identified and approximated with a # 4 - 0 Vicryl suture and the subdermal plane was approximated with a # 4 - 0 Vicryl suture .