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Updated: Oct 2, 2026

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach
Published on: December 7, 2016
The Subcutaneous Approach: Why I Prefer It to Lift the Brow
Sadri Ozan Sozer1, Serhat Sibar2, Mert Ersan3
1Department of Plastic, Reconstructive and Aesthetic Surgery, El Paso Cosmetic Plastic Surgery Center, TX, USA.
Abstract:
Brow aging rarely presents as isolated descent; patients perceive a composite change in lateral hooding, brow-tail contour, and the brow-lid-temple transition. This article argues that the dissection plane is not interchangeable and that many clinically relevant changes are expressed at the cutaneous-subcutaneous level. Gliding-based, subcutaneous techniques use controlled release, redraping, and temporary multipoint fixation with a surgical net to restore brow contour and periorbital harmony. By expanding the boundaries of dissection when indicated, this approach can achieve comprehensive periorbital rejuvenation. Patient selection, vector planning, and structured postoperative management are emphasized.
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