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. 2025 Aug 17;15:30063. doi: 10.1038/s41598-025-16196-x

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© The Author(s) 2025

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

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Fig. 2 — Sequential Steps of Lateral Temporal Brow Lift (LTBL) (Patient 2): Left Lateral View Demonstrating Skin Excision, Subcutaneous Elevation, and Immediate Pre- and Postoperative Results Prior to Blepharoplasty. Pretrichial Incision and Skin Removal: The pretrichial incision is marked and made along the planned surgical site. Excess skin is excised, demonstrating the removal area essential for brow elevation. Skin Removed, Subcutaneous Plane Exposed: The subcutaneous plane is exposed post-excision, highlighting the layer targeted for elevation and repositioning to achieve optimal lateral brow lifting. Subcutaneous Skin Elevation : The surgical instrument is inserted along the subcutaneous plane, as indicated by black dotted lines. Elevation progresses toward the lateral canthus, ensuring controlled and precise dissection. Subcutaneous Skin Elevation : Further subcutaneous elevation along the same plane, visualizing the extended reach of dissection to achieve the desired lift. Black dotted lines trace the path of the surgical instrument under the skin. Immediate Preoperative View: The lateral brow is shown preoperatively, highlighting the position of the eyebrow and surrounding anatomy before the procedure. Immediate Postoperative View: Immediate postoperative results demonstrating the elevated lateral brow. The black arrow marks the improved eyebrow position, emphasizing the surgical outcomes of LTBL.