 Sharp and blunt dissection was carried down through the subcutaneous tissue, superficial fascia, and down to the periosteal layer, which was underscored, free from its underlying osseous attachments and reflected to expose the osseous surface. 
Sharp and blunt dissection was carried down through the subcutaneous tissue , superficial fascia , and down to the periosteal layer , which was underscored , free from its underlying osseous attachments and reflected to expose the osseous surface .