Definition: Lifting the eyebrows with improvement of frown lines and horizontal
lines of the forehead.
Age: Usually 35 and beyond.
Surgical technique: Elevation of the eyebrows,
removing the frown muscles and smoothing the
horizontal lines in the forehead. It can be done at the
same time as laser resurfacing to erase the deeper
wrinkles.
Surgery may be performed with an endoscope (small
telescope) - see Endotine Brow Lift section below -
through small scalp incisions or using an open
technique with an incision hidden behind the hairline.
The open technique is useful if horizontal lines in the
forehead require correction or if there is severe drooping
of the eyebrows. The endoscopic technique is useful for
the younger patient and those with thin hair.
Philosophy: A natural but not surprised look.
Surgical time and recovery: Surgery takes an hour. Stitches or staples are
removed in 9 days. Swelling is resolved after about one week. The patient can
go back to work in 7-10 days.
Related procedures: None.
For Control of Fixation in Open and Endoscopic Brow Procedures
Soft tissue fixation remains the least controllable and least predictable part of the
forehead lift procedure. Until now, only suture based and percutaneous screw
fixation techniques were available, often with frustrating results.
The ENDOTINE Forehead offers a novel and effective solution for fixation of the scalp
tissue, addressing a primary challenge of the forehead lift procedure. The
ENDOTINE Forehead features sutureless MultiPoint Technology (MPT™), a
breakthrough platform technology designed to facilitate facial aesthetic procedures,
reduce operating time and improve surgical outcomes.
The device’s unique design provides multiple points of contact with the suspended
tissue, distributing tension to maximize fixation strength.
Fast The ENDOTINE Forehead allows fixation times approaching less than one
minute per side in the hands of experienced clinicians.
Designed for Simplicity and Predictability
The ENDOTINE Forehead is designed for optimal control of brow height and shape.

Benefits for Endoscopic and Coronal Application
Sutureless Fixation Rapid deployment and prevention of tissue strangulation.
Multiple Tines High structural integrity and balanced distribution of tension.
Bioabsorbable Co-Polymer Unlike metallic screws, this device does not need to
be removed.
Additional Benefits for Coronal Application
Tension Free Closure The absence of tension on the
scalp closure minimizes scar widening and hypertrophy.
Reduced Scalp Excision Fixation from the ENDOTINE
Forehead devices reduces the need to excise hair
bearing scalp in order to suspend the forehead.
Minimal Alopecia Reduced tension on the scalp closure
minimizes damage to hair follicles and resulting
alopecia.
ENDOTINE MultiPoint Fixation
Stress concentration is much higher for single point
than for multiple point fixation devices.
High concentrations of stress cause soft-tissue to deform, hair follicle loss and
failures of fixation that may be the cause of forehead re-descent and undesirable
results. The ENDOTINE Forehead is designed to distribute tension allowing more
stable tissue shape, less distortion, and the prevention of high concentrations of
stress.
More information for facial plastic surgery procedures.
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