Does Using Endotine Fixation Make An Endoscopic Browlift Last Longer?
Q: Dr. Eppley, I am interested in doing a brow lift. However I noticed a lot of surgeons in specific countries are proposing that an endoscopic brow lift with an endotine ribbon provides a more fixated and long-lasting result compared to traditional endoscopic brow-lifts.
I also had never knew Endotines supplements other lifts such as: Face lifts, Neck-Lifts, Forehead, and etc.
What is your opinion on this? I am interested to get a few surgeries by you. I was curious on your forehead lifts.
A: While some form of fixation is useful in all endoscopic brow lifts, there is no clinical evidence to support the contention that the result is better short or long-term with use of either an endotine platform or ribbon. There are many different forms of endoscopic browlift fixation (e.g., screws, bone tunnels) and the only thing that is clear is that one of them is needed. I have used resorbable/metal endoscopic screws and bone tunnels for years and they work very well. The key with whatever form of fixation that is used is how easily it is inserted through a small endoscopic incision and what aesthetic risks come from their use.
But being a male seeking a browlift, the form of fixation used is the least important consideration in your surgery. The most important is whether your hairline location and density can support a superior scalp approach or whether an inferior transpalpebral (through the upper eyelid) approach is needed. If done from below then the only form of fixation that can be used is the placement of an endotine platform.
I would need to see pictures of your forehead to make that determination.
Dr. Barry Eppley