Endoscopic brow lift with endotines

The absorption of endotines is over a year or so. The theory goes that the forehead and brows have adhered long before then. Certainly, there are several studies showing this to be the case. One could argue that a more permanent fixation (to bone tunnels or buried screws) might give one the comfort of knowing the lift to be more, well, "permanent"! However, much is made of the height as opposed to shape and relative height. Certainly, many of us have moved away from simple millimeter-height measurements and go more for the overall aesthetic of brows. With that in mind, the question of endotines would be a moot one: I think you would get enough fixation for your surgeon to give you a good, aesthetically pleasing height, contour, curve, shape (call it what-you-will!).No substitute for seeing your surgeon's results, irrespective of the method of fixation he uses: there are many ways to skin a cat!Best of luck. Prof. Bhupendra C. K. Patel MD, FRCS

Most surgeons will agree that the key to an effective and longer acting endoscopic brow lift does not depend on the kind of fixation.  There are no studies that prove the superiority of one fixation technique over another. It's more important to achieve a complete release of all the tissues underneath and around the eyebrow .

You ask an interesting question. The long term result of a endoscopic brow lift is not usually thought to be  dependent on the fixation device but more importantly on the length of time the device supports the elevated tissue during healing. This is broken down into short term,one week or less and long term,six weeks or greater. Different surgeons have different opinions. In my case, I believe long term fixation of the elevated fore head tissues gives a better long term result. Since an Endotine maintains it's strength for greater than six months, this device works very well.