Hairline lowering surgery better with or without Endotine?

All doctors have their own unique technique and methods.  It also depends on the individual patient and unique situations.  Shock hair loss from surgery is a risk with or without endotines. 

Hairline lowering procedures can be performed with either pds sutures through a bone tunnel or with Endotines.  I believe that some type of bone fixation is required to hold the hairline in the newly created anterior position

Endotine is a temporary device that is placed in the deep tissues to decrease and spread tension on the wound closure. It will absorb in 8-10 months. I have used these devices in cheek, brow and forehead lifts for many years only in patients whose wound closures are tight.

The use of endotines have become more popular recently but it is a surgeon's decision to use them so you should discuss this with your surgeon