The device attaches to the skull by a peg on the bottom of the triangular platform that is press fitted into a 3.75-mm hole drilled into the outer cortex of the frontal bone. With experience, the device may be deployed in about 2 to 3 minutes per side. Both devices are based on the concept of multipoint fixation, in which the 5 tines act to distribute the forces of fixation and elevation over a diffuse area. Thus, no single point is carrying the entire force. This even distribution of force contrasts with the other commonly used methods of fixation employing sutures, in which the sharp edge of the suture acts almost like a scalpel, cutting through the periosteum and galea as the tissue swells during the postoperative period. As the sharp suture pulls through the tissue, there is a descent of several millimeters from the original elevation. Thus, the Endotine device has demonstrated the ability to elevate and fix the forehead in the original position achieved by the surgery without change or regression and redescent.