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Editor's Correspondence |

Efficacy and Safety of Endotine Fixation Device in Endoscopic Brow-Lift

Patrick J. Byrne, MD
Arch Facial Plast Surg. 2007;9(3):212-214. doi:10.1001/archfaci.9.3.212.
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A variety of techniques have been described for fixation of the brow-lift. The Endotine forehead device (CoApt Systems Inc, Palo Alto, Calif) is an implantable bioabsorbable fixation device designed to provide multipoint distributed tension for fixation during brow-lift in a rapid manner. It is intended to provide the surgeon with unique flexibility in both the degree of fixation and vectors of pull. In addition, it is designed to allow for refixation during the procedure to make adjustments to brow position. Herein, I report retrospectively the cases of 31 consecutive patients who underwent endoscopic brow-lift using the Endotine forehead fixation system.

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Figure 1.

Method of brow elevation measurements. The distance from standard reference points, in millimeters, recorded bilaterally. A, Preoperative measurements. B, Early postoperative measurements. C, Late postoperative measurements.

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Figure 2.

Representative patient. A, Preoperative photograph. B, Nine months after endoscopic brow-lift using the Endotine fixation system (CoApt Systems Inc, Palo Alto, Calif). A face-lift with upper and lower eyelid blepharoplasties was also performed.

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Figure 3.

Intraoperative demonstration of the adjustable nature of implants. A, Prior to endoscopic brow-lift. B, Moderate elevation with fixation superior to lateral limbus. C, Additional elevation, vector rotated temporally. D, Additional elevation for demonstration purposes, vector adjusted further temporally.

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