Endotine Forehead Lift Fixation Methods
What’s Different?
A Summary by Dr. Shin Jong-in

Hello.
This is 오브제성형외과.
When researching forehead lift surgery,
you often come across the term
“fixation method.”
Terms such as Endotine, suture fixation, and bone tunnel fixation may appear,
but it is only natural not to have a clear understanding of them
when encountering them for the first time.
The explanations also vary from post to post,
so it is not easy to compare
which method is right for you.
If you came to this post after seeing its title,
you have probably already gained
a general understanding of forehead lift surgery itself,
and are now at the stage of wanting to know
how the results differ depending on the fixation method.

So today, we will explain one by one
how Endotine differs specifically from other fixation methods
and what the characteristics of each method are.
After reading to the end,
you will have a clearer basis
for comparing forehead lift fixation methods.
The “3” Forehead Lift Fixation Methods—
We’ll Compare Only the <Key Points>

Endoscopic forehead lift surgery
is the same in that the tissue is lifted upward.
The difference lies in
“what is used and how”
to fix the lifted tissue.
The forehead lift fixation methods currently in use
are broadly divided into two categories.
The first is Endotine fixation.

Endotine
is a triangular, biodegradable fixation device.
Because multiple small hooks hold the tissue
over a broad area,
the force is not concentrated in one place
but is distributed evenly.
The second is suture fixation.
There are two methods of suture fixation.

One is screw fixation.
A small screw is inserted into the bone,
and the suture is tied to the screw
to hold the tissue in place.
The other is bone tunnel fixation.

A small hole is made directly in the bone,
and the suture is passed through the hole
and tied.
Although the difference is whether a screw is used
or a hole is made in the bone,
the two methods are ultimately the same
in that they hold the tissue with a single suture.
In terms of fixation strength and durability,
Endotine forehead lift surgery
is known as a method with strong fixation.

Endotine Forehead Lift—
“Multiple-Point Fixation” Is Key
The greatest feature of Endotine forehead lift surgery
is that it holds the tissue
at “multiple points,”
rather than at “one point.”
Suture fixation
uses a single suture at one location
to pull and hold the tissue.

By analogy,
it is similar to fixing a heavy piece of fabric
to a wall with a single pin.
Although it may hold well at first,
as time passes,
force becomes concentrated around the pin,
and the fabric may gradually slip downward.
Endotine, on the other hand,
uses multiple hooks
to hold the tissue
over a broad area.
It works on the same principle
as evenly securing the same piece of fabric
with multiple pins.

Because the force is distributed
rather than concentrated in one place,
it helps the tissue remain in position.
In practice, Endotine is usually fixed
at approximately two points
in the vertical direction.
Although more may be used,
if it is accurately fixed in the appropriate locations,
two devices alone can provide
sufficient durability.
Then, does that mean suture fixation
is always a poor method?
Not necessarily.
Suture fixation can also produce
sufficient results,
depending on where and how it is performed.
However, because of the structural difference
that the fixation point is concentrated in one location,
there can be a difference from Endotine
in terms of durability.
A Point to Keep in Mind About Endotine—
Be Sure to Know “This”
Even though Endotine offers strong fixation,
it is not perfect in every respect.
Because the fixation area is broad,
where it is fixed is especially important.
Endotine must be fixed while also considering
the hairline and the direction in which the hair follicles are distributed.

This is because fixing it in an appropriate location
allows the surrounding blood circulation to remain smooth
and can lead to stable results.
Therefore, the key is to examine together
the structure of the hairline
and how the hair follicles are distributed.
Ultimately, where and how Endotine is fixed
has a greater impact on the results
than the device itself.

There is one more point to keep in mind.
The forehead consists of multiple layers,
including the periosteum, muscles, fat, and skin.
Because Endotine forehead lift surgery
lifts the deeper layers,
the surface layers, such as the skin,
may not be pulled perfectly as well.
To compensate for this,
a hybrid approach that combines
thread lifting has recently also been used.

By lifting the deeper layers with Endotine
and additionally lifting the skin layer with thread lifting,
it is possible to hold the different layers together.
Because this can help enhance both durability
and the lifting effect,
it is an option that may be considered together
depending on the condition of the forehead.
Today, we reviewed the types of forehead lift fixation methods,
the characteristics of Endotine forehead lift surgery,
and points to keep in mind.
Depending on the fixation method,
there are clear differences in
how long the lifted tissue is maintained
and how the results appear.
When comparing which fixation method is right for you,
we hope today’s summary will serve as a useful reference.
Dr. Shin Jong-in of 오브제성형외과
examines where the eyebrows are positioned,
which direction the forehead skin has sagged,
and how the forehead muscles move
to determine where to fix the tissue.

When fixing Endotine,
he also examines the distribution of the hairline and hair follicles,
fixing it in a location where blood circulation can remain smooth,
and determines whether to combine thread lifting
depending on the condition of the deeper and surface layers.
If you are considering forehead lift surgery,
we recommend beginning with a consultation
that also reviews the fixation method
and where the fixation will be performed.
This has been 오브제성형외과.
Thank you.
<🔽🔽Recommended Video to Watch Together🔽🔽>
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This post contains medical information prepared by 오브제성형외과의원 in compliance with the Medical Advertising Act.
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The effects of the procedure may vary from person to person, and side effects may occur.
We recommend that you make a decision about the procedure only after having a thorough consultation with a medical professional in advance.