Duhan Plastic Surgery Combo Program - Dark Circles and Lifting

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A procedure that goes well with dark circles! A good surgery!

Through the Duhan Dark Circle Clinic's combo program,

let's create a fresher, more lively eye area.^^

Dark Circles and Lifting

The dark circles + lifting combo program removes dark circles while also lifting sagging skin caused by aging and collagen loss,

helping to smooth wrinkles and restore volume.

What is Endotine Lifting?

As people age into their 30s and 40s, skin aging accelerates, causing the eyelids to sag and forehead wrinkles to form.

Wrinkles make a person look tired and lacking in vitality, and glabellar wrinkles can create an angry appearance.

Deep forehead wrinkles make the face look stuffy and older.

Endotine lifting is a surgery used for forehead wrinkles, sagging eyelids, brows, and the midface. Because it is performed through an incision inside the scalp, the surgical trace is barely visible.

Recovery and return to daily life are also quick.

The Endotine fixation plate is made of an absorbable material, and its protruding tip shape helps secure and lift the skin.

Because it is absorbable, it is absorbed by the human body over time, so it is known as a relatively simple and comparatively safe procedure compared with other treatments.

Endotine has already completed safety verification through FDA approval and is currently gaining great popularity, mainly in the United States.

The surgery is performed under sedation anesthesia, and because an endoscope is used, there are fewer incisions, so there is no need to worry about pain or swelling.

Indications for Endotine Lifting

Advantages of Endotine Lifting

It is safe!

Because it is performed under sedation anesthesia, there is little concern about pain.

Through a small incision in the scalp, an endoscope is used, so scars are barely visible.

It is simple!

It is a relatively simple surgery, and scarring is minimal.

It has the advantage of a short recovery period.

Because the recovery period is short, returning to daily life is also quick.

The effect lasts and is good!

Because the procedure is distributed across multiple areas, the effect is better than conventional surgical methods.

The fixation plate is absorbed by the skin, and its effect continues.

Types of Endotine for Lifting

Endotine lifting for improving cheek sagging

Endoscopic Endotine lifting surgical method for improving cheek sagging

① It is designed according to the accurately diagnosed surgical plan.

The incision site is marked, and the position where the Endotine will be inserted and the length are measured.

Sedation anesthesia and local anesthesia are administered.

Because sedation anesthesia is used together, there is no pain at all.

② After a temporal incision, dissection is performed above the muscle.

Because the incision is small and located in the scalp, there is no scarring or hair loss.

After the incision, dissection is performed above the fascia with blunt-ended scissors without bleeding.

③ After confirmation with an endoscope, the Endotine is inserted.

After dissection, an endoscope is used to confirm accurate dissection and any bleeding.

After dissection, the Endotine is inserted to lift the sagging cheeks.

④ After securing the Endotine to the fascia, the incision is sutured.

The Endotine is firmly fixed to the fascia, and the scalp is sutured.

An elastic adhesive bandage is applied to prevent swelling and sagging.

The bandage is removed after 2 to 3 days, and shampooing is possible starting 4 days after surgery.

The stitches are removed after 7 days.

Examples of cheek flesh Endotine lifting surgery

Endotine lifting for improving forehead wrinkles

Surgical method for Endotine lifting to improve forehead wrinkles

① It is designed according to the accurately diagnosed surgical plan.

The incision site is marked, and sedation anesthesia and local anesthesia are administered.

Because sedation anesthesia is used together, there is no pain at all.

Because the incision is small and located in the scalp, there will be no scar or hair loss on the forehead.

After the incision, dissection is performed above the periosteum to lift the frontalis muscle.

② The procerus muscle is excised using an endoscope.

Using an endoscope, the procerus muscle that creates glabellar wrinkles is identified and removed.

The procerus is the muscle that causes wrinkles between the eyebrows.

Removing the procerus has the effect of eliminating glabellar wrinkles.

When excising the procerus, it is important to carefully dissect the supratrochlear and supraorbital nerves to avoid nerve damage.

③ After confirmation with an endoscope, the Endotine is inserted.

A groove is made with an instrument at the site where the Endotine will be fixed, and then it is secured.

After fixation, the frontalis muscle flap is pulled up as much as possible to secure the Endotine.

The scalp is sutured, and a bandage is wrapped around the forehead.

The bandage is removed after 2 to 3 days, and shampooing is possible starting 4 days after surgery.

The stitches are removed after 7 days.

Examples of forehead Endotine lifting surgery

Endotine surgical method for brow lifting

1. Since it is usually performed together with upper blepharoplasty, dissection is done through the upper eyelid incision to expose the brow bone.

2. Dissect above the brow to prepare for lifting the brow upward.

3. Create fixation grooves for the Endotine in the brow bone by drilling.

4. After making the grooves, attach the handpiece Endotine and fix it into the grooves.

5. Lift the brow flap onto the inserted Endotine and hook it in place.

6. Suture the incision.

7. Apply taping.

8. The stitches are removed after 4 to 5 days.

Endotine surgical method for improving front cheek sagging

1. Local anesthesia is administered around the eyes and front cheeks.

2. Make a horizontal incision of about 1 cm.

If combined with lower blepharoplasty, dissection is done through the lower eyelid incision.

Dissection is performed above the periosteum.

3. After dissection, the Endotine is inserted.

4. Hook the plicate tissue onto the inserted Endotine.

5. Create grooves to fix the Endotine.

6. Use the handpiece to insert screws and secure the Endotine.

7. Suture the skin and apply taping.

8. The stitches are removed after 4 to 5 days.

Advantages of Endotine Lifting

Minimal incision and no scars.
It provides stronger lifting than thread lifting and lasts longer.
Unlike non-absorbable thread lifting, Endotine is absorbed and thus does not cause foreign body reactions.
Even after Endotine dissolves, the effect continues after the tissues have been repositioned.
Return to daily life after the procedure is quick.

Long-lasting effects of Endotine lifting

The biggest advantage of Endotine is that, because it is a soft material, there is no foreign body sensation, and since it dissolves after one year, there are no side effects from foreign body reactions.

It also provides a strong lifting effect, and even after Endotine dissolves, the lifting effect remains.

The duration varies from person to person, but it generally lasts about 5 to 10 years.

Side effects of Endotine lifting

The effect of Endotine is determined by the accuracy of the dissection within the effective range and the degree of pulling.

Dissection must be performed accurately above the fascia and then firmly fixed to the fascia, but if the fascia is dissected incorrectly, facial nerve damage may occur, so it is better not to receive the procedure from someone with insufficient experience or from a non-specialist in plastic surgery.

Question) What are the risks of the surgery?

Answer) Many people have undergone endoscopic Endotine surgery, and there have been no side effects at all.

Although extremely rare, even if a problem occurs, it is relatively minor, and for side effects that occur individually, it is best to consult the attending physician.

If you fully understand and follow the instructions and recommendations provided individually before and after surgery, you can reduce any potential risks.

Endotine Lifting Special Features

Conventional surgery	Comparison	Endotine lifting
Less than 1 year	Duration	5 years or more
10–25 cm	Incision size	2 cm
Required	Removal surgery	Not required
High risk	Nerve damage	Almost none
4 hours	Surgery time	40–50 minutes
Hair loss along the incision	Hair loss	Almost none
No volume, awkward	Change in face	Voluminous and natural

Endotine lifting is

Through personalized consultation, depending on the condition of cheek sagging and wrinkles,

using the wrapping round method,

a minimal incision is made in the sideburn area.

In the next step, after incising the muscle layer and skin layer,

using the principle of lifting the skin layer as much as possible,

more definite anti-aging results can be expected.

After that, the facial fascial tissue (SMAS),

facial expression muscles, and fat tissue are reorganized,

then repositioned to the ideal location.

In addition, with the high SMAS method, which effectively pulls up sagging soft tissue,

it helps make the face line slimmer

and improves facial volume,

so a natural and elastic lifting effect can be expected.

Endotine lifting can also be expected to have excellent effects on deep wrinkles,

so even if you have not felt results from existing anti-aging procedures,

you can still expect definite results.

One week after the procedure, fine wrinkles are removed,

after 3 weeks collagen regeneration begins,

and it takes an average of 6 months for the face to settle completely after the wrinkles have been removed.

To quickly reduce swelling and bruising after surgery, and to prevent facial sagging,

you should wear a facial band/tightening support for about one week,

and after that, for about one month, wear it only while sleeping.

Swelling and bruising are not very common.

The incision is sutured with fine thread,

and the stitches are removed after 5 to 7 days.

There is no scar left at all.

Dr. Shin Duhan

http://www.duhans.com

http://www.darkcare.com