[Duhan Plastic Surgery Wrinkle Surgery] - [Endotine Lifting for Wrinkle Improvement]

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Endotine Lifting

Wrinkle Correction Surgery

Information on Endotine lifting for wrinkle correction

​This is a procedure that is mainly effective for sagging facial skin or deep expression lines.

Endotine is a device made of a dissolvable soft plastic material, and because it has stronger lifting power than thread lifting,

it can be used to correct various areas of the face.

It can also be applied to areas where conventional thread lifting could not be used, such as the forehead, brow lift, and front cheeks,

and the lasting effect is maintained for a long time.

Indications for Endotine lifting

◇ Drooping eyebrows (brow ptosis)

◇ Deep forehead wrinkles

◇ A narrow forehead

◇ Sagging side cheeks

◇ Deep cheek wrinkles

◇ Sagging neck flesh

Types of Endotine for lifting

Endotine is a biocompatible wrinkle-surgery material approved by the U.S. FDA.

It is currently used in 30 countries and is a widely adopted lifting material that has been approved for import in our country for a long time.

Unlike non-dissolving thread lifting, it has the characteristic of dissolving and disappearing after one year, so there are almost no side effects or foreign-body reactions, and even after Endotine dissolves, the lifting effect lasts for about 5 to 10 years.

For improving cheek sagging

Endotine lifting procedure

1. Design is marked on the temporal area and cheek area.

2. Local anesthesia and sedation anesthesia are administered.

3. A horizontal incision of about 2 cm is made in the temporal area.

4. Dissection is performed above the periosteal layer.

5. An endoscope is used to check for bleeding in the dissected area.

6. Endotine is inserted and pulled into position.

7. Endotine is fixed and sutured to the fascia.

8. The scalp is sutured.

9. Elastic tape is applied.

Endoscopic Endotine lifting procedure for cheek sagging

The area to be incised is marked, and the insertion site and length of the Endotine are checked.

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 on the scalp, there is no scarring or hair loss.

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

After dissection, an endoscope is used to check that the dissection is accurate and to confirm bleeding.

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

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

Elastic tape is applied to prevent swelling and sagging.

The tape is removed after 2 to 3 days, and hair washing is possible starting 4 days after surgery.

The stitches are removed after 7 days.

Examples of cheek Endotine lifting procedures

For improving forehead wrinkles

Endotine lifting

Endotine procedure method for improving forehead wrinkles

1. Design is marked on the area of the scalp to be incised.

2. Local anesthesia and sedation anesthesia are administered.

3. A vertical incision of about 2 cm is made.

4. Dissection is performed above the periosteum.

5. The corrugator muscle is dissected using an endoscope.

6. The corrugator muscle is resected while avoiding the supraorbital and supratrochlear nerves.

7. A site is created for fixing the Endotine.

8. The Endotine is fixed.

9. The frontalis muscle flap is pulled and hooked onto the Endotine.

10. The skin is sutured and the forehead is bandaged.

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 on the scalp, there is no scarring or hair loss on the forehead.

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

Using an endoscope, the corrugator muscle that creates glabellar wrinkles is found and removed.

The corrugator muscle is the muscle that causes wrinkles between the eyebrows, and removing it has the effect of eliminating glabellar wrinkles.

When resecting the corrugator muscle, it is important to carefully dissect the supraorbital and supratrochlear nerves so that nerve damage does not occur.

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

After fixation, the frontalis muscle flap is pulled upward as much as possible and fixed to the Endotine.

The scalp is sutured and the forehead is bandaged.

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

The stitches are removed after 7 days.

Examples of forehead Endotine lifting procedures

For brow lift

Endotine lifting

1. Because it is usually performed together with upper blepharoplasty, the brow bone is exposed by dissecting through the upper eyelid incision.

2. Dissection is performed above the eyebrow to prepare for lifting the eyebrow upward.

3. Fixation grooves for Endotine are made in the brow bone by drilling.

4. After making the grooves, a handpiece Endotine is attached and fixed into the grooves.

5. The brow flap is lifted onto the inserted Endotine and hooked in place.

6. The incision is sutured.

7. Taping is applied.

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

For improving front cheek sagging

Endotine lifting

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

2. A horizontal incision of about 1 cm is made. If performed together with lower blepharoplasty, dissection is done through the lower eyelid incision. Dissection is performed above the periosteum.

3. After dissection, Endotine is inserted.

4. The inserted Endotine is hooked into the subcutaneous tissue.

5. A groove for fixing the Endotine is made.

6. A screw is inserted with a handpiece to fix the Endotine.

7. The skin is sutured and taped.

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

Advantages of Endotine procedures

◆ There is minimal incision and no scarring.

◆ Compared with thread lifting, the pulling effect is stronger and lasts longer.

◆ Unlike non-dissolving thread lifting, Endotine dissolves, so there is no foreign-body reaction.

◆ Even after Endotine dissolves, once the tissue has been repositioned, the effect continues.

◆ Return to daily life after the procedure is quick.​

Long-lasting effect of Endotine lifting

The biggest advantage of Endotine is that because it is a soft material, it does not feel like a foreign body, and because it dissolves after one year, there are no side effects from foreign-body reactions.

In addition, the pulling effect is strong, and even after the Endotine dissolves, the lifting effect remains.

The duration varies by individual, but it lasts about 5 to 10 years.

Side effects of Endotine lifting

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

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

◆ Material of Endotine: bioabsorbable - absorbed within 1 year

What are the risks of surgery?

Every year, many people undergo endoscopic surgery, but there have been no side effects at all.

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

Also, if you sufficiently follow the instructions and recommendations received individually before and after surgery, you can reduce any risks that may arise.

Unique advantages of Endotine

Existing surgical method	​	Endotine
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 occurs along the incision	Hair loss	Almost none
No volume, and awkward appearance	Facial change	Volume and natural appearance

http://www.duhans.com

​As people age and reach their 30s and 40s, skin aging accelerates.

The eyelids sag, and wrinkles appear on the forehead.

Wrinkles make a person look tired and lacking vitality,

and glabellar wrinkles make the face look angry and less pleasant.

Deep forehead wrinkles make the face look stuffy and older.

Endotine lifting is a surgery used for forehead wrinkles, sagging eyelids, eyebrows, and the midface,

and because it is performed through an incision inside the head, the signs of surgery are hardly visible.

It also has a fast recovery and a quick return to daily life.

The Endotine fixation plate is made of an absorbable material,

and its end is shaped like a projection to secure and lift the skin.

Because it is absorbable, it is absorbed by the human body over time,

and compared with other procedures, it is known as a simple and relatively safe procedure.

Endotine is a device made of a dissolvable soft plastic material,

and because it has stronger lifting power than thread lifting,

it can correct various areas of the face.

It can also be applied to areas where conventional thread lifting could not be used,

such as the forehead, brow lift, and front cheeks,

and the lasting effect is maintained for a long time.

Endotine received FDA approval in 2003,

so it is already a product whose safety has been verified,

and it is currently gaining enormous popularity, especially in the United States.

The surgery is performed under sedation anesthesia,

and because an endoscope is used, the incision line is small,

and there is less concern about pain and swelling.

It is effective for sagging facial skin or deep expression wrinkles.

http://www.duhans.com ​