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Duhan Plastic Surgery Clinic · 두한성형외과 DUHANISM · March 26, 2020
Forehead lift # Forehead lift surgery # Endoscopic forehead lift surgery # Forehead wrinkles # Brow lift surgery # Forehead filler # Facelift surgery # Brow lift # Forehead Botox #...
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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.
Clinic: Duhan Plastic Surgery Clinic
Original post date: March 26, 2020
Translated at: April 25, 2026 at 6:43 AM
Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.
As you get older, especially in your 30s and 40s,
skin aging accelerates,
causing the eyelids to sag
and wrinkles to form on the forehead.
Wrinkles make a person look tired and lacking energy,
and wrinkles between the eyebrows can create an angry impression. Deep forehead wrinkles can make you look stuffy and older.
What is Endotine lifting?!
It is mainly a procedure that is effective for sagging facial skin or deep expression wrinkles.
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 that could not be treated with conventional thread lifting, such as the forehead, brow lift, and upper cheeks, and its effects last for a long time.
It is a surgery used for forehead wrinkles, drooping eyelids, eyebrows, and the midface, and because it is performed through an incision inside the scalp, surgical traces are hardly visible.
Recovery and return to daily life are also quick.
What are the indications for Endotine lifting?
○ Sagging eyebrows (brow ptosis)
○ Deep forehead wrinkles
○ A narrow forehead
○ Sagging temples
○ Deep cheek wrinkles
○ Sagging neck fat
What types of forehead Endotine are there?
Endotine is a biocompatible wrinkle-correction material approved by the U.S. FDA.
It is currently used in 30 countries, and it has long been approved for import domestically as a popular lifting material.
Unlike non-dissolving thread lifting, it dissolves and disappears after one year, so side effects or foreign-body reactions are rare. Also, even after Endotine dissolves, the lifting effect remains for about 5 to 10 years.
Endotine lifting for forehead lift and improvement of forehead wrinkles
What is the procedure for Endotine lifting to lift the forehead and improve forehead wrinkles?
| ① A design is made 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 excised while avoiding the supraorbital nerve and supratrochlear nerve. |
| ⑦ A site is created to fix the Endotine. |
| ⑧ The Endotine is fixed in place. |
| ⑨ The frontalis muscle flap is pulled and hooked onto the Endotine. |
| ⑩ The skin is sutured and the forehead is bandaged. |
The incision area is designed, and sedation anesthesia and local anesthesia are administered.
Because sedation anesthesia is used together, there is no pain at all.
The incision is small and located in the scalp, so no scar or hair loss occurs 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 frown lines is identified and excised.
The corrugator muscle is the muscle that causes frown lines between the eyebrows, and removing it has the effect of eliminating those lines.
When excising the corrugator muscle, it is important to carefully dissect around the supraorbital nerve and supratrochlear nerve so that nerve damage does not occur.
A groove is created with an instrument at the location where the Endotine will be fixed, and 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 from 4 days after surgery.
The stitches are removed after 7 days.
Examples of Endotine lifting application for the forehead
What are the advantages of Endotine lifting?
| Minimal incision and no scars. |
|---|
| Compared to thread lifting, the pulling effect is stronger and lasts longer. |
| Compared to non-dissolving thread lifting, Endotine dissolves and disappears, so there is no foreign-body reaction. |
| Even after Endotine dissolves, once the tissue has been repositioned, the effect continues. |
| Return to daily life is quick after the procedure. |
How long does the effect of Endotine lifting last?
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 has a strong pulling effect, and even after Endotine dissolves and disappears, the lifting effect remains.
The duration varies by individual, but it generally lasts about 5 to 10 years.
What are the side effects of Endotine lifting?
The effect of Endotine is determined by the accuracy of dissection within the effective range and the degree of pulling.
Dissection must be performed precisely 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 undergo the procedure from someone without sufficient experience or from a non-plastic-surgery specialist (a specialist in another department or a general physician).
What are the risks of Endotine lifting?
Every year, many people undergo 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 any side effects that do occur individually, it is best to consult the attending physician.
If you fully understand and follow the instructions and recommendations you receive individually before and after surgery, you can reduce the risks that may arise.
What are the special advantages of Endotine lifting?
| Existing surgical method | Comparison | Endotine lifting |
|---|---|---|
| Under 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 area | Hair loss | Almost none |
| Lacks volume and looks unnatural | Facial change | Voluminous and natural |
If skin elasticity has decreased~
Depending on the sagging area, endoscopic Endotine lifting is effective.
Endoscopic Endotine plastic surgery removes fine wrinkles one week after the procedure,
collagen regeneration begins after 3 weeks,
and after the wrinkles are removed,
it takes an average of 6 months for the face to fully settle.
The procedure takes about 1 hour.
To quickly reduce swelling and bruising after surgery, and to prevent facial sagging, you should wear a facial band/support for about one week; after that, wear it only while sleeping for about one month.
Swelling and bruising are not significant.
A 1 cm incision is made in the scalp,
an Endotine implant with protrusions is inserted,
then it is pulled in the desired direction and fixed,
so it is not dangerous at all, and you can receive the procedure with peace of mind.
You can go home immediately after the procedure,
and hospitalization is not necessary.
The incision is closed with fine sutures,
and the stitches are removed after 5 to 7 days.
No scar is left at all.
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