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Preliminary evaluation of a fast-absorbing multipoint fixation device.

R Laurence Berkowitz1, David B Apfelberg

  • 1Stanford University Medical Center, Palo Alto, CA, USA.

Aesthetic Surgery Journal
|December 17, 2008
PubMed
Summary

The Ultratine device offers secure brow lift fixation with faster absorption than the original Endotine, reducing long-term palpability and sensitivity. This refined implant provides a viable option for patients seeking improved aesthetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Surgical Devices

Background:

  • The original Endotine forehead fixation device (2003) had issues with persistent palpability and sensitivity due to its slow absorption.
  • A modified device, Ultratine, was developed in 2006 with a polymer blend for faster absorption and biodegradability.

Purpose of the Study:

  • To evaluate the early results of Ultratine forehead fixation in endoscopic brow lifts.
  • To assess the permanence of brow elevation and the duration of implant visibility, palpability, and sensitivity.

Main Methods:

  • A retrospective review of patients undergoing brow lift with Ultratine fixation was conducted.
  • Concomitant cosmetic procedures were also considered in the patient cohort.

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Main Results:

  • Follow-up at 14 months in ten patients showed Ultratine biodegradation and absorption between 3 to 6 months.
  • Significant improvement in visibility, palpability, and sensitivity symptoms compared to the original Endotine device was observed.

Conclusions:

  • The Ultratine device provides secure, permanent fixation for endoscopic brow lifts.
  • It effectively diminishes long-lasting side effects like visibility, palpability, and sensitivity, making it suitable for patients with thin scalps or fine hair.
  • The original Endotine may remain preferable for heavier brows, secondary cases, or hairline-lowering procedures.