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Related Experiment Video

Updated: Jun 6, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Transblepharoplasty brow suspension with a biodegradable fixation device.

Phillip R Langsdon1, Glenn B Williams, Roy Rajan

  • 1Department of Otolaryngology-Head & Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA. langsdon@bellsouth.net

Aesthetic Surgery Journal
|December 7, 2010
PubMed
Summary

The Endotine device offers an effective and quick browlift solution when combined with the transblepharoplasty browlift (TBBL) approach. Patient satisfaction significantly increased over time, with most recommending the procedure.

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Area of Science:

  • Plastic Surgery
  • Oculoplastic Surgery
  • Facial Rejuvenation

Background:

  • Aging of the upper face involves brow ptosis, eyelid excess, and forehead muscle hyperfunction.
  • Various browlifting techniques exist, including endoscopic and direct methods.
  • The transblepharoplasty browlift (TBBL) is suitable for combined eyelid and brow rejuvenation.

Purpose of the Study:

  • To evaluate the safety and efficacy of the Endotine forehead device for brow fixation during TBBL procedures.
  • To assess surgeon satisfaction and patient outcomes with this combined approach.

Main Methods:

  • A prospective study of 20 patients undergoing TBBL with Endotine brow fixation (3, 3.5, or 4 mm).
  • Surgeon completed questionnaires on device performance and ease of use.

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  • Patients completed satisfaction questionnaires at 1 and 3 months postoperatively.
  • Main Results:

    • The 3-mm Endotine device was used in 68% of patients.
    • Surgeons reported satisfaction with device insertion, fixation, and performance.
    • Patient satisfaction increased from 53% initially to 74% at 3 months.
    • Procedure recommendation rate rose from 63% at 1 month to 79% at 3 months.

    Conclusions:

    • Endotine brow fixation via TBBL is an effective method for browlifting.
    • The device facilitates easy brow repositioning and offers a faster application than traditional sutures.
    • The TBBL approach with Endotine fixation demonstrates good safety and efficacy, leading to high patient satisfaction.