Transblepharoplasty brow suspension with a biodegradable fixation device

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.
• 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.