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Surgical Technique
November 2004

Endoscopic Forehead-Lift Using a Bioabsorbable Fixation Device

Author Affiliations

Author Affiliations: Mangat-Kuy Plastic Surgery Centers, Edgewood, Ky, and Cincinnati, Ohio.

Arch Facial Plast Surg. 2004;6(6):389-393. doi:10.1001/archfaci.6.6.389

Financial Disclosure: None. Specifically, Drs Holzapfel and Mangat have no commercial, financial, or proprietary interest in the Endotine Forehead device or in Coapt Systems Inc.

The use of endoscopy in performing the brow-lift has been readily accepted by facial plastic surgeons and patients alike. The technique provides successful brow elevation with less tissue damage, decreased postoperative edema and numbness, shorterrecovery time, and more easily concealed surgical scars than the traditional coronal approach.1-2 These results have encouraged the development of new tools and concepts to make the endoscopic brow-lift safer and more reliable. There remains significant debate about the long-term results of endoscopic brow-lift. Many agree that complete periosteal release, complete transection of the glabellar musculature, and adequate, effective fixation of the forehead tissues to their elevated position are the key factors in this regard.

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