Forehead Lift Fixation Methods: Properly Understanding the Difference Between Bone Tunneling vs. Endotine & Fixtain

 

hello, 3D Plastic Surgery Researching surgeries to become younger at Director Heo Jae-won, a board-certified plastic surgeon no see.

 

 

Forehead lift During consultations, I very frequently receive the question, “Does the fixed method determine the results?”
especially Bone Tunneling, Endotine, Pixtain You seem to be having a lot of trouble deciding which one is better.

today The actual significance of the fixation method in forehead lift results I will calmly summarize it for you from the perspective of surgical structure.

 

1. Is the fixation method really the key to a forehead lift? ?

🎯 The biggest factor determining the results is the 'exfoliation range'. .

 

Many people think that the fixed method itself determines the result, but,
The part I consider most important in surgery is How widely and accurately was it peeled off? no see.

(Simply put, it is more important how well you have loosened the skin so that it can move.)

 

✔️ The fixation method Detailed eyebrow shape adjustment It can affect
✔️ However, the key to the overall lifting effect is Scope of the surgery It is located at.

 

for example, If the peeling has already been done sufficiently well
No matter which fixed method is used Stable results You can expect

 

 

2. Is a forehead lift a surgery that can be adjusted in 1mm increments?

🎯 'Setting goals that consider recovery amount' is more important than precise figures. .

 

During consultations, I often receive the question, “Can I raise my eyebrows by 4mm?”
To start with the conclusion, Forehead lifting is not a surgery that is adjusted in 1mm increments like double eyelid surgery.

 

✔️ Even if it looks sufficiently lifted immediately after surgery
✔️ Over time, on average, about It comes down about 3mm again.

 

If the skin is thick and tough, the amount of recovery is greater, and
Conversely, severely sagging and soft skin may have a low recovery rate.

 

So before the surgery Based on the “final target location” Set the degree of lifting during surgery by working backward. do.
This is not a sensory judgment, Experience-based computational approach no see.

 

 

3. What is the difference between bone tunneling and Endotine/Pixtain?

🎯 There are differences in terms of the number of fixed points, ease of adjustment, and cost. .

In forehead lifting, after sufficiently loosening the skin through peeling Upward state

You will decide how to 'keep them'.

 

The method used at this time
✔️ Fixed with sutures Bone tunneling ,
✔️ Fixing using a device Endotine and Fixtain no see.

 

① Number of fixed points

• Endotine and Fixtain :

  • Approximately 5 fixed points per device

  • When using 2, a total of 10 fixed points are formed.

• Bone tunneling :

  • 1 suture per tunnel → 1 fixation point

  • A total of 3 fixed points when implemented in 3 locations

✔️ Mechanically, Endotine and Fixtain have greater fixation strength.
✔️ But A sufficiently stable result with bone tunneling alone You can obtain.

 

It is the same principle as both 60 and 80 points being considered passing in an exam where the passing standard is 50 points.

 

 

Endotine

 

Bone tunneling

 

② Ease of adjustment during surgery

Endotine and Fixtain It is a structure that fixes tissue by 'hanging' it, so during surgery Fine-tuning is relatively easy. .

✔️ “Should I raise it a little more?”
✔️ “Should I pull a little less?”
You can respond immediately to such judgments.

 

the other side Bone tunneling is a method of tying with sutures. Because of this
Once tied, there is the burden of having to untie and re-tunnel it! ⚠️
→ That much Surgery requiring accurate judgment in one go no see.

 

③ Costs and Perceived Effects

Endotine and Pixelstein are both Device with high material costs no see.
In particular, the cost burden is higher for imported products like Endotine.

 

✔️ But The difference in perceived effectiveness relative to the price is not significant. no see.
✔️ On the contrary, some patients foreign body sensation and nerve irritation They also find it uncomfortable.

 

So I We do not view “expensive fixation methods = unconditionally better results.”

 

4. Ultimately, which fixed method would be best to choose? ?

🎯 Both methods can be sufficiently good choices depending on the patient's condition.

To summarize, I can say it like this.

 

✨ Surgically, Endotine and Fixtain may be slightly more convenient, but
✨ You can achieve sufficiently good results with bone tunneling alone.

 

The important thing is ✔️ Skin thickness ✔️ Degree of sagging ✔️ Individual Recovery Characteristics

Considering all these factors Choosing the right method no see.

Rather than preconceptions about specific fixed methods, Select after understanding the surgical principles What you do is the most important thing.

 

FAQ ❓

Q1. Is it necessary to dissect the eyelids as well for a better forehead lift?
A1. If the goal is to improve eyelid sagging, you generally need to access the upper eyelid area to see effective results. I personally palpate the area during surgery to confirm the extent of dissection before proceeding.

 

Q2. Is a 3-point incision sufficient for temporal (temple) dissection?
A2. The 3-point incision is a method of performing surgery using an endoscope by making a total of three small incisions on the forehead.

With an endoscope, temporal dissection is possible with a 3-point approach. However, in some cases, an additional incision may make the surgery easier.

 

Q3. Does the effect increase if a large portion of the corrugator muscle is resected?
A3. The corrugator muscle is the muscle that acts when you furrow your brow. Complete resection can cause hollowing of the glabella. I prefer an endoscopic approach that focuses on controlling the muscle fibers causing the problem, rather than complete resection.

 

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conclusion

✔️ From forehead lift Fixed methods are not everything.
✔️ The scope of surgery and individual recovery characteristics have a greater impact on the results.
✔️ Rather than blindly insisting on a specific method, Select the right choice for your situation This is important.

 

⚠️ There is significant individual variation in all surgeries.
If you have any concerns right now, Through sufficient consultation with a specialist I recommend that you find the direction that suits you.

 

 

 

 

3D Plastic Surgery

Director Heo Jae-won

 

Graduated from Yonsei University College of Medicine

Master of Medicine, Yonsei University Graduate School

Severance Hospital Plastic Surgeon

Regular member of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Korean Society of Aesthetic Plastic Surgery

Regular member of the Korean Society of Craniofacial Plastic Surgery

Regular member of the Oculoplastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Rhinoplasty Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Anti-Aging Plastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Liposuction Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Laser Plastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Botox, Filler, and Thread Lifting Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Current Director of Ipse Plastic Surgery Clinic

10 years of experience specializing in lifting procedures