[Health Column] Understanding the Differences Between Forehead Augmentation Fixation Methods: Bontunneling vs. Endotine and Fixstein

 

hello, 3D plastic surgery Researching rejuvenating and youthful surgery in Dr. Jae-won Heo, a plastic surgeon no see.

 

 

Forehead Giant When I consult, I often get asked, “Does the fixed method determine the outcome?”
especially Bontunneling, Endotine, Fixstein There are many concerns about which one is better.

today The actual significance of the fixation method in the results of forehead augmentation Let me explain it to you calmly from the perspective of surgical structure.

 

1. Is the fixation method really the key in forehead augmentation? ?

🎯 The biggest factor that determines the result is the 'exfoliation range'. .

 

Many people think that the fixation method itself determines the result, but
The most important part for me in surgery is How wide and precisely was the peeling done? no see.

(To put it simply, it is more important how well the skin is loosened to allow movement.)

 

✔️ The fixing method is Fine-tuning eyebrow shape may affect
✔️ But the key to the overall lifting effect is Scope of surgery is in.

 

for example, If the peeling is already sufficiently well done
No matter what fixation method you use, Stable results You can expect

 

 

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

🎯Setting goals that take recovery into account is more important than precise figures. .

 

During consultations, I often get asked, “Can you raise my eyebrows by 4mm?”
To conclude, Forehead augmentation is not a surgery that is adjusted in 1mm increments like double eyelid surgery.

 

✔️ Even if it looks good right after surgery,
✔️ On average, over time, about It comes down again by about 3mm.

 

If the skin is thick and tough, the recovery amount is greater.
Conversely, sagging and soft skin may require less recovery.

 

So before the surgery Based on the “final target location” Set the degree of lifting during surgery by calculating backwards do.
This is not a sensory judgment, A computational approach based on experience no see.

 

 

3. What is the difference between Bontunneling and Endotine/Fixstein?

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

In the case of forehead lift, the skin is sufficiently loosened through peeling. The ascended state

You get to decide how you're going to 'hold on'.

 

The method used at this time is
✔️Fixed with sutures Bontunneling ,
✔️ Fixing using a device Endotine and Fixstein no see.

 

① Number of fixed points

• Endotine and Fixstein :

  • Approximately 5 fixed points per device

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

• Bontunneling :

  • 1 suture per tunnel → 1 anchor point

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

✔️ Mechanically, Endotine and Fixstein have more holding power.
✔️ But The result is sufficiently stable with just the main tunneling. You can get it.

 

👉 It's the same principle as passing an exam where 50 points is the passing score, and both 60 and 80 points are passing points.

 

 

Endotine

 

Bontunneling

 

② Ease of adjustment during surgery

Endotine and Fixstein It is a structure that fixes the tissue as if 'hanging' it 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 these judgments.

 

the other side The main tunneling method is tied with sutures. Because of this
Once you tie it, you have to untie it and re-tunnel it! ⚠️
→ That much Surgery that requires accurate judgment at once no see.

 

③ Cost and perceived effectiveness

Both Endotine and Fixstein Devices with high material costs no see.
Endotine, in particular, is an imported product and carries a greater cost burden.

 

✔️ But The difference in perceived effectiveness compared to the price is not that great. no see.
✔️ Rather, some patients Foreign body sensation/nerve irritation It can also be uncomfortable.

 

So I I don’t see “expensive fixation = unconditionally better results.”

 

4. Which fixation method should I choose? ?

🎯Both methods can be good enough options depending on the patient's condition.

To summarize, I can say this.

 

✨ Surgically, Endotine and Fixstein may be a little more convenient.
✨ You can get good results just by tunneling.

 

What's important is ✔️ Skin thickness ✔️ Degree of sagging ✔️ Individual recovery characteristics

Taking all these factors into account Choosing the right method no see.

Rather than having a preconceived notion of a particular fixed method, Choose after understanding the surgical principles What you do is most important.

 

FAQ ❓

Q1. Is it effective to peel off the forehead area up to the brow bone?
A1. If your goal is to improve sagging eyelids, most procedures require access to the upper eyelid area to achieve optimal results. During surgery, I personally palpate the area to confirm the extent of the exfoliation before proceeding.

 

Q2. Is a 3-point incision sufficient for temporal (temporal) dissection?
A2. 3-point incision is a surgical method that involves making three small incisions on the forehead and performing the surgery using an endoscope.

Temporal dissection can be performed using an endoscope using a three-point approach. However, in some cases, additional incisions may make the surgery easier.

 

Q3. Does the effect increase if a large amount of the corrugator muscle is removed?
A3. The corrugator magnus is the muscle that triggers frowning. Complete removal can cause a sunken forehead. Rather than complete removal, I prefer endoscopic manipulation of the causative muscle fibers.

 

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conclusion

✔️ On the forehead The fixed method is not everything.
✔️ The extent of the surgery and individual recovery characteristics have a greater impact on the outcome.
✔️ Rather than blindly sticking to a specific method, Select the right one for your situation This is important.

 

⚠️ All surgeries are individualized.
If you have any concerns right now, Through sufficient consultation with a specialist I encourage you to 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 surgery specialist

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 Korean Society of Plastic and Reconstructive Surgeons' Ophthalmic Plastic Surgery Research Group

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

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

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

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

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

Director of Hyeon Ipsae Plastic Surgery Clinic

10 years of experience focusing on lifting