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The endoscopic brow lift is the method of choice for rejuvenative surgery of the upper third of the face. It can revitalise the entire forehead, smooth out frown lines and wrinkles, and restore the position of the eyebrows. A brow lift will also raise and tighten loose skin of the upper eyelid and open up the eyes.
Although the forehead is much less prone to ageing and gravitational descent than the mid and lower third of the face, it is sometimes necessary to include the forehead in combination with eyelid surgeries or a facelift as part of a complete facial rejuvenation.
Since the brow and forehead are close to the eyes, most concerns related to this zone stem from sagging brow tissues that in some way affect the eye area; either by drooping skin reducing the size of the eyes, heavy brows affecting their appearance or by physical impairment of upper eyelid function. The second most frequent concern relates to folds and frown lines in the central part of the forehead, which may communicate a heavy or fatigued appearance.
Reasons for lifting the forehead and brow tissues include reversal of the gradual age-related droop (ptosis) of soft tissue which is a natural process of facial ageing, though more pronounced in some individuals. Secondly, brow lifts can be used to adjust a congenitally low and heavy brow and correct asymmetry (due to conditions such as facial palsy where lack of muscle function will result in an asymmetric sagging of forehead soft tissue).
The Endotine Forehead device gives your surgeon the most advanced technology for endoscopic brow-lift surgery. The unique design uses multiple points of contact to securely hold tissue in its new, rejuvenated position. This is especially important during the critical early healing phase.
Typically it takes 30 to 60 days for the lifted tissue to reattach to the bone. After this time, the Endotine device gradually dissolves until it is completely absorbed by the body. Endotine implants are made from a substance called polylactic acid, which is produced from plant materials to create a bioplastic substance that dissolves naturally and is absorbed by the body.
Unlike other options, such as screws or sutures that rely on a single point of contact,Endotine’s multiple holding points spread the tension forces over a wide area. This reduces the possibility of tissue stretch or suture failure (pulling through the tissue) that could occur post-operatively when you talk and express yourself.
Fibrin (also called Factor Ia) is a fibrous, non-globular protein involved in the clotting of blood. It is formed by the action of the protease thrombin on fibrinogen which causes it to polymerize. The polymerized fibrin together with platelets forms a hemostatic plug or clot over a wound site.
When the lining of a blood vessel is broken, platelets are attracted forming a platelet plug. These platelets have thrombin receptors on their surfaces that bind serum thrombin molecules which in turn convert soluble fibrinogen in the serum into fibrin at the wound site. Fibrin forms long strands of tough insoluble protein that are bound to the platelets. Factor XIII completes the cross-linking of fibrin so that it hardens and contracts. The cross-linked fibrin forms a mesh atop the platelet plug that completes the clot.