Fixation of Soft Tissue FAST ADJUSTABLE SECURE

Bioabsorbable Soft Tissue Fixation Devic

The Endotine Forehead offers a novel and effective solution for fixation of the scalp tissue, addressing a primary challenge of the forehead lift procedure. The Endotine Forehead features sutureless MultiPoint Technology (MPT™), a breakthrough platform technology designed to facilitate facial aesthetic procedures, reduce operating time and improve surgical outcomes.

Now surgeons may select either a lateral or vertical vector of lift depending on what is best for a specific patient. Fast, Secure and Adjustable.

The Endotine TransBleph is a revolutionary new product that allows you to perform a browlift through a single, upper lid incision used for a conventional blepharoplasty. Using our patented, multipoint soft tissue fixation technology – via a small, three tined bioabsorbable implant – you now have new opportunities to help your patients regain a youthful, beautiful appearance around the eyes, without undergoing a complete forehead lift.

Endotine is used in a variety of facial procedures, including brow lifts, midface lifts, face lifts and neck lifts.

Endotine is a patented system for anchoring soft tissue during aesthetic surgery using small, bioabsorbable tines to reduce the tissue strain associated with sutures.

This unique system allows surgeons to readjust tissue fixation and location during surgery, resulting in optimal aesthetic outcomes.

Endotine implants provide reliable fixation throughout the post-operative healing period, and eventually absorbs as biological fixation takes over.

Endotine devices feature sutureless MultiPoint Technology (MPT), a breakthrough platform technology designed to facilitate facial aesthetic procedures, reduce operating time and improve surgical outcomes.

Sutures – Diameter. United States Pharmacopeia and National Formulary (USP 29-NF 24). Rockville, MD: United States Pharmacopeial Convention; 2006 p 2775 - Single Suture Endotine Forehead provides 6X the load capacity of 3-0 PDS Suture, Endotine Forehead-mini provides over 4X the load capacity of 3-0 PDS Suture.

Eliminates cumbersome suture, bulky knots and lack of adjustability.

The device’s unique design provides multiple
points of contact with the suspended tissue, distributing tension over a wide area to maximize fixation strength.

Eliminates secondary surgery for screw removal.

FAST

Endotine allows fixation times approaching less than one minute per side in the hands of experienced clinicians.

ADJUSTABLE

Simple readjustment of the tissue for greater aesthetic control.

SECURE

Multipoint fixation distributes forces over a wider area for more consistent, predictable results.

Forehead Lift Procedure

Direct Browpexy Procedure

Midface Suspension

Jowl and Neck-Lift Procedures

The versatile design can be applied in both endoscopic and open techniques.

Designed for Simplicity and Predictability

Endotine® Forehead

Designed for Optimal Control of Brow Height and Shape

Soft tissue fixation remains the least controllable and least predictable part of the forehead lift procedure. Until now, only suture-based and percutaneous screw fixation techniques were available, often with frustrating results.

The Endotine devices deliver a novel and effective solution for fixation of the scalp tissue, addressing the primary challenge of the forehead lift procedure.

Endotine Forehead is composed of an 82:18 polylactic acid and polyglycolic acid polymer with a proven track record
of performance and reliability.

Forehead Instrument Kit (CFD-010-4320)

For use with Endotine Forehead and Ultratine implants. Kit includes sterilization case, two cranial drill bits with depth stop and implant insertion tool.

Replacement Components
CFD-010-4313 (Endotine Drill Bit With Stop)
CFD-010-4305 (Endotine Insertion Instrument)

The Right Size for All Types of Patients

Select from three different sizes to match the specific needs of your patient.

Designed for patients with average to below-average scalp thickness.
22202
Endotine Forehead 3.0
This Endotine uses tines that are 3.0mm in length to reduce issues of palpability or sensitivity.
23202
Ultratine Forehead 3.0*
This Ultratine uses tines that are 3.0mm in length to reduce issues of palpability or sensitivity.
CFD-010-0167
Endotine Forehead-mini 3.0
Offers a 60% smaller footprint than the Forehead device and is best for patients with high hairlines, thin scalps, balding patients or those where a smaller, sub-10mm incision is needed.
22102
Endotine Forehead 3.5
Features tines that are 3.5mm in length and is best for patients with average to thick scalps where more secure fixation is desired.
23102
Ultratine Forehead 3.5*
Features tines that are 3.5mm in length and is best for patients with average to thick scalps where more secure fixation is desired.

FOREHEAD LIFT PROCEDURE

1 - MAKE THE INCISION

Make a sagittal, paramedian incision in the usual fashion. Perform the dissection, making sure to achieve adequate release.
1 - MAKE THE INCISION

2 - DETERMINE THE DRILL HOLE SITE

Lift the brow to the desired position. Plan the cranial hole so that the implant will ultimately lie under the hair-bearing scalp.

2 - DETERMINE THE DRILL HOLE SITE

3 - MAKE THE HOLE

Use the ENDOTINE Forehead drill bit to create a hole at the drill site. The hole should be located medial to the temporal fusion line and anterior to the coronal suture.
Drill all the way to the bit sleeve. Suction the hole to remove all debris.

3 - MAKE THE HOLE

4 - GRASP THE DEVICE

Use the ENDOTINE Forehead Insertion Tool to grasp the implant and remove it from its packaging. One needle-like tip of the tool fits into the hole in the ENDOTINE Forehead platform and the other end grasps the implant post.

4 - GRASP THE DEVICE

5 - PLACE THE DEVICE

Insert the ENDOTINE Forehead implant into the drilled hole. Push until the platform is flush with the cranium. Release the Insertion Tool from the implant.

5 - PLACE THE DEVICE

6 - ELEVATE THE TISSUE

Elevate brow tissue to desired position. The implant may lie either anterior or lateral to the incision.

6 - ELEVATE THE TISSUE

7 - SECURE THE TISSUE

Apply digital pressure to ensure penetration of the tissue by the device tines. Close the incision. A gentle pressure dressing is recommended to prevent dislodgement.
7 - SECURE THE TISSUE

Endotine® TransBleph

Bleph and Brow, an Unbeatable Combination

You can now achieve the combined goals of removing
upper eyelid skin and repositioning of the brow in a single
surgical session.

No Endoscope Required

By utilizing the upper blepharoplasty incision for access, the
Endotine TransBleph helps simplify the brow lift procedure.
No expensive endoscopic equipment is required, meaning fewer instruments to set up, process and maintain.


The Endotine TransBleph is the best of both worlds for
rejuvenation surgeries: the pioneering fixation of multipoint, bioabsorbable implants, and the ability to perform two effective procedures through a single incision—without the need of general anesthesia or expensive equipment.

Pre-Loaded Insertion Too

TransBleph comes with drill bit and pre-loaded implant on insertion tool.

An Endotine TransBleph for All Patient Types

CFD-080-0177
Endotine TransBleph
Features tines with tips that are 3.0mm above the platform. This size is designed for patients with thin brow tissue where sensitivity to tine palpability may be a concern.
CFD-080-0167
Endotine TransBleph
Features tines with tips that are 3.5mm above the platform. This size is designed for patients with thick brow tissue where more aggressive fixation is desired.

TRANSBLEPH PROCEDURE

The ENDOTINE TransBleph bioabsorbable implant extends your treatment capabilities. Once an upper lid blepharoplasty incision is completed, the incision is advanced to the superior border of the orbital rim. Subperiosteal dissection is then completed to release the brow.

1 - APPROACH / MAKE THE INCISION

The supraorbital rim is approached subperiosteally through an upper blepharoplasty incision. The brow is released to create adequate mobility.

1 - APPROACH / MAKE THE INCISION

2 - MAKE THE HOLE

An anchoring hole for the ENDOTINE TransBleph is drilled in the frontal bone using the enclosed drill bit.

2 - MAKE THE HOLE

3 - PLACE THE DEVICE

The implant is inserted into the hole until the platform lays flush against the frontal bone.
3 - PLACE THE DEVICE

4 - RELEASE THE DEVICE

The implant is released from the insertion tool.

4 - RELEASE THE DEVICE

5 - TWO FIXATION POINTS

1) Elevate the periosteum to achieve the desired brow height. Use digital pressure to engage the tissue.
2) Elevate the edge of the periosteum up and over the tines for maximum lift.
5 - TWO FIXATION POINTS

6 - CLOSURE

The incision is closed with standard technique and a compression bandage is applied.

6 - CLOSURE

Endotine® Midface

Multipoint Fixation Delivers Results in Midface Suspension

You can eliminate cumbersome fixation sutures with an Endotine Midface device, a unique and effective solution that utilizes multiple points of contact to suspend delicate midface tissue. This patented device incorporates five tiny tines to distribute tension over a wide area, maximizing fixation strength and holding power.

What’s more, the Endotine Midface implant facilitates rapid deployment via temporal and/or oral incisions in minutes, saving valuable O.R. time while simplifying the surgical procedure. All of which can expand your treatment options and your practice.

Fast

Endotine Midface implants provide secure soft tissue
fixation in five minutes or less in the hands of an
experienced surgeon.

Adjustable

Endotine Midface devices allow simple adjustment of
tension and position for greater aesthetic control of cheek elevation and projection.

Secure

By distributing elevation forces over five tines, the
proprietary multipoint technology offers unmatched
security of tissue fixation.

Pre-Loaded

Each Endotine Midface ST comes pre-loaded, ready for immediate placement.

Endotine Midface Device

CFD-060-0197
Endotine Midface ST 4.5
Bioabsorbable midface suspension device that features tines with tips that are 4.5mm above the platform.

Endotine Midface Devices

Raising midface surgery to an entirely new level.

Before

After

With patient's own tissue.

For a natural, rejuvenated look.

While shortening the lower eyelid..

Midface ST Soft Tissue Suspension Procedure

1 - APPROACH / INITIAL INCISIONS

The midface subperiosteal dissection is performed using the surgeon’s typical temporal approach, which may include additional incisions (buccal or periorbital). Dissection should continue to the inferior maxilla to assure that the fixation platform is positioned over the maxillary antrum after elevation.

1 - APPROACH / INITIAL INCISIONS

2 - PLACEMENT (OPTION 1)

Insert the Midface device through the temporal incision to the desired position.

2 - PLACEMENT (OPTION 1)

2 - PLACEMENT (OPTION2)

Alternatively, the implant may be removed from the insertion tools and inserted in a retrograde fashion through an oral/buccal incision.

2 - PLACEMENT (OPTION2)

3 - DEPLOY

With the fixation platform at the inferior recess of the dissection, retract the plastic cover by squeezing the release mechanism.

3 - DEPLOY

4 - FIXATION

1Once the platform is in position and deployed, apply digital pressure over the cheek to engage.
4 - FIXATION

5 - INSERTION TOOL REMOVAL

Remove the insertion tools while maintaining digital pressure on the fixation platform.

5 - INSERTION TOOL REMOVAL

6 - ELEVATION

Elevate the midface tissues to the desired position by applying tension to the anchoring leash exiting the temporal incision. Anchor the leash to the temporal fascia with suture and trim leash to lay flat in the incision.

6 - ELEVATION

Endotine Ribbon®

Incomparable Ease and Predictability in Lower-Face Procedures

Using patented multipoint fixation technology, the bioabsorbable Endotine Ribbon implant offers unprecedented flexibility, with a variety of surgical approaches, lift vectors, degrees of lift,
and ease of use.

Revolutionary Evolution

Improve your fixation methodology and flexibility without changing your surgical approach.

Simple and Quick

Using a minimally invasive approach, perform an entire
procedure in minutes per side under local anesthesia.

Minimally-Invasive or Open Surgical Approach

The Ribbon deploys quickly and easily in a neck lift, a jowl lift or as part of a full face lift, via a tiny incision or a fully open procedure.

Adjustable Lift Vector and Degree of Lift

Choose your lift vector and degree of lift to suit the
patient’s needs and procedure. Vary vector and degree of
lift instantaneously for dramatic intraoperative results and
beautiful cervicomental definition.

Long or Short Device

You customize the Ribbon to the procedure and the patient’s
anatomy. Trim the fixation-area or the smooth-leash length to
create the best dimension for an ideal surgical outcome.

Self-Contained

The Endotine Ribbon’s protective cover doubles as its insertion device.

Before

After

Endotine Ribbon Device

13005
Endotine Ribbon
Bioabsorbable fixation device features tines with tips that are 2.5mm above the platform.

Ribbon Lift Procedure for the Neck

1 - INCISE

Make the appropriate incision.

1 - INCISE

2 - DISSECT

Perform a complete release of the surgical plane.

2 - DISSECT

3 - DEPLOY

Deploy the Ribbon from its protective cover.

3 - DEPLOY

4 - ENGAGE

Engage the tissue and elevate to the desired position.

4 - ENGAGE

5 - SECURE

Secure the Ribbon with suture. over the cheek to engage.
5 - SECURE

6 - CLOSURE

The incision is closed with standard technique and a compression bandage is applied.

6 - CLOSURE

Ribbon Lift Procedure for the Jowl

1 - INCISE

Make the appropriate incision.

1 - INCISE

2 - DISSECT

Perform a complete release of the surgical plane.

2 - DISSECT

3 - DEPLOY

Deploy the Ribbon from its protective cover.

3 - DEPLOY

4 - ENGAGE

Engage the tissue and elevate to the desired position.

4 - ENGAGE

5 - SECURE

Secure the Ribbon with suture. over the cheek to engage.
5 - SECURE

6 - CLOSURE

The incision is closed with standard technique and a compression bandage is applied.

6 - CLOSURE

Manual Surgical Drill

Simplify Your O.R. and Your Procedures

This unique manual drill provides an innovative design that delivers both performance and control in one easy-to-use package.

Manual Surgical Drill | CFD-899-4000

Improve your fixation methodology and flexibility without changing your surgical approach.

For more details download our brochure

Scroll to Top