title: Preliminary evaluation of a fast-absorbing multipoint fixation device.
abstract: BACKGROUND
  Since the Endotine forehead fixation device (Coapt Systems, Palo Alto, CA) was introduced in 2003, a small percentage of surgeons and patients have complained of persistent palpability and sensitivity related to its 12- to 15-month absorption time. Therefore, a refinement of the original design, the Ultratine (Coapt Systems), consisting of a polymer blend altered for faster absorption and biodegradability, was introduced in 2006.
  
  
  OBJECTIVE
  The authors report early results of fixation using the Ultratine with respect to permanence of elevation and the duration of visibility, palpability, and sensitivity of the implant.
  
  
  METHODS
  The authors conducted a retrospective review of patients who had undergone brow lift with Ultratine forehead fixation, along with concomitant cosmetic procedures.
  
  
  RESULTS
  Ten patients were available for follow-up at 14 months postoperatively. In many cases, the implant biodegraded and absorbed at the 3- to 6-month intervals, and symptoms of visibility, palpability, and sensitivity were markedly improved over the original Endotine device.
  
  
  CONCLUSIONS
  The Ultratine degradation profile produces secure, permanent fixation and elevation for endoscopic brow lifts while diminishing the long-lasting side effects of visibility, palpability, and sensitivity exhibited by a small proportion of patients with the original Endotine device. It is an option particularly for those patients who have thin scalps or fine hair. The Endotine may still be the best choice for patients with heavier brows; tighter, more immobile brows; and for secondary cases. It may also be preferable in cases of reverse brow procedures intended to lower the hairline.
authors.affiliation: Stanford University Medical Center, Palo Alto, CA, USA.
authors.forename: R Laurence
authors.initials: RL
authors.lastname: Berkowitz
authors.forename: David B
authors.initials: DB
authors.lastname: Apfelberg
mesh_terms: D000328:Adult; D000368:Aged; D005138:Eyebrows; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015361:Rhytidoplasty / Q000295:instrumentation*; D013997:Time Factors