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Forehead Lift Fixation – Thread vs Endotine? A Full Comparison of Methods, Differences, Pros and Cons

 Forehead Lift Fixation – Thread vs Endotine? A Full Comparison of Methods, Differences, Pros and Cons



Hello.

In the previous post, we looked in detail at the basics and surgical steps of the forehead lift procedure.

Because a forehead lift pulls and fixes the entire forehead upward, the fixation method is a key factor that determines both satisfaction and long-term durability.

Among those considering surgery, the most confusing and frequently asked topic is this “fixation method.”



Today, we’ll fully compare thread fixation and Endotine fixation, including how they differ and their respective pros and cons.

By understanding the mechanisms clearly, you’ll be able to judge which method fits you best.


Forehead Lift Fixation: Thread vs Endotine Comparison

The forehead can be fixed in two main ways after lifting: thread fixation and Endotine fixation.




1. When Strong Pulling Power Is Needed: Thread Fixation

Thread fixation uses thicker sutures that are anchored directly to the bone. This allows much stronger pulling force than simply lifting the forehead with your hand.


Therefore, it is mainly used when sagging is severe and a large amount of lifting is required—cases where only a strong pull can reverse the drooping. Its biggest benefit is the ability to fix the forehead with very strong tension.


2. Broad Lifting and Easy Adjustment: Endotine Fixation

Endotine is a special device shaped like a small diamond with multiple micro-spikes. It is placed on the bone, and when the lifted fascia is pressed onto it, the spikes catch and secure the tissue. Because it has a wider fixation surface than threads, it is highly effective for lifting the forehead evenly.


Endotine’s biggest strength is its adjustability. If symmetry or lifting strength needs adjustment after placement, the device can be repositioned, allowing fine adjustments during surgery. For these reasons—broad lifting and easy adjustments—Endotine is preferred in most cases.




How to Choose the Right Fixation Method?

Both methods have advantages and disadvantages. Unless the sagging is so severe that only a very strong pull can correct it,

Endotine is often preferred because it lifts the forehead evenly and allows intraoperative fine-tuning. In most typical cases, Endotine provides sufficient and balanced improvement.




However, the best fixation ultimately depends on skin elasticity, degree of sagging, and the surgeon’s experience. The important point is not to insist on one method, but to choose the one that best matches your condition and surgical goals. A detailed consultation with an experienced surgeon is the first step toward satisfactory results.


A forehead lift is not only for wrinkle removal—it improves eyebrow position and eye shape, making it a powerful anti-aging solution. By understanding today's comparison of threads and Endotine, you’ll be able to ask smarter questions during your consultation.




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