Although the endoscopic browlift was a tremendous advance in browlifting, there were still a group of patients who preferred not to have any scars on the scalp, since they had thinning hair or had no hair at all. In general, male patients with male pattern baldness are quite hesitant to have any scars at all on the scalp. Even the tiny endoscopic scars were too much for many men. For these patients, the
Endotine Browpexy is the perfect procedure. The
browpexy differs from the browlift in that in the browpexy, the eyebrows are raised only slightly and then fixed into place at this modestly higher location. With the browlift, the eyebrows are usually raised more than with the browpexy and fixed into place at this significantly higher location.
In 2005, the
Endotine Browpexy was introduced and I have been very happy with the surgical results, especially in male patients, since no scars are needed in the scalp. The procedure is performed in conjunction with upper eyelid surgery (upper blepharoplasty), since nearly everyone that needs a brow procedure also needs an upper eyelid procedure). The browpexy is performed through the upper blepharoplasty incision. After the upper blepharoplasty is completed, the
Endotine Device is fixed to the forehead bone just under the outer part of the eyebrow. The brow skin is lifted up and placed firmly on the small spikes ("tines") on the
Endotine Device. The brow remains elevated at this position, even after the
Endotine Device dissolves in a few months.
Although the
Endotine Browpexy is commonly-used in both men and women, I have found it particularly useful in men. Most men do not want a dramatic browlift, and the browpexy, by definition, only provides a subtle lift. This, combined with the fact that men are hesitant to have scalp scars, makes the Endotine Browpexy an excellent procedure for male browlifting.
