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Indication Eyebrow lift. KLS Martin Group The principle:  Endoscopically assisted brow lift has become a mainstream technique in plastic surgery  Resorbable.

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Presentation on theme: "Indication Eyebrow lift. KLS Martin Group The principle:  Endoscopically assisted brow lift has become a mainstream technique in plastic surgery  Resorbable."— Presentation transcript:

1 Indication Eyebrow lift

2 KLS Martin Group The principle:  Endoscopically assisted brow lift has become a mainstream technique in plastic surgery  Resorbable competitor‘s solutions are not handy and difficult to install  Special Pin: Endobrow SonicPin Rx  Suture anchoring is easy, safe and fast PM 2 ● December 2011

3 KLS Martin Group PM 2 ● December 2011 The principle:  Suture is placed in the groove of the Endobrow SonicPin Rx  Pin penetrates into bone cavities and carries the suture into the hole  Tissue fixation using both ends of the suture

4 KLS Martin Group Clinical evaluation (Dr. Stephen Paul Beals, Arizona/USA)  23 patients medicated within 9 months occupying the Martin products  Using KLS Martin SonicWeld Pins, 5mm drill bits and 2.0 Vicryl suture  Amount of pins: 2 to 4 pins per patient (usually utilizing 2 pins) PM 2 ● December 2011  All 23 patients had a stable brow lift  Sonic Pins are consistently reliable and were successful in eyebrow lifting

5 KLS Martin Group Suture to be recommended:  2.0 Vicryl™© (polyglactin) Alternatively:  Dexon™ (polyglycolic), Ethilon™© 3.0, and Ethicon™© silk 3.0  PDS (polidiaxanone) as it is very heat-sensitive Suture not to be recommended: PM 2 ● December 2011

6 KLS Martin Group Intermediate report from Dr. Beals:  Drill hole made with KLS Martin power system (BOS Drill)  Important: - Drill needs to penetrate the bone to its full depth - Point of insertion should be dry -All bone dust must be removed PM 2 ● December 2011

7 KLS Martin Group  Fixing suture by pushing the pin into the hole  Hold the sonotrode in place for 3–5 seconds  Remove when material is consolidated  Patients usually receive 1 fixation pin on each side of the midline  Some patients received additional pins, placed in the temporal ridge region (one on each side) Intermediate report from Dr. Beals: PM 2 ● December 2011

8 KLS Martin Group Clinical case from the USA (Dr. Stephan Beals)  Resorbable materials in general:  Bulky  Cumbersome to apply  KLS MARTIN pins:  Completely resorbable within 1 year  Fast and easy insertion  Easy to learn  Flush with the bone  not palpable by the patient  Small but reliable PM 2 ● December 2011

9 KLS Martin Group Results of endobrow lifting PM 2 ● December 2011 BeforeAfter

10 Intraoperative approach:  Place the suture over the hole without any tension – tension will cut the pin and may even damage the suture on the bone edges  Simply place the pin over the hole – bisecting the suture with the grooved tip  Push into the hole 1mm and maintain slight pressure.  Activate welder  Stop when head of the SonicPin is flattened  Wait for 3-5 seconds  Rotate sonotrode and remove from SonicPin  Wait for seconds for final consolidation  Test suture strength with slight pull KLS Martin Group PM 2 ● December 2011

11 KLS Martin Group Endobrow Fixation in the Level One Fixation Catalog Only use the suture in a loop – not as an end-point. ‘a’ is correct ‘b’ is incorrect – the suture may pull out under load from inside the bone. PM 2 ● December 2011

12 KLS Martin Group PM-2 ● June 2010 Competitor‘s product „Endotine“  Resorbable implants  Super smooth implants  Able to correct post-operative  Only 1 cut necessary  General anaesthesia not necessary  Available in three different sizes

13 KLS Martin Group PM-2 ● June 2010 Procedure with competitor‘s product 1.Make the incision and lift the brow to the desired position 2.Make the hole 3.Grasp the device 4.Place the device 5.Elevate the tissue 6.Secure the tissue


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