Indication Eyebrow lift

Special Pin: Endobrow SonicPin Rx 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 KLS Martin Group

Suture is placed in the groove of the Endobrow SonicPin Rx 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 PM 2 ● December 2011 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) All 23 patients had a stable brow lift Sonic Pins are consistently reliable and were successful in eyebrow lifting PM 2 ● December 2011 KLS Martin Group

2.0 Vicryl™© (polyglactin) 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 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 KLS Martin Group

Intermediate report from Dr. Beals: 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) PM 2 ● December 2011 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 KLS Martin Group

Results of endobrow lifting Before After Before After PM 2 ● December 2011 KLS Martin Group

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 10-15 seconds for final consolidation Test suture strength with slight pull PM 2 ● December 2011 KLS Martin Group

a) b) 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. a) b) PM 2 ● December 2011 KLS Martin Group

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 PM-2 ● June 2010 KLS Martin Group

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