1. Indication Eyebrow lift

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

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

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
PM 2 ● December 2011
KLS Martin Group

11. 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

12. 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

13. 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