Facelift with endotins - advantages, differences, results

A little about endotins

In 2003, a well-known American company introduced a unique product that changed the world of plastic surgery - endotins. Since the technology was released, more than 400 thousand operations have been performed worldwide. This device is a small fixture that is implanted under the patient’s skin.

Endotins are small plates equipped with a number of denticles, with the help of which the tightening process occurs. For the manufacture of fixatives, elements similar to human biomaterial are used - polylactic and polyglycolic acids. The process of implantation under the skin occurs as smoothly as possible. Thanks to the use of organic plates, implants do not cause rejection. After a certain time, they completely dissolve in the body.

Endotins

Retainers are used for the following purposes:

• to correct the shape of the face;
• for lifting, contour correction;
• to maintain results over time;
• for rejuvenation.

We recommend reading about facelifts. You will learn about how a circular facelift can end, the negative consequences of thread lifting and endoscopic lifting. Read more about endoscopic facelift here.

Carrying out the operation

The endotin implantation operation is usually carried out under the control of equipment with a small camera, with the help of which the entire progress of the operation can be monitored on a monitor. This technique is called “endoscopic facelift”. Small incisions are made in the skin where the camera and endotin are inserted. After fixing the board, the camera is removed, and the incision site is closed with 1-2 cosmetic stitches.

If during the operation it is necessary to remove excess skin, it can be performed through an open approach. In this case, endotins are installed after tissue excision. The operation is performed under general anesthesia, but in some cases local anesthesia may also be used.

Depending on the complexity of the intervention, the patient may return home after the operation or spend a day under the supervision of a doctor in the clinic. On average, the recovery period takes 10-12 days.

Rehabilitation period and possible complications

In the first weeks or months after the operation, the plates can be felt at the site of their attachment, but over time, as biodegradation occurs, these sensations disappear. The seals gradually become soft and less noticeable.

The rehabilitation period proceeds smoothly, but in some cases complications may occur, which include:

• Discomfort, as pain occurs as a result of touching the endotin injection site. Often observed in patients with hypersensitivity.
• The skin at the attachment points may become thinner, and the hair may become brittle and fall out.
• If an infection occurs, tissue trophism may be disrupted with subsequent scar formation.
• Implants may slowly dissolve, after which the doctor decides to remove them.
• Slight tissue bleeding at the site of endotin implantation and hematoma, which quickly disappear.

But if you follow all the doctor’s instructions and carefully follow them, the risk of complications is minimized. In addition, such an operation should be trusted to be performed only by a surgeon with a high level of qualifications and extensive experience.

How long does the result last?

As practice has shown, the result after the introduction of endotins can last from 5 to 8-10 years. This depends on the condition of the skin, the individual characteristics of the patient, the level of ptosis and age.

What micellar water is for, read the link.

Lifting the upper third of the face with endotins and blepharoplasty

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Fixation principle

The key to understanding the process of tissue fixation lies in the design of endotins. On the surface of the plate measuring 3.5 - 4.5 mm there are small teeth (3 - 5 pieces). With their help, the necessary facelift effect is created, regardless of the shape. The principle of operation of the plates consists of two main correction methods:

• targeted lifting of the problematic part of the face;
• stimulation of healing of bonded elements.

The implant lifts and fixes the soft tissue on the bones of the skull in the desired position. For one year, with the help of teeth, the plate holds the shape of the face. Then the body starts the processes of connective tissue regeneration.

As a result of such a surgical intervention, the human body independently secures and maintains the position of the facial contours. Thanks to the organic composition, the plates gradually dissolve. After 2-3 months, the soft tissues firmly adhere to the bone tissues.

Endotines

The most important component of any type of facelift is the correct fixation of displaced tissues. The quality of this stage in most cases determines the final result of the entire operation. This is why the relatively young (even by the standards of plastic surgery) Endotine technology is so rapidly gaining popularity – including in our country.

Endotines are microscopic plates designed to fix tissues in a new position. The size of such a plate ranges from 3.5 to 4.5 mm, and its design features allow it to evenly distribute the load on the tissue and significantly reduce tension.

The manufacturer of endotin plates is the American company Coapt Systems Inc. – first presented her development to the world in 2003. The history of the use of endotin technology in Russia dates back to 2010.

↑ What is the technology of tightening with endotins

The principle of operation of endotins is as follows: on one side the plate is attached to the bone tissue, and on the other the surgeon stretches the soft tissues, due to which the latter are fixed in a new position.

After about 3 months, soft and bone tissues grow together, and after another 3 months, endotin is completely absorbed, after which it is eliminated from the body naturally.

↑ Benefits of endotins

Endotine technology lifts have a number of undeniable advantages:

• Endotins fix tissue much more reliably than surgical sutures, which allows, firstly, to obtain a more predictable and lasting result , and secondly, to minimize the risk of such a common problem as asymmetry (when the suture on one side of the face weakens and the tissue “moves out” " down)
• The use of plates allows, if necessary, to adjust the degree of tension directly during the operation, thereby achieving an optimal lifting effect
• Endotins allow for lifting with a minimum number of incisions and stitches
• If it is still not possible to avoid the formation of seams, endotins take on the main load of tissue retention, as a result of which the seams grow together more smoothly and become almost invisible
• The plates are made from biocompatible materials (similar to the materials used in the production of self-absorbable medical threads). This eliminates the possibility of the body rejecting the plates and causing an allergic reaction.

↑ Types of endotins

Currently, surgeons have access to 5 plate options designed to work with different areas of the face and neck :

• Endotine Forehead (Endotin Forehead) and Endotune Triple (Endotin Triple) - used for forehead and eyebrow lifts. They are triangular plates with five and three teeth, respectively.
• Endotine Transbleph (Endotin Transbleph) - a wide plate with three teeth, used for lifting in the eyebrow area
• Endotine Midface (Endotin Midface) - used for lifting in the middle zone of the face. This is a kind of tape, at the end of which there is a “fastening” platform with five teeth
• Endotine Ribbon is also a tape, with teeth located along its entire length. Area of ​​application: lower third of the face and neck

↑ How endotins are installed

The most widespread is the installation of endotins as part of an endoscopic facelift. Using special equipment through tiny incisions, the surgeon places the plates in the desired position, stretches the soft tissue and fixes them on the teeth.

If necessary, excision of excess skin and tightening of the facial muscular structure (SMAS) is carried out - fixation with plates will improve the results in these cases.

Many patients are concerned about whether they will feel the presence of endotins in the body after surgery . As numerous reviews testify, in the first weeks the plates can be felt as a small compaction, but they do not cause any unpleasant sensations.

The “compaction” disappears after a maximum of a month, and after six months, endotins are completely eliminated from the body, leaving no traces (except, perhaps, for tissues perfectly fixed in the new position).

Installation benefits

This method in plastic surgery continues to gain popularity among patients. The advantages of installing plates are as follows:

• Organic composition. The technology uses natural elements that are similar to the human body. This helps prevent the rejection process.
• Long lasting results. The design reliably fixes soft tissues in the desired position for many years.
• No asymmetrical shapes. Special teeth allow you to achieve ideal facial lines.
• Minimal surgical intervention. The implantation process involves making a small incision and applying a cosmetic suture.
• Convenient design. If necessary, plate tension is corrected during the operation.
• No scars. Strong fixation reduces the load on the edges of the incisions. This ensures effective wound healing.
• Uniform lifting. The facial surface is lifted symmetrically.
• No discomfort. The procedure allows you to reduce discomfort and pain during the postoperative period.

Installation of endotins
The only disadvantage of such an operation is the cost of plastic surgery.

What are the benefits of endotins?

Currently, among cosmetologists there are supporters of the use of endotins in plastic cosmetology, but the advantages of endotin technology attract more and more plastic surgeons every year. The benefits of endotins include:

• The composition of endotins and natural ingredients significantly reduce the risk of rejection and allergic reactions.
• The design of endotins allows them to be securely fixed to facial tissues (compared to surgical sutures). Thanks to reliable and durable fixation, the result after implantation of endotins lasts for several years.
• Thanks to the hooks, there is no post-lifting complication such as asymmetry (as in the case of lifting with sutures).
• Endotin lifting takes place with a minimum number of incisions and cosmetic stitches.
• Thanks to the design of endotins, it is possible to correct tension lines directly during surgery.
• Even in the case of incisions when implanting endotins, due to the strong fixation of the tissues, the edges of the incisions do not bear any load and grow together more smoothly.
• Thanks to the breadth of coverage with the help of endotins, facial tissues are tightened evenly over the entire surface.

Pros and cons of braces

Modern technology of using plates has made it possible to achieve amazing results: you can fight aging, correct individual imperfections and restore the beauty of your face. The main arguments in favor of endotins are as follows:

• the result lasts for ten years;
• no repeated intervention for removal is required;
• connective tissue grows in the right place;
• no allergic reaction.

Implantation of endotins does not cause harm to patients. Possible complications are associated with poor qualifications of the surgeon, choice of clinic, or non-compliance with the rules of the rehabilitation period. It is not recommended to carry out such operations without the recommendation of a doctor until adulthood.

Differences and advantages

Every year, the ranks of fans of the use of endotins among patients who want to regain their former youth and beauty are growing. The popularity of using endotins is explained by a number of advantages:

• mini-fixators cannot be removed; they dissolve on their own;
• The materials used to make the plates are hypoallergenic and do not cause any side effects;
• natural ingredients in the plates minimize the risk of implant rejection;
• the use of endotins guarantees uniform tightening of the skin;
• the positive result of the lifting procedure can be assessed immediately after its completion;
• during the installation of endotins, the surgeon has the ability to absolutely control the process to achieve maximum correction results;
• minimal recovery period;
• the maximum positive effect lasts for more than ten years;
• there are no risks of tissue displacement (this pathology is observed when using other correction methods);
• minimum number of cuts and seams;
• the process of tissue tension can be adjusted, which allows you to achieve maximum results;
• ideally combined with other cosmetic procedures (can be performed simultaneously);
• maximum reliability of fixation, which ensures the desired and stable result.

Age-related changes are, first of all, loss of contour volume and sagging skin. Unlike the classic lifting procedure, in which tissue is stretched diagonally and excess is cut off, endotin check lifting gently returns tissue to its natural position, characteristic of a younger age, and corrects the volume of the oval of the face.

Comparing the Silhouette Lift procedure with the endotin lift, the latter is a more invasive procedure in which sagging tissue in the midface is separated from the cheekbone. They become more mobile, which allows the surgeon to move them to the highest possible position characteristic of a young age. It is also worth noting that after two months the endotin plates are completely absorbed, which cannot be said about the Silhouette Lift threads, which remain in the thickness of the soft layers of the skin forever.

Comparing endotins and Aptos threads, experts note that the threads are laid in the subcutaneous layers, which cannot affect the increase or change in the volume of soft tissues.

Types, forms and features

There are several types of retainers that are used for different parts of the face. The plates have a specific name, individual shape and purpose.

In some cases of severe curvature of the facial lines, a combination of two types is used. The shape of the clamps follows the proportions of the selected area thanks to a suitable design.

Endotins for the face - what complications can there be?

Complications after the installation of endotins
Facial endotins are one of the methods of surgical intervention, and therefore, as with any other operation, certain complications may occur. If the procedure is carried out well, the recovery process will take 2-5 weeks.

As a rule, the first few days after surgery are the most difficult for the patient. Despite the fact that the procedure is not very traumatic, the surgeon still has to make incisions in the skin. Gradually, the inconvenience will pass, and in parallel, the mini-plates will also dissolve.

After the operation, some complications may occur:

• It often becomes psychologically difficult for patients. They remain in tension until the endotins are completely absorbed under the skin
• Blood circulation may be impaired in the area where the plates are installed. This usually occurs when the doctor is not qualified enough
• Swelling may occur in the soft tissues. It can be eliminated with compresses.
• In some cases, bleeding occurs. To get rid of them, doctors prescribe hemostatic drugs.
• Too much connective tissue grows
• The appearance of bruises and hematomas. You can use special ointments and cold compresses
• The plates can take a long time to dissolve

To avoid complications, it is important to follow the recommendations of doctors after the operation, in particular, lead a healthy lifestyle, avoid visiting the bathhouse, sauna and swimming pool, try to spend less time in the sun and limit physical activity. In this case, the doctor may well prescribe additional skin care.

Indications for face lift

Endotin lifting is recommended if there are defects on the surface of the face. Indications for surgery:

• the presence of pronounced folds in the forehead;
• double chin;
• deformation, loss of skin elasticity;
• congenital or acquired drooping of the upper eyelid;
• asymmetry, violation of the oval of the face;
• large bags under the eyes;
• facial folds around the nose;
• hollow cheeks;
• flabby surface of the neck.

Such defects can be corrected and youth restored using modern lifting technology. Before making a decision, you must ensure that there are no individual restrictions.

Results of using endotins

Tightened skin, corrected facial contours, absence of bags and dark circles under the eyes; such age-related changes are easily corrected with the help of check lifting with endotins. The duration of the positive correction effect depends on the following factors:

• age category of the patient;
• general condition of the skin;
• lifestyle (presence of bad habits, diet, physical activity).

Based on the result of the operation, the minimum period for saving changes is about five years, the maximum is 10 years.

Endotins are fixing plates implanted under the skin during the lifting procedure. Allows you to achieve the maximum effect of facial skin rejuvenation with minimal trauma and complications to the patient’s face.

Contraindications

Congenital diseases and individual characteristics of the body are taken into account before any surgical operation. The following contraindications exist:

• presence of diabetes mellitus;
• period of breastfeeding or pregnancy;
• cardiovascular dysfunctions;
• cancerous formations;
• chronic, hereditary diseases;
• elevated temperature;
• acute infections, HIV;
• epileptic seizures, mental disorders;
• emotional imbalance.

The preliminary examination is aimed at identifying such problems.

Contraindications for use

Before performing a correction procedure using endotins, you must ensure that the following pathologies and diseases are absent:

• diabetes mellitus;
• oncopathology;
• fever;
• acute forms of infectious diseases and inflammatory processes;
• psycho-emotional state disorders;
• disorders of the heart and blood vessels;
• chronic pathologies in the relapse stage.

The use of endotins in women during pregnancy and breastfeeding (the first two months after childbirth) is strictly prohibited.

If necessary, the specialist prescribes certain studies in order to prevent complications and deterioration of the patient’s general condition.

Method of performing endotin tightening

The stages of the operation are as follows:

1. The process of implanting endotins takes place under general anesthesia.
2. Several small incisions are made in the required areas and plates are inserted under the skin.
3. Using teeth on the surface, they are secured to the bone tissue.
4. The final stage of the operation is the application of cosmetic sutures.

A special video camera that is placed in the incision helps monitor the surgical process. After 1 hour from the end of the operation, patients can already go home.

Endotins for lifting the middle third and lower part of the face

Endotins for lifting the middle and lower third of the face are called ribbons (which translates as tapes). Their spines (tines) are distributed along the entire length of the tape. Using access from the lower eyelid from the mucous membrane. With this device you can tighten the tissues of your cheeks upward.

Endotins for tightening nasolabial folds also look like ribbons with spikes, this is exactly the device you see in the picture. From a small incision above the ear, endotin allows the tissue to be pulled up and towards the temples.

An applicator is used to install the ribbon, allowing it to be placed exactly where it should be. The operation looks very simple, but the result is impressive, and the recovery is very fast.

Some endotin tapes are secured simply by sewing, for example those that are used to smooth out nasolabial folds.

Recovery and rehabilitation

Within a month after implantation, the installations will be felt under the skin. You should refrain from touching - it can cause pain. The surface of the plate will begin to soften after three weeks. The sutures are carefully removed on the 4th or 6th day. Overall, the recovery process usually goes smoothly.

To achieve maximum results during the rehabilitation period it is necessary:

• avoid taking hot baths, visiting a sauna or solarium;
• refrain from prolonged exposure to the sun for one year;
• limit physical activity;
• Drink a moderate amount of water daily to avoid facial puffiness.

After just two days, water treatments are allowed. Minor swelling and hematomas are considered normal manifestations of the postoperative period. If any problems or questions arise, you should immediately contact a specialist.

Execution technique

Endoscopic lifting with endotins is usually performed under general anesthesia. However, local anesthesia can also be used. The method of administering anesthesia is determined according to the diagnostic indications of the patient and his desire.

If the surgical intervention is open, the surgeon, making incisions in problem areas, introduces endotins into them, fixing them in the proper place and position. Each plate is attached to the bone tissue with titanium bolts. At the end of the operation, the incision sites are closed with cosmetic sutures.

Endoscopic skin tightening is performed using an endoscope. By making small punctures in the skin, the surgeon, separating the bone and muscle tissue, introduces endotins, observing the performance of these manipulations through an endoscope, which allows them to be accurately fixed in position. This type of surgery is considered less traumatic.

The supplied endotins are not withdrawn. They simply dissolve in the tissues. This is convenient because the patient remains calm, since he does not have to think about another impact on areas already affected by surgical intervention. In addition, the method is also convenient for the clinic’s out-of-town clients, who can return home in just a couple of days without waiting for the time when they have to take out the retainers.

Such a rejuvenating lift using plates can be performed as an independent operation, or as part of a more serious surgical correction. In general, the method of exposure to endotins is the same. The only difference is the location of the incisions.

Recovery period

Despite the pain and discomfort, the patient, if he was treated in a clinic at his place of residence, can immediately go home. It is important that he recovers from anesthesia during the first hours after surgery under the supervision of medical workers.

The stitches are removed on days 4-6. Water procedures are indicated for patients on the second day after surgery.

During the first days, you should not touch the place where the plates are implanted. This can increase pain and add discomfort. Patients are prescribed medications to relieve pain. The course of their admission is negotiated personally.

Any unpleasant sensations or changes in well-being should not go unnoticed by the patient. The recommendations received from the doctor, with the obligatory visit to the clinic for consultation, will allow you to safely overcome the recovery period.

Possible complications

Endotin injection is a common surgical procedure that may have some consequences. If the rejuvenating procedure is carried out skillfully and competently, the skin is restored within 2-5 weeks.

The first postoperative days are the most difficult for the patient. After all, the incisions, although they are usually minor, and the inserted foreign fixatives, cannot but worry. Pain and discomfort from the presence of a foreign body under the skin are common consequences of such an intervention. But gradually, as the plates split, all this will pass.

In a certain category of patients, complications may also arise due to:

• psychological imbalance that does not go away until endotins are completely absorbed;
• circulatory failure and bleeding in areas where fixators are installed;
• swelling of soft tissues (removed through the use of sterile and cooled compresses);
• the occurrence of inflammation in certain areas (antibiotics and antiseptic treatment of sutures are prescribed);
• excessive growth of connective tissue;
• bruises and hematomas (removed with special ointments and cold compresses);
• slow resorption of fixing plates, etc.

Full compliance with your doctor’s instructions will help prevent all this. Such patients are not allowed to abuse their exposure to the scorching sun, avoid premature visits to the solarium, bathhouse, sauna or swimming pool, do not overwork, do not drink a lot (drinking heavily contributes to the formation of edema), do not leave the skin without special care and spend more time in the fresh air.

Possible complications

Problems arise when the rules of the recovery period are ignored, due to the unprofessional work of the surgeon or the individual characteristics of the body. Such cases occur extremely rarely. The list of potential complications is as follows:

• increased sensitivity leads to pain in the endotin area;
• the surface of the skin becomes thinner, hair loss is observed;
• infection, inflammation and swelling are possible;
• sometimes tissue scarring is observed;
• the plate material may not dissolve over time;
• sometimes there is a circulatory disorder;
• excessive tissue growth is possible due to the body’s protective reaction;
• psychological disorders cannot be excluded;
• Small hematomas and bruises may appear.

Carefully following all surgeon's instructions reduces the risk of complications.

We recommend reading about check-lifting. You will learn about indications and contraindications for the procedure, its advantages, preparation and implementation, recovery period, cost. And here is more information about SMAS face lifting.

What are endotins used for?

Modern technology allows us to cope with most age-related changes. Proof of the result are photographs of patients before and after lifting, and reviews and observations of specialists indicate that the result lasts as long as possible.

Endotins can not only tighten skin that has lost its elasticity, but also correct the shape of the face and give clarity to its contours.

Sagging cheeks, double chin, pronounced folds on the face, drooping eyelids, very noticeable wrinkles and many other problems that arise with age are indications for endotine lifting.

How much does it cost to install endotins: price

Endotins for the face: price
Endotins for the face are not at all cheap. Depending on the region, of course, prices may vary slightly. Perhaps in some city they will be lower, and somewhere, on the contrary. At the same time, the cost is determined depending on which particular area the surgeon will have to work with. For example, work on the lower part of the face will cost more than 300 thousand rubles, but the oval of the face and neck will cost about 50 thousand. It is also important to take into account the clinic itself that does the installation. Its status is also reflected in the price and professionalism of the staff.

Endotins for the face: reviews

Girls who have already tried endotins for the face note that the effect is excellent. There are, of course, those who are dissatisfied with the procedure. In any case, there are no comrades according to taste and color. Here are some reviews from girls who have already tried the procedure:

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