ENDOTINE Midface ST... The Anti Gravity Device

The ENDOTINE Midface ST is a resorbable soft tissue fixation system that enables you to perform a midface lift both reliably and quickly.

Utilising Coapt Systems' patented multipoint technology, The ENDOTINE Midface ST allows you to elevate the mid-facial tissue and add volume for true rejuvenation of the midface.

A midface lift with the ENDOTINE Midface ST can take as little as 45 minutes to perform and is usually completed by making one small incision in the temporal region and perhaps one intra-oral incision so visible scarring is minimal.

Operative Technique

Typically you will make an incision about 2.5cm long behind the hairline in the temporal region down to the deep temporal fascia. You should then dissect along this plane creating a tunnel down to the zygomatic arch. At this point you should penetrate the periosteum and perform a subperiosteal dissection of the zygoma.

At this stage, many surgeons like to make an incision in the mouth in the region of the canine fossa. From here you can release the lower facial tissue subperiosteally. It is important to fully release the connections to the masseter in order to achieve full mobility of the midface. once the cheek is released, this pocket and the first temporal pocket should be joined to create a single pocket.

The ENDOTINE Midface ST can now be introduced through the temporal incision. The platform of the device should be positioned in such a way that it sits below the maxillary antrum once the cheek has been lifted. The intraoral incision can also aid in device placement and tine engagement.

Before applying tension to the device and lifting the midface, it is a good idea to close the intraoral incision if one has been used as if this is left open, the facial tissues can distort when performing the lift and the result can look odd.

Elevation of the midface is achieved by applying tension to the anchoring leash which should be protruding through the temporal incision. Once the desired amount of elevation and the right aesthetic result have been achieved, the leash is sutured to the deep temporal fascia with a strong suture such as a 2-0 PDS.

The wound is then closed using your normal technique.

Device Options

Coapt Systems Inc. have designed two versions of the Midface device; the bone anchored Midface B and the Midface ST which is designed to be sutured to soft tissue however only the Midface ST is available in Europe.

Instrumentation Requirements

It may be a good idea to have an endoscope available for the first few Midface procedures however most Midface users feel this is not necessary. Aside from the Midface devices and some periosteal elevators which would normally be found on a plastics tray, there are no special instruments required to perform a midface lift with the ENDOTINE Midface ST.

Ordering Code

CFD-060-0197

ENDOTINE Midface ST