Preliminary results of double fixation in endoscopic forehead lift.

The author describes how he augments Endotine Forehead device fixation with a temporary external cortical screw. This prevents the elevated and advanced skin flap from becoming detached from the Endotine, causing a relapse of brow ptosis. This double fixation endobrow technique places initial tension on the cortical screw, allowing tension-free fixation to the Endotine. Early results have been good in a series of 18 patients.