Recently orthognathic surgeries for correction of dentofacial deformities are well-established methods. But in aspect of soft tissue discrepancy, post-operative results are not so satisfactory, which means whereas after orthognathic surgery skeletal problems are solved during operation, soft tissue asymmetry still remains. It is not easily recovered by time or muscle re-orientation functional therapy. Hereby we now introduce the new method to correct soft tissue discrepancy in dentofacial deformity patients by using Endotine Ribbon ® (Coapt Systems, Palo Alto, CA). The Endotine device consists of a long slender leash with 34 tines that can be customized to the patient’s anatomy and procedure by cutting either the tine bearing area or the smooth leash area. When implanted, the Ribbon engages the deep anatomy (SMAS or platysma) of the newly created surgical plane, and is sutured to the temporal or mastoid fascia to maintain the vector of lift until biological healing takes place. After the underlying tissue is engaged, upward tension is applied to the anchoring leash, which is then sutured to deep temporal fascia.
Conflict of interest: None declared.