Endotine TransBleph Surgical Technique
Once you have decided on which device is right for your patient, you should make the lower limb of your upper bleph incision in the crease of the eyelid as you would for a standard upper blepharoplasty. dissect the lid in a sub orbicularis, pre septal plane to the orbital rim. Once you have reach the orbital rim, you should make an incision through the tissue and periosteum. It is important to make this incision as close to the rim as possible.
Staying lateral to the supra-orbital nerve, dissect sub periosteally up to the hairline and across to the temporal crest. You may find it helps with elevating the brow tissue if you divide the conjoint fascia for about 2.5cm.
Once you have released the brow you will need to retract the tissue to reveal the bone. The next step is to drill a small hole in which the ENDOTINE TransBleph will be placed. This hole should be drilled with the supplied drill bit which is designed to provide the exact hole required. The drill hole should be positioned between the lateral limbus and the lateral canthus (depending on the look required) and should be at least 10mm above the orbital rim. Do not be concerned about over correcting. This has not been a problem with the TransBleph and the higher you can drill your hole, the more elevation you will get.
Prior to placing the device it is advisable to run a suture through the two holes in the platform as shown in the image to the right. This suture is later passed through the periosteum and more superficial tissues to minimise tissue laxity and provide added holding strength.
The device is then placed by positioning the anchoring post over the hole and pressing down with firm pressure. You will feel the device click in place and sometimes you can hear a pop as it seats in the hole. To release the device from the insertion tool, simply twist the handle anti-clockwise and dispose of it.
You can now pass the needle through a portion of the elevated periosteum and superficial tissues and lift the periosteum such that the incised edge is elevated and hooked over the tines of the TransBleph device as per the clip below.
Once this is done, you can tie off the suture. This will firmly lock the periosteum onto the tines. You can then also press the tissue onto the tines to hold it all firmly in place.
At this point you can evaluate how much tissue should be removed from the eyelid, remove it and close using your usual technique.
No special dressings are required on the wound however it is advisable to use a pressure dressing across the brow for the first few days following the procedure. You should also advise your patient to try not to bend over and to sleep sitting up for a few days following the procedure.
Ordering Codes
| CFD-080-0177 | ENDOTINE TransBleph 3.0 |
| CFD-080-0167 | ENDOTINE TransBleph 3.5 |
| CFD-899-4000 | MicroAire Manual Surgical Drill |
To learn more about MicroAire's Aesthetic products, send an e-mail to mail@advantechsurgical.com or call 0845 130 5866.