Evidence map›Paper›PMID 41117774›Full record

ArticleThe Laryngoscope2026

Stability of Hairline Lowering Using Small Footprint Soft Tissue Anchoring Devices.

Cyrus W Abrahamson, Hasan Pracha, Jaymie A Bromfield, Douglas M Sidle, James C Wang

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cyrus W AbrahamsonNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-6359-5393
Hasan PrachaNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0009-0005-2962-927X
Jaymie A BromfieldDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Northwestern University, Chicago, Illinois, USA.
Douglas M SidleDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Northwestern University, Chicago, Illinois, USA.ORCID 0000-0003-2401-8777
James C WangDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Northwestern University, Chicago, Illinois, USA.ORCID 0000-0002-8835-8327

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOne principle of facial aesthetics is based on "facial thirds," and hairline recession/large foreheads disrupt this balance. Hairline lowering can improve harmonious aesthetics and often uses bioabsorbable implants. This study seeks to establish the outcomes and stability of hairline lowering using the Endotine Forehead-mini in a single-surgeon cohort in the United States.

methodsThis is a retrospective review of a single-surgeon cohort from 2011 to 2024 that underwent hairline lowering. Patient demographics, outcomes, and complications were documented. Upper facial third ratios were measured preoperatively and postoperatively and compared using paired t tests. The stability of the upper facial third ratio was assessed over time using paired t tests between the first postoperative visit and subsequent visits.

results100 patients were included, with 58 having images available for analysis. 100% of patients had a statistically significant reduction in upper third percentage medially (μ = 3.5% lower, 95% CI = 3.1%-3.8%, p < 0.001) and laterally (μ = 3.1% lower, 95% CI = 2.7%-3.6%, p < 0.001) at their first postoperative visit. As patients travel for this procedure, follow-up varied; however, hairline lowering was stable from first follow-up to 3-6 months, 6-12 months, and past 12 months. Patient satisfaction appeared high but was not formally assessed. Complications occurred in 26% of patients: transient alopecia in 14% (all resolved with minoxidil), 10% required additional surgery (scar revision, further hairline lowering, or hematoma evacuation), 2% had hematomas managed nonsurgically, 5% had scalp irritation, and 1% had a postoperative infection (treated with antibiotics).

conclusionUse of the Endotine Forehead-mini was associated with substantial, sustained hairline lowering with minimal risks. LEVEL OF EVIDENCE: 4:

Indexed as

Absorbable ImplantsForeheadRhytidoplastyAdultAgedEstheticsFemaleHumansMaleMiddle AgedPatient SatisfactionPostoperative ComplicationsRetrospective StudiesTreatment Outcomeaesthetic procedurehairline loweringoutcomessoft tissue anchor

Identifiers

PMID41117774
PMCPMC12993105

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.