US20080200993A1

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Info

Publication number: US20080200993A1
Application number: US11/675,612
Authority: US
Inventors: Jenifer Lee Henderson
Original assignee: Individual
Current assignee: Individual
Priority date: 2007-02-15
Filing date: 2007-02-15
Publication date: 2008-08-21
Also published as: US8585774B2; US20120046759A1

Abstract

The present invention describes an implantable tissue lifting and fixation device. More particularly, the present invention describes a temporal brow lifting device comprises of a bio-absorbable supportive backing. The device has a shape of a curvilinear end and a tail end region. The curvilinear end region comprises a plurality of attachment points protruding from the supportive backing, and the tail region comprises of a plurality of cavities in order to secure the device at the desired elevated position in the deep temporal fascia. The plurality of attachment points distributes tension in a multi-vector direction over the contact area between the device and the tissue. The attachment points can be manufactured separately and attached, however, preferably, the attachment points are made integral with the temporal brow lifting device.

Description

BACKGROUND OF THE INVENTION

The present invention relates to an implantable tissue lifting and fixation device. More particularly, the present invention relates to a temporal brow lifting device, which is used to lift and fix the brows at an elevated position in a brow lifting surgery and similar surgical procedures. The temporal brow lifting device of the present invention is comprised of a bio-resorbable supportive backing having a curvilinear end region and a tail end region. The curvilinear end region comprises a plurality of attachment points to facilitate brow-lift, and the tail end region having a plurality of cavities to secure the device at the desired position.

The brow lift is a basic procedure for rejuvenating the upper portion of a patient's face. The brow lift procedure may be used to elevate the eyebrows, remove or lessen forehead wrinkles, reduce frown lines, smooth the nasion and elevate the nasal tip. Various surgical approaches are available for the brow lift, including the direct brow lift, mid forehead lift, pretrichial lift, temporal lift, coronal lift, and endoscopic lift.

In carrying out the brow lift surgery, once the surgeon has moved the brow to a superior position, the soft tissue must be suspended in that position for a sufficient time to allow healing to occur. Conventionally, external means, such as screws and staples, have been used to suspend the soft tissue in place. These devices may leave the patient susceptible to infections, require a great deal of bandaging, and leave extensive scars. Internal means, such as surgical pins or posts, also have been applied however these devices require the surgeon to reopen the skin to remove them. Further, tissue fixation methods that do not a require reopening of the patient's skin to remove fixation devices have been attempted, such as deployment of resorbable fixation devices. An ideal resorbable fixation device should have the ability to adjust the timing for the release of the fixation device after implantation in response to individual healing rates.

The temporal brow lift also known as lateral lift or lateral brow lift is a more lateral-diagonal lift. The temporal lift can relieve folds and small wrinkles in the forehead, and can also lift the cheek skin. Therefore, it is desirable to use a temporal brow lifting procedure in combination with a bio-resorbable implant to achieve the desired brow lifting effects.

U.S. Pat. No. 5,611,814 issued to Lorenc, describes a resorbable surgical appliance for a mid-forehead brow lifting surgical procedure in order to support soft tissue at a superior position. Lorenc's describes the surgical appliance is comprises of a coupling member that connects the surgical appliance to the bone or hard tissue and a griping member(s) to grip or retain the soft tissue at the superior position. However, the head of such screws or tacks and the gripping member of such appliances are bulky, making a prominent protrusion on the bone surface. Moreover, the surgical procedure requires drilling of the surgical appliance in the bone or skull of the patient.

U.S. Pat. No. 6,015,410 issued to T. Pertti, et al., describes a bioabsorbable surgical implant for use in mid-forehead brow lifting procedure, to support soft tissue at a superior position in the body. The surgical implant includes a shaft that connects the implant to a bone or hard tissue and a head secured to the shaft. The head of the implant has a concave lower surface so that a suture (or sutures) can easily be wound around the shaft below the head and locked to this position by tightening the head against bone or hard tissue and by pushing or turning the shaft into the bone or hard tissue.

U.S. Pat. No. 6,485,503 issued to J. Daniel, et al., describes an implantable tissue approximation device for mid-forehead brow lifting surgical procedure. The device comprises of attachment points and a post in order to secure the device into the cranium of the patient. The scalp tissue to be lifted may be set on a brow lift device via attachment points, and the device may then be secured to a patient's cranium. The brow lifting device requires drilling of skull or cranium in order to secure the device.

Conventionally, suture fixation is used in order to secure the temporal brow in an elevated position following temporal brow-plasty. Suture fixation, generally, provides a single vector of pull which can result in an unnatural, tented appearance to the temporal brow. Moreover, suture fixation can be cumbersome and may require several attempts by the surgeon to achieve bilateral symmetry.

Therefore, there is a need to develop a low profile, bio-resorbable tissue lifting and fixation device to be used in a temporal brow lifting surgery and similar surgical procedures. Further, there is a need to develop a tissue lifting and fixation device which can generate a multi-vector pull on a tissue to achieve a better cosmetic appearance.

SUMMARY OF THE INVENTION

It is the objective of the present invention to provide an implantable device for a temporal brow lift surgery and similar surgical procedure.

Another objective of the invention to provide a bio-resorbable implant for a temporal brow lifting surgery and similar surgical procedure.

A further objective of the present invention to provide a low profile implant for a temporal brow lifting surgery and similar surgical procedure

To achieve the aforementioned objectives, the present invention discloses an implantable tissue lifting and fixation device to be used for a temporal brow lifting surgery and similar surgical procedure. The device of the present invention comprises of a supportive backing having a proximal surface, directly in contact with the patient's body, and a distal surface. Further the device periphery consists of a curvilinear end region and a tail region. The curvilinear region comprising a plurality of attachment points protruding from the supportive backing, and the tail region is provided with a plurality of cavities to secure the device by suturing at the desired position into the deep temporal fascia.

In an embodiment of the present invention, the temporal brow lifting device comprises of a supportive backing. The supportive backing has a shape of a curvilinear first end and a tail end region. The curvilinear end region comprises of a plurality of attachment points protruding from the supportive backing. The attachment point distributes tension over the contact area between the temporal brow lifting device and the tissue.

The shape and size of the curvilinear end region can vary depending upon the usage. The curvilinear region is configured to position the device at the lateral orbital rim of the brow of a user. In the brow lifting device, preferably used for the male user, the curvilinear region is provided with a lateral length of 40 mm. Similarly, for the female user, the curvilinear region having a lateral length of 30 mm

The attachment points can be canted or erect shape. Furthermore, the tip of the attachment points may be varied. The position of the individual attachment points and their density on the supportive backing can vary depending on the type and ease for securing tissue to attachment points and on the distribution of loads generated by the attached tissue over each of the attachment points. The attachment points can be manufactured separately and attached, however, preferably the attachment points are made integral with the temporal brow lifting device.

The supportive backing material might be produced from a more flexible polymer and the attachment points or tines of a stiffer material. The supportive backing, generally, is made of a bio-resorbable material that can have the structure of a mesh, net, or lattice. The extent of porosity or total surface area may be used to control the absorption rate of the device, and may also be used to optimize the strength-to-mass properties of the device, increasing the section modulus of structural cross-sections per unit mass. The backing structure may comprise partial folds, waves, or grooves to help hold tissue against both surfaces of the backing.

Materials such as biodegradable polymers are preferably used to construct the backing and attachment points. Examples of biodegradable polymers are polyglycolide, polylactide, poly-.alpha.-caprolactone, polydiaxanone, polyglyconate, polylactide-co-glycolide, and block and random copolymers of these polymers. An example of an inventive device may be made of two or more types of polymers or copolymers (or molecular weights of the same polymer or copolymer). Preferably, the bio-resorbable material used to construct the device of the present invention is a product marketed by Biomet, Inc. (Warsaw, Ind.) under the trademark LACTOSORB®™. LACTOSORB®™is an absorbable co-polymer synthesized from all natural ingredients: 82 percent L-lactic acid and 18 percent glycolic acid.

Further, the tissue implant device according to an embodiment of the present invention is described to be used in carrying out the temporal brow lift surgery. The device is designed to place against the brow in a low profile while secured to the fascia to provide a brow lift. The temporal brow lifting device is comprises of a curvilinear end region and a tail end region having a plurality of cavities. The tail extends from the mid-regions of the device, and consists of cavities which can be used to secure the temporal brow in the desired elevated position. The temporal brow lifting device is inserted under a patient's brow while securely interlocking a small portion of the brow to the device preferably via a plurality of attachment points. After dissection of the lateral orbital rim of brow, the temporoparietal fascia is raised over the attachment points to lift the brow. The temporal brow lifting device can be secured into the deep temporal fascia by suturing it through the cavities of the tail region.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A shows a top view of a temporal brow lifting device of the present invention.

FIG. 1B shows a bottom view of the temporal brow lifting device ofFIG. 1A.

FIGS. 2A-2E represents side views of variations in the shapes and orientations of an attachment point, according to the present invention.

FIGS. 3A-3C represents perspective views of variations in the shapes of a tip of an attachment point, according to the present invention.

FIG. 4A shows a side, cross-sectional view of attachment points that run through the width of a supportive backing, according to the present invention.

FIG. 4B shows a side view of attachment points on a strip of supportive backing material.

FIG. 4C is a plan, perspective view of the embodiment ofFIG. 4B on a porous supportive backing.

FIG. 4D shows a plan, perspective view of a solid supportive backing having a plurality of attachment points.

FIG. 5A shows a top view of an attachment point, according to the present invention.

FIG. 5B shows a side view of the attachment point ofFIG. 5A.

FIG. 5C shows a perspective view of the attachment point ofFIG. 5A.

FIG. 5D shows a back view of the attachment point ofFIG. 5A.

FIG. 6A shows a perspective view of a temporal brow lifting device according to an embodiment of the present invention.

FIG. 6B shows a front view of the device ofFIG. 6A.

FIG. 6C is a side view of the device ofFIG. 6A.

FIG. 7A shows a perspective view of a temporal brow lifting device according to another embodiment of the present invention.

FIG. 7B represents a side view of the temporal brow lifting device ofFIG. 7A

FIG. 8 is a schematic view of the temporal brow lifting device according to an embodiment of the present invention, being used in a brow-lift procedure.

DETAILED DESCRIPTION OF THE INVENTION

As used herein, the terms “temporal brow lifting device”, “brow lifting device”, or simply “fixation device” refer to an implantable tissue fixation device used in the brow lift surgery or similar surgical procedures. More specifically, these terms refer to device that maintains the elevation of the brow after surgical dissection is complete. The device will hold the tissue until healing or scar formation is complete. A non-exhaustive list of brow lifting surgical procedures includes direct brow lift, mid forehead lift, pretrichial lift, trichophyte lift, temporal lift, coronal lift, and endoscopic brow lift.

As used herein, the terms, “tines” or “prongs”, both, refer to the attachment points which are either sharp, i.e. able to separate tissue in a chosen use, or blunt, i.e. not able to separate tissue in that use. The attachment points may also be referred to as “barbs. Generally, the tines, prongs, or barbs penetrate into soft tissue and for a short distance. The attachment points preferably do not traumatize tissue in any major way, e.g., by penetration through a selected area of tissue to meet another device on the opposite side of the tissue.

Tangential Force as used herein refers to a force component which acts at parallel direction to the surface at a given point.

Normal Force as used herein refers to a force which acts at perpendicular direction to the surface at a given point.

The term “longitudinal”, as used herein, refers to an axis or direction in the plane of a device that is generally aligned with a vertical plane which bisects the device into symmetrical left and right halves.

The term “lateral” refers to the line, axis, or direction perpendicular to the longitudinal direction, which lies within the plane of the device. The length in the longitudinal axis and lateral axis, respectively, represent the length and width of a device.

The present invention may be used with all of the foregoing classes of brow lift surgical procedures. The tissue fixation device of the present invention is a temporal brow lifting and fixation device. In the embodiments described herein provides as an exemplary structure of a brow lifting device to be used for the temporal brow lift surgical procedure, however this is not intended to limit the claimed invention.

The present invention discloses an implantable tissue lifting and fixation device. More particularly, the present invention relates to a temporal brow lifting device, used to lift the brow and similar surgical procedures. The temporal brow lifting device of the present invention comprises of a bio-resorbable supportive backing having a curvilinear region and a tail end region.

The inventive device is specifically used for the temporal brow-lift surgical procedure. The curvilinear region of the device is configured to position the device at lateral orbital rim of the brow. The curvilinear region comprises of a plurality of attachment points protruding in a direction perpendicular to plane of the device. The plurality of the attachment points provides a multi-vector pull to the brow at an elevation position. The tail end region comprises of a plurality of cavities. The cavities present at the tail end region are used to secure the device at the desired position by suturing. The length of the tail region can be varied depending upon the desired use.

The invention also relates to a method of performing a brow lift surgery using the inventive device. The method includes setting brow tissue layer onto the plurality of the attachment points. The method also includes mobilizing the lateral brow, securing the device to the temporal fascia (TPF) and suturing it to the deep temporal fascia of the patient through cavities present in the tail region.

The present invention will now be described with reference to the accompanying drawings. The drawings are being used to illustrate the inventive concept and do not intend to limit the invention to the embodiments shown in them. The brow lifting device of the present invention will be described. More particularly, the present invention describes a device, which can be used for a temporal brow lift surgery of, both, male and female individuals. It is understood that the device of the present invention can be equally adaptable to be used in other types of tissue lifting surgical procedures.

Referring toFIG. 1A, a top view of atissue lifting device10 according to an exemplary embodiment of the present invention is represented. Thedevice10 has alongitudinal axis100 and alateral axis102 extends, respectively, along the length and width of the device. Thedevice10 has a frontcurvilinear region12, and a longitudinal opposedtail end region14. The embodiment shown inFIG. 1 is a temporal brow lifting device; however, this depiction is not intended to limit the invention.

The temporalbrow lifting device10, shown inFIG. 1, has acurvilinear end region12, and atail end region14. Thecurvilinear end region12 of the temporalbrow lifting device10 comprises a plurality of attachment points20 protruding from and preferably affixed to asupportive backing16. Preferably, the attachment points20 are provided on the top surface, while the bottom surface, as shown inFIG. 1B, is planer and devoid of an attachment point. Thetail end region14 is provided with a plurality ofcavities18, so as to secure the device by suturing it at the desired temporal position of the patient's fascia.

The shape and size of thecurvilinear region12 varies depending upon the type and mode of usage. Thecurvilinear region12 is configured to position the device onto the brow's lateral orbital rim of the user. Generally, male brows are parallel to the orbital rim or slightly lower, while female brows are higher in position than a male brow, and lay parallel to or above the level of the rim. The temporal brow lifting design for male has a longer curvilinear region while the female design is slightly smaller. In an embodiment, a temporal brow lifting device, preferably used for the male user, is provided with a curvilinear region having a lateral length, as shown inFIG. 1A as122, of 40 mm. In another embodiment, a temporal brow lifting device, preferably used for the female user, is provided with a curvilinear region having a lateral length of 30 mm. Alternatively, variations in size of the curvilinear region of the temporal brow lifting device can be made and are within the scope of the present invention.

Thesupportive backing16, generally, is made of a bio-resorbable material that can have the structure of a mesh, net, or lattice. The extent of porosity or total surface area may be used to control the absorption rate of the device, and may also be used to optimize the strength-to-mass properties of the device, increasing the section modulus of structural cross-sections per unit mass. The backing structure may comprise partial folds, waves, or grooves to help hold tissue against both surfaces of the backing.

Materials such as biodegradable polymers are preferably used to construct the backing and attachment points. Polymers synthesized from monomers comprising esters, anhydrides, orthoesters, and amides are particularly suitable for biodegradation. Examples of biodegradable polymers are polyglycolide, polylactide, poly-.alpha.-caprolactone, polydiaxanone, polyglyconate, polylactide-co-glycolide, and block and random copolymers of these polymers. Preferably, copolymers of glycolic, lactic, and other .alpha.-hydroxy acids are highly desirable. The inflammatory response to these polymers is minimal, and they have been safely used in suture materials, stents, drug delivery devices, orthopedic fixation devices, and intestinal anastomotic rings. An example of an inventive device may be made of two or more types of polymers or copolymers (or molecular weights of the same polymer or copolymer). For instance, the backing material might be produced from a more flexible polymer and the points or tines of a stiffer material.

One resorbable material used in the inventive device is products marketed by Biomet, Inc. (Warsaw, Ind.) under the trademark LACTOSORB®™. LACTOSORB®™ is an absorbable co-polymer synthesized from all natural ingredients: 82 percent L-lactic acid and 18 percent glycolic acid. Unlike the homopolymers in common use, such as 100 percent poly-L-lactic acid (PLLA) or 100 percent poly-glycolic acid (PGA), LACTOSORB®™ co-polymer is substantially amorphous (i.e., without crystallinity), meaning that its degradation is uniform, precluding the crystalline release most often associated with degrading homopolymers that have been associated with inflammatory reactions. Furthermore, the LACTOSORB®™ co-polymer ratio permits the polymer to retain most of its strength for six to eight weeks, which is appropriate for healing, but not so long as to raise concerns about long-term stress shielding. It should also be understood that any other type of resorbable material may also be used herein.

The shape of the attachment points20 or tines can be varied depending, e.g., on the area of the body involved and the type of tissue requiring closure or reapproximation Referring toFIGS. 2A-2E, various shape of the attachment points or tines are represented. As shown inFIG. 2A, thetines220 have awide base230 that supports aprojection222 against the degree of tension required to close a wound or approximate tissue. For example, the attachment points can be erect tines as shown inFIG. 2A-232 andFIG. 2B-234, canted tines (FIG. 2C-236), canted arrowheads (FIG. 2D-238), canted hooks (FIG. 2E-240), or may have a shape configured to create a tangential force. Furthermore, the tip of the attachment points can be varied, as shown inFIGS. 3A-3C. The tips can be barbed as shown inFIG. 3A-300, arrowhead (double-barb) shown inFIG. 3B as302, or a faceted tip shown inFIG. 3C as304. The faceted tip is preferably desired when the force to penetrate tissue is normal to the tissue surface.

The connection of the attachment point or tine or prong to the backing may be rounded or filleted, or the backing built-up around the prong, to reduce structural stress concentrations. All edges of the device may be smooth except where sharpness is needed at the tip of the prong to pierce into the tissue. Once the prongs pierce into the tissue, the tissue may become supported against the backing to minimize additional piercing or irritation by the prong tip. The device may be molded, stamped, machined, woven, bent, welded, or otherwise fabricated to create the desired features and functional properties.

Structural variations can also be made to the supportive backing of the device. As shown inFIG. 4A, the attachment points420 can be integral and protruding outward from the plane to the supportive backing. Alternatively, as shown inFIGS. 4B and 4C, the attachment points420 may also connect tostrips450 of the same material as the attachment points which are then secured to asupportive backing416. Further, as shown inFIG. 4D, the supportive backing may also be comprised of asolid material406 instead of a porous material.

The attachment points20 are provided with a shape of erected tines and are perpendicular to the plane of the supportive backing. Alternatively, the attachment points can be provided as projections having an angle elevation, towards the tail end region of the device. Further, position of the individual attachment point on the supportive backing can vary. However, the attachment points are placed in density so as to optimally space relative to one another. The density of the attachment points, placed on the supportive backing, is depended on the type and ease for securing tissue to attachment points and on the distribution of loads generated by the attached tissue over each of the attachment points. Furthermore, the individual attachment points may be of varying sizes and angles depending upon the desired securing effect.

The spacing between individual points can be functional in that the number, density, and placement of points are optimized to evenly distribute the loads, e.g., shearing forces and bending moments, generated by the attached tissue layer in a brow-lift procedure. Moreover, attachment points are preferably configured to penetrate partially through the soft tissue. For instance, the sharpness of attachment points is such that they allow easy penetration through the tissue layer.

Referring toFIGS. 5A-5D, a preferred variation for an attachment point on a temporal brow lift device is shown.FIG. 5A shows a top view of asingle attachment point520 having a sweptface552.FIG. 5B is a side view ofattachment point520 comprising distalpointed end522 and proximalbase end524.FIGS. 5C and 5D, represents the back view and perspective view, respectively, of the attachment point shown inFIG. 5A. Although any variations of attachment points discussed above may be used on the temporal brow lift device, this variation is preferable because it is able to readily pierce tissue through and simultaneously secure the tissue solidly by resisting any bending moments. In particular, sweptface552 can be specifically faceted so that it is preferably oriented to be essentially perpendicular to the plane of the tissue being penetrated, even though the tine axis defined byattachment point520 may not be perpendicular to the plane of the tissue or scalp.

The attachment points520 can be manufactured separately and attached, however, preferably the attachment points are made integral with the temporal brow lifting device. Integrating the attachment point(s)520 with the backing not only provides uniformity in material type but also eliminates contact interfaces, which in turn may provide superior material strength and resistance to bending.

The attachment points520 are preferably manufactured or attached so that they are all substantially erected perpendicular to the plane of the supportive backing. However, the attachment points are faceted such that the tips of attachment points520 are effectively perpendicular to the tissue to be penetrated. Attachment points520 may also be manufactured or assembled so that they point in different predetermined directions, depending on the desired application. Furthermore, attachment points520 can optionally be made of varying sizes.

Referring toFIG. 6A, a perspective view of a temporal brow lifting device according to an embodiment of the present invention is shown. The temporal brow lifting device comprises asupportive backing616 having a shape of acurvilinear end region612 and atail end region614. Thesupportive backing616 comprise of adistal surface615 and aproximal surface617. Thedistal surface615 of thesupportive backing616 provides a platform for attaching the plurality of attachment points620, while theproximal surface617 provides a base for placement of the temporalbrow lifting device610 into the patient's body. The plurality of attachment points620 distributes tension over the contact area between the temporal brow lifting device and the tissue layer. The tension or forces, generally, are also distributed in the tissue and in the supportive backing parallel to the interfaces between the tissue and the device.

Referring toFIG. 6B, a front view of the temporalbrow lifting device610 is shown. The plurality of the attachment points620, also called “tines” or “prongs”, are integral to thesupportive backing616. The attachment points are projecting perpendicular to the plane of the device. The plurality of the attachment points allows lifting of brows in the multi-vector direction, resulting in a smother and uniform lifting pattern.

Referring toFIG. 6C, a side view of the temporalbrow lifting device610, is shown. The plurality of the attachment points620, integral to thesupportive backing616. The attachment points are provided on thedistal surface615 of thesupportive backing616, while theproximal surface617 is planner and devoid of an attachment point.

Referring toFIG. 7A, a perspective view of a temporal brow lifting device, according to another embodiment of the present invention is shown. The temporalbrow lifting device710 comprises of asupportive backing716 having adistal surface715 and aproximal surface717. Thesupportive backing716 comprises of acurvilinear end region712 and atail end region714. Thecurvilinear region712 further comprises of a plurality of attachment points720 protruding from thedistal surface715 of thesupportive backing716.

Referring toFIG. 7B, a side view of the temporalbrow lifting device710 is shown. The attachment points are protruding at an angle elevation in parallel direction towards the tail end region. Theattachment point720 comprising a distalpointed end722 and aproximal base end724. Theattachment point720 of the present embodiment is manufactured separately and attached to thesupportive backing716. Theattachment point710 is affixed to thesupportive backing716 from theproximal base724 of the attachment point.

Referring toFIG. 8, a device being used for the temporal brow lifting surgical procedure, according to an embodiment of the present invention is shown. The temporal brow lifting device810 is designed to place against the brow of the user in a low profile to provide a brow lift. The temporal brow lifting device810 is comprises of a curvilinear end region and a tail end region. The tail region extends from the mid-portions of the device, and comprises of a plurality ofcavities818. The cavity on the tail region is used to secure device at the desired elevated position. The temporal brow lifting device810, generally, inserted under a patient'sbrow833 while securely interlocking a small portion of the brow to the device preferably via a plurality of attachment points820. After dissection of the lateral orbital rim ofbrow835, a tissue layer of brows837 is raised over the attachment points820 to lift the brow. The temporal brow lifting device810 is secured into the deep temporal fascia by suturing it through thecavities818 of the tail region.

Various other embodiments are possible within the spirit of the invention and the aforementioned examples and embodiments are just meant to be for explanatory purposes, and in no way intend to bind the invention in any manner. The temporal brow lifting device of the present invention can be made from various kinds of materials available in the field and can be applied in brow lift surgical and similar surgical procedures known to a person skilled in the art. The invention intends to cover all the equivalent embodiments and is limited only by the appended claims.

Claims

1. A tissue lifting device comprising:

a supportive backing having a proximal surface and a distal surface, said supportive backing comprising:

a curvilinear region; and

a tail region;

wherein said curvilinear region comprises of a plurality of attachment points protruding from the distal surface of said supportive backing, and

wherein said tail region comprises of a plurality of cavities to secure said device into deep temporal fascia.

2. The tissue lifting device as claimed inclaim 1, wherein said supportive backing comprises of a bio-resorbable material.

3. The tissue lifting device as claimed inclaim 2, wherein said bio-resorbable material comprises a polymer or copolymer.

4. The tissue lifting device as claimed inclaim 3, wherein said polymer or copolymer comprises one or more materials selected from the group consisting of polyglycolide, polylactide, poly-alpha-caprolactone, polydiaxanone, polyglyconate, polylactide-co-glycolide, their mixtures, alloys, and random and block copolymers.

5. The tissue lifting device as claimed inclaim 1, wherein said supportive backing comprises porous material.

6. The tissue lifting device as claimed inclaim 5, wherein said porous material comprises a mesh, net, or lattice.

7. The tissue lifting device as claimed inclaim 1, wherein said supportive backing comprises a solid material.

8. The tissue lifting device as claimed inclaim 1, wherein said curvilinear region has a lateral length in the range of between 50 mm and 20 mm.

9. The tissue lifting device as claimed inclaim 8, wherein said curvilinear region has a lateral length in the range of between 45 mm and 25 mm.

10. The tissue lifting device as claimed inclaim 9, wherein said curvilinear region has a lateral length in the range of between 40 mm and 30 mm.

11. The tissue lifting device as claimed inclaim 1, wherein said attachment point comprises of a bio-resorbable material.

12. The tissue lifting device as claimed inclaim 11, wherein said bio-resorbable material comprises a polymer or copolymer.

13. The tissue lifting device as claimed inclaim 12, wherein said polymer or copolymer comprises one or more materials selected from the group consisting of polyglycolide, polylactide, poly-alpha-caprolactone, polydiaxanone, polyglyconate, polylactide-co-glycolide, their mixtures, alloys, and random and block copolymers.

14. The tissue lifting device as claimed inclaim 1, wherein said attachment points are varied in density on said curvilinear region.

15. The tissue lifting device as claimed inclaim 1 wherein said attachment points are varied in length on said curvilinear region.

16. The tissue lifting device as claimed inclaim 1, wherein said plurality of attachment points having a shape selected from the group consisting of canted tines, erect tines, canted hooks, canted arrowheads, erect barbed tipped tines, canted barbed tipped tines, erect arrowhead tipped tines, canted arrowhead tipped tines, erect nail-shaped tines, canted nail-shaped tines, and cheese grater-like tines.

17. The tissue lifting device as claimed inclaim 1, wherein said attachment points each define a facet configured to be perpendicular to a plane defined by tissue to be pierced by said attachment points.

18. The tissue lifting device as claimed inclaim 1, said supportive backing comprises a plurality of open through which a plurality of attachment points are affixed.

19. The tissue lifting device as claimed inclaim 15, wherein said plurality of attachment points are secured to said supportive backing by a flange or hub.

20. The tissue lifting device as claimed inclaim 1, wherein said device is used to perform a temporal brow lifting surgery.

21. A method of tissue lifting in a temporal brow-lift surgical procedure, said method comprising the steps of:

a) setting tissue or layer of tissue to be approximated on a tissue lifting device comprising:

a supportive backing, said supportive backing comprises of a curvilinear region, and a tail region, said curvilinear region comprises of a plurality of attachment points extending from said supportive backing, and said tail region comprising a plurality of cavities;

b) mobilizing said tissue or layer of tissue via said tissue lifting device; and

c) securing said tissue lifting device to a deep temporal fascia.

22. The method as claimed inclaim 21, wherein said tissue or layer of tissue comprises brow tissue.

23. The method as claimed inclaim 21, wherein said tissue or layer of tissue in said step a) is set on said tissue lifting device via said plurality of attachment points.

24. The method as claimed inclaim 21, further comprising a preliminary step of cutting said tissue or layer of tissue by a predetermined length.

25. The method as claimed inclaim 24, wherein said tissue or layer of tissue in said step b) is mobilized by said predetermined length.

26. The method as claimed inclaim 21, wherein said tissue lifting device in said step c) is secured to said deep temporal fascia via said cavities of the tail region.

27. The method as claimed inclaim 26, wherein said tissue lifting device is secured by suturing via said cavities of the tail region.

28. A method of tissue lifting in a brow-lift surgical procedure comprising:

a) securing a tissue lifting device to a deep temporal fascia, said tissue lifting device comprising:

b) mobilizing tissue or layer of tissue to be approximated towards said tissue lifting device; and

c) setting said tissue or layer of tissue onto said tissue lifting device.

29. The method as claimed inclaim 28, wherein said tissue or layer of tissue comprises brow tissue.

30. The method as claimed inclaim 28, wherein said tissue or layer of tissue in said step c) is set on said tissue lifting device via said plurality of attachment points.

31. The method as claimed inclaim 28, further comprising a preliminary step of cutting said tissue or layer of tissue by a predetermined length.

32. The method as claimed inclaim 31, wherein said tissue or layer of tissue in said step b) is mobilized by said predetermined length.

33. The method as claimed inclaim 28, wherein said tissue lifting device in said step a) is secured to said temporal fascia via said anchoring post.