Soft tissue retention devices, instrumentation and related methods are disclosed. The devices include a first member comprising a first head portion and a first threaded shaft portion extending from the first head portion that define a cannulated opening extending therethrough, and a second member comprising a second head portion and a second threaded shaft portion extending from the second head portion that define a cannulated opening that extends therethrough. The inner sides of the first and second head portions includes a row of teeth extending about the periphery thereof. The first head portion also includes a plurality of through holes positioned between the first threaded shaft portion and the row of teeth. The outer sides of the first and second head portions include non-circular drive openings. The instrumentation comprise a handle portion with a through aperture that allows for a user's finger to extend therethrough during an implantation procedure.