Soft lifting by APTOS threads

The aging face is known to be characterized by uneven, focal ptosis of the facial soft tissue, thus distorting the relief. Until very recently, the main methods surgeons have been using in cases like this were limited to a classic operation on wrinkles up-lifting, and contour plasty with silicone implants. Aim. To improve the cosmetic surgical outcome in patients suffering from facial-tissue ptosis, by means of a new specially designed suturing material, to simplify the procedure, to decrease severity and duration of the rehabilitation period. Methods. We have developed a method of up-lifting flabby soft tissue of the aging face, and stable fixation thereof in a new, and more aesthetically advantageous position, by means of a new special thread patented and termed „aptos“ (RF patent # 2139734, International Priority PST/RU 99/00263 as of July 29^th, 1999). The thread is made of a metal, polymeric or biological material, on which variously directed slant cogs with pointed ends are created during production. When inserting the aptos thread into subcutaneous fat, these cogs provide even, stable gathering and up-lifting of sift tissues, thus creating a new volumetric contour. Results. During the last 4 years (1998–2001), we used this method for treating over 400 patients. In the overwhelming majority of cases, the outcomes satisfied both the surgeons, and the patients. Inconsiderable complications and unsatisfactory outcomes were observed only in the initial period of using this method when it was tested. We easily managed to remove them without difficulty later on. Conclusion. The method of up-lifting the flabby facial tissue with the help of aptos threads is simple to use, leaving no traces, is low-invasive, and is well tolerated by the patients. At the same time, it really is an effective means to treat the flabby, aging face, and can therefore be successfully used instead of traditional operations of ritidectomy.