The aging face has sagging tissues that have previously been treated with surgical facelift, brow lift, and neck lift. The use of APTOS threads, polypropylene or metallic with unidirectional cogs or sharp edges, allows the gathering of the soft tissues, creating lift and volume contouring.
The technique is simple, with insertion of the threads in the desired positions with a long injection needle as a guide. The results of the lifting are excellent and long-lasting.
AN AGING FACE is characterized by uneven, focal ptosis of the soft tissues of the infra- orbital, zygomatic, buccal, mental, and submental areas.
We consider various treatment ways.
APTOS threads have been used since 1999. One hundred patients were treated, ranging in age from 22 to 77 years. Women consisted of 94.4% of the patients. Independent intervention with the threads was performed on 130 patients and 27 patients had additional procedures at the same time.
The technique of lifting sagging tissues of the aging face is performed with the new suture material “APTOS”(11), made of a biocompatible metal, polymeric, or biological material. The smooth thread is manufactured with dents (cogs) that create slanting edges with sharp ends.
Usually local infiltration is used with a thin- gauged needle:
1% lidocaine solution in the area of entry and exit of the guide and along the passage in the fat. Average use is 0.5–0.7 cc for one threats.
The guide needle is placed through the skin, along the preliminarily marked contour at the required depth, and brought out at the exit point. The thread is threaded through the needle with the converging cogs and the needle removed.
The bottom line
The operation with APTOS threads is easy and quickly performed. Rehabilitation is short term, although mimic and chewing movements should be avoided for 2–3 weeks. The final outcome can be visualized on the operating table at the conclusion of the procedure. Indications for use of the thread include any problem causing ptosis of the tissues of the face and neck with flabby, flat face, and poor aesthetic contours.