Removal of facial soft tissue ptosis with special threads

BACKGROUND. Facial aging leads to loss of structural integrity. OBJECTIVE. To develop a means of supporting ptotic facial tissue without facelifting. METHODS. Polypropyline sutures were modified by designing many dents along their lengths. These "APTOS" threads hold tissue firmly because of the sharp edges to the dents. These threads were used to lift facial tissue in 186 patients. RESULTS. APTOS threads proved successful in lifting various ptotic areas of the face, improving facial contour. Improvement persisted in most patients with follow-up of two months to 30 months. In four patient (2.5%) the thread failed. CONCLUSION. Lifting facial tissues using APTOS threads is simple, constructive, and time-saving. It avoids scars and the need for implants.