Aesthetic Plastic Surgery

, Volume 36, Issue 6, pp 1307–1310 | Cite as

Successful Treatment of Thread-Lifting Complication From APTOS Sutures Using a Simple MACS Lift and Fat Grafting

  • Stamatis Sapountzis
  • Ji Hoon Kim
  • Tzong-Shiun Li
  • Abid Rashid
  • Pedro Ciudad Cruz
  • Yoong Soo Hwang
Case Report Aesthetic


Facial soft tissue lifting with subdermal sutures has a significant attraction for physician and patient alike. The case report describes a 48 year old woman who presented with pain and discomfort over the left cheek after a thread-lift procedure with anti-ptosis (APTOS) sutures performed 13 months previously. The clinical examination showed extrusion of the APTOS thread (Aptos, Moscow, Russia) accompanied by slight soft tissue tightness and tenderness along its course to the temporal area, indicating complete removal of the thread. A simple minimal access cranial suspension lift was performed with the patient under local anesthesia to remove the subdermal sutures together with autologous fat grafting to enhance the aesthetic result. At the 1 year follow-up visit, no complications were reported, and the patient was entirely satisfied with the final result.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


APTOS Autologous fat grafting Facial soft tissue lifting MACS lift Subdermal sutures Thread-lift procedure 


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Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2012

Authors and Affiliations

  • Stamatis Sapountzis
    • 1
    • 2
  • Ji Hoon Kim
    • 3
  • Tzong-Shiun Li
    • 1
  • Abid Rashid
    • 1
  • Pedro Ciudad Cruz
    • 1
  • Yoong Soo Hwang
    • 2
  1. 1.China Medical University HospitalTaichungTaiwan
  2. 2.Lael-ClinicIncheonRepublic of Korea
  3. 3.Seoul National University Bundang HospitalSeongnamSouth Korea

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