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The Nonsurgical Thread Lift for Facial Rejuvenation


Barbed suture lifting is a minimally invasive surgical technique for facial rejuvenation. Aging of the face and neck results in ptosis of soft tissues and the appearance of more prominent facial lines. For correction of these changes, surgeons are devising more procedures with fewer incisions and shorter postoperative recovery periods. Many of these procedures use absorbable and nonabsorbable sutures in the dermis and subcutis to lift lax skin. Limitations of these implants have included the protrusion of sutures through the skin and asymmetry of the cosmetic effect, often requiring correction with additional sutures, and limited durability of effects.


  • Hyaluronic Acid
  • Polylactic Acid
  • Lateral Neck
  • Cosmetic Effect
  • Medial Face

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  • DOI: 10.1007/978-3-319-23270-6_11
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  1. Chaffoo RA (2013) Complications in facelift surgery: avoidance and management. Facial Plast Surg Clin North Am 21:551–558

    CrossRef  PubMed  Google Scholar 

  2. Giampapa VC, Di Bernardo BE (1995) Neck recontouring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate. Aesthetic Plast Surg 19(3):21–23

    CrossRef  Google Scholar 

  3. Helfrich YR, Sachs DL, Voorhees JJ (2008) Overview of skin aging and photoaging. Dermatol Nurs 20:177–183

    PubMed  Google Scholar 

  4. Lycka B, Bazan C, Poletti E, Treen B (2004) The emerging technique of antiptosis subdermal suspension thread. Dermatol Surg 30(1):41–44

    PubMed  Google Scholar 

  5. Nkengne A, Bertin C (2012) Aging and facial changes– documenting clinical signs, part 1: clinical changes of the aging face. Skinmed 10:284–289

    PubMed  Google Scholar 

  6. Sasaki GH, Cohen AT (2002) Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years’ experience). Plast Reconstr Surg 110(2):635–654

    CrossRef  PubMed  Google Scholar 

  7. Silva-Siwady JG, Diaz-Garza C, Ocampo-Candiani J (2005) A case of Aptos thread migration and partial expulsion. Dermatol Surg 31(3):356–358

    CrossRef  CAS  PubMed  Google Scholar 

  8. Sulamanidze MA, Sulamanidze G (2008) Facial lifting with Aptos methods. J Cutan Aesthet Surg 1(1):7–11. doi:10.4103/0974-2077.41149

    CrossRef  CAS  PubMed  PubMed Central  Google Scholar 

  9. Sulamanidze MA, Sulamanidze G (2009) APTOS suture lifting methods: 10 years of experience. Clin Plast Surg 36(2):281–306. doi:10.1016/j.cps.2008.12.003, viii

    CrossRef  PubMed  Google Scholar 

  10. Sulamanidze MA, Fournier PF, Paikidze TG, Sulamanidze GM (2002) Removal of facial soft tissue ptosis with special threads. Dermatol Surg 28(5):367–371

    CAS  PubMed  Google Scholar 

  11. Sulamanidze MA, Paikidze TG, Sulamanidze GM, Neigel JM (2005) Facial lifting with “APTOS” threads: featherlift. Otolaryngol Clin North Am 38(5):1109–1117

    CrossRef  CAS  PubMed  Google Scholar 

  12. Sulamanidze MA, Sulamanidze G, Vozdvizhensky I, Sulamanidze C (2011) Avoiding complications with Aptos sutures. Aesthet Surg J 31(8):863–873

    CrossRef  PubMed  Google Scholar 

  13. Villa MT, White LE, Alam M, Yoo SS, Walton RL (2008) Barbed sutures: a review of the literature. Plast Reconstr Surg 121:102e–108e

    Google Scholar 

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Correspondence to Roberta Lovreglio MD .

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Lovreglio, R., Fabbrocini, G., Delfino, M. (2016). The Nonsurgical Thread Lift for Facial Rejuvenation. In: Fabbrocini, G., De Padova, M., Tosti, A. (eds) Nonsurgical Lip and Eye Rejuvenation Techniques. Springer, Cham.

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