APTOS Suture Lifting Methods: 10 Years of Experience

Evaluation of Elastic Lift for Neck Rejuvenation

“…Since Sulamanidze and Sulamanidze [2] suggested a minimally invasive procedure for face rejuvenation using bidirectional barbed sutures, numerous procedures have been developed. In 1976, Mitz and Peyronie [3] defined SMAS and developed the SMAS lift and soft tissue repositioning.…”

The Application of Barbed Sutures in Body Contouring Surgery

“…15 Extrusion, infection, and palpability have all been reported complications in the literature. 13,16 Long-term clinical outcomes have not proven to meet the theoretic advantages of barbed sutures in the face, and concerns about underreporting of actual complication rates have been raised, particularly with regard to potential suture breakage with dynamic facial movement and failure of the barbs from tension. 13,16 Barbed suture technology in face and neck rejuvenation has remained a niche treatment, and use of these sutures is currently "off-label" for this type of surgery.…”

“…Barbed sutures originally gained popularity in minimally invasive facelifting but have demonstrated questionable results in maintaining a stable, remarkable outcome. [13][14][15][16] The facelift barbed suture, applied with the use of a trochar, is primarily a 2-0 polypropylene, permanent suture and may have uni-or bidirectional barbs. The primary mechanism of action of these sutures in the face is purchase of the barbs opposite to the direction of pull, anchoring the tissues and maintaining suspension.…”

Experience in Preventive Measures and Treatment of Complications at Face and Neck Thread Rejuvenation

“…Complication and long-lasting side effects treatment include the achieved results correction (undercutting, implementation of absorbable fillers), elimination of eased and migrating threads, repeated thread or classical lift, physiotherapy, and massage [11,12].…”