Facial lifting with Aptos methods（2）
The early threads were threads with unilateral prominences, which were attached to a long needle. According to markings made on the skin, we would pull several threads subcutaneously through the small cut in the temporal region, where the lower remainder of the thread together with the needle would be cut off after pulling it out off the skin and the upper end after moderate lifting would be sutured to the fascia of the temporal muscle [Figure 2]. The same method was used to lift soft tissues of the sub-maxillary and cervical areas with fixing the upper end of the thread to the periosteum of the mastoid. These methods were not fully satisfactory, the results were not long-lasting and also required cuts.
Later, a needleless thread was created; it had converging prominences and could be introduced subcutaneously through a conducting needle; it also needed a more simplified manipulation, without needing a significant incision [Figure 3]. Accordingly, the optimal skin marking was developed for each area of the face, with full consideration for different anatomical, functional and pathological features of the different areas and pathologies. This technique of thread lifting became popular very soon and came to be called the Aptos Thread.
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