Facial lifting with Aptos methods（3）
However, in recent years（in 2002）we have returned to the idea of using a single product - a needle with thread, but the suggested suturing material was different from previous modifications by two needles to which one thread end was attached; the thread had diverse prominences and needles were paired by temporary commissure; thus their spikes would constitute a single point. Such device allowed for double increase of the thread lever and, therefore, allowed for increase of power and lifting stability. The idea of paired needles and new surgery techniques was an important innovation, which allowed for positioning threads without cuts, via simple puncture, since surgeons received an opportunity to introduce two needles with a single point, split them subcutaneously at the needed depth and pull them in different directions afterwards. This method of surgical invasion and the relevant product was called the Aptos Thread [Figure 4].
It was later noticed that in some cases of rejuvenation and lifting surgeries, the threads with prominences alone, did not always lead to desirable long-lasting outcomes and additional lift and suture by smooth threads was also needed. Therefore, in the next stage of our research, a double-edged needle with the smooth suturing thread, attached to the needle in its central area - called Aptos Needle was created in 2003. This thread allows for double patency and also ensures introduction of the thread underneath the skin and subcutaneous suturing of soft tissues, without a skin retraction or a lifted stitch [Figure 5]. Further Aptos Needle modifications allowed for development of effective non-invasive aesthetic surgeries for suturing and lifting of soft tissues of the cheek, submaxillary and cervical areas（2003）, chin, ptotic breast（2004）and slack shoulder tissues（2005）.
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