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

Abstract

Facial soft tissue lifting with subdermal sutures has a significant attraction for physician and patient alike. The case report describes a 48year old woman who presented with pain and discomfort over the left cheek after a thread-lift procedure with anti-ptosis (APTOS) sutures performed 13months 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 1year follow-up visit, no complications were reported, and the patient was entirely satisfied with the final result. 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 www.springer.com/00266 .