ArticlePlastic and reconstructive surgery. Global open2026
Minimally Invasive Suture-crossing Technique for Facial Contour Restoration Using Poly-l-lactic Acid/Polycaprolactone Aptos Threads.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Facial aging leads to progressive soft tissue descent, skin laxity, and loss of mandibular definition. Thread lifting has emerged as a minimally invasive approach to reposition and anchor tissues while stimulating collagen synthesis. This study presents a modified technique using Aptos Excellence Visage sutures with a strategic suture-crossing method to enhance cervicofacial contour. Methods: This retrospective study analyzed data from 22 participants who underwent the modified thread-lifting technique for cervicofacial rejuvenation. The procedure involved the insertion of 10 multidirectional barbed threads (5 per side) in a structured sequence, using a crossing pattern along the mandibular contour. Aesthetic outcomes were assessed using the visual analog scale for contour improvement and skin quality, combined with standardized 2-dimensional photography and 3-dimensional imaging for objective evaluation. Adverse events were systematically recorded. Results: High satisfaction was observed, with 90.9% of participants reporting significant improvements. Objective assessments confirmed enhanced mandibular contour and skin tightening. The procedure demonstrated a strong safety profile, with only transient edema and bruising, all resolving within 7 days. No cases of thread migration, persistent pain, or asymmetry were reported, supporting the predictability and stability of the technique. Conclusions: The modified thread-lifting technique offers a safe and effective solution for cervicofacial rejuvenation, combining immediate mechanical support with biostimulation. This approach provides a minimally invasive alternative for patients seeking natural, long-lasting aesthetic results. Further studies are warranted to confirm long-term efficacy.
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