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What is Aptos Thread Lifting and how does it work?

APTOS THREADS are revolutionary thread lifting methods to tighten and lift the skin of the face and neck areas giving you a youthful appearance by correcting jowls and loose skin folds.

During the procedure of APTOS thread lifting, the sagging tissues of the face and neck are repositioned and tightened effectively to offer you the most aesthetic facial contour and firmness.

APTOS thread lifting has won several awards in Europe, titled the “best tightening thread” and the “best clinical face in facial defect reconstruction.” It has been almost 25 years since the first Aptos thread and method has been introduced to the aesthetic world. It was first developed in 1996 by Dr. Marlen Sulamanidze. Aptos threads are currently available in 75 countries.

APTOS threads received USFDA approval status on 30th August 2020.

Table of Contents

Advantages of Aptos Thread Lifting

  • Minimally invasive alternative to surgical procedures.
  • No incisions or scarring.
  • Provides natural-looking lift and tone to the face, jowls, neck, and brow.
  • Stimulates collagen to improve the appearance of lax skin on the neck, arms, abdomen, and other areas.
  • Provides immediate, high-impact results that continue to improve over time as collagen forms around the threads.
  • Limited downtime post-treatment.
  • Long-lasting.
  • Treatment takes between 60-90 minutes.
  • Minimal downtime.
  • Suitable for all skin colors and types
  • Completed in less than one hour.

Skin Concerns Treated

Mid Face

Redefining the cheekbone contour, firming up the skin and giving a fuller appearance to the cheeks, and reducing the nasolabial folds.


To give an overall tightening effect including reducing sagging skin under the chin.


To lift the nasal tip, heighten the bridge, slimming of the dorsal ridge, and create the desired side and front profile.


To open up the eyes and raise the outer edge of the eyebrow.


To stimulate collagen and reduce the appearance of lines on the forehead.


To lift the corner of the eyes creating the popular Cat Eye or Fox Eye look.

Lower Jaw

To regain definition of the jawline and reduce jowls.

Frequent Asked Questions (FAQs)

Doesn`t “5 to 10 years younger” sounds perfect for a minimally invasive procedure`s result?!

Because that`s how you are going to look like after Aptos thread lifting

Right after the procedure, you might have slight swelling or overcorrection, but already in a few days, you will look like the pictures of yourself several years ago.

Compared to a traditional facelift surgery – which is perfect for a visible change, but also leaves scars and requires a long recovery period, after Aptos thread lifting, you will not find any signs of intervention or scars. And definitely will notice an improvement in skin texture, fine lines, and sagging skin.

Apply ice packs immediately after the procedure

  • Take analgetics in case of pain for 2-3 days
  • Refrain from applying make-up for a minimum of 24 hours
  • Sleep face up, in an elevated position for about 3-5 nights
  • Wash face gently without rubbing or massaging for 5-7 days
  • Avoid excessive face and neck movements for about 2 weeks
  • Avoid face and neck massages for 1 month
  • Avoid over-exposure to direct sunlight for 2 weeks
  • Avoid sports and exercise for 2 weeks
  • Do not use saunas for about 3 weeks
  • Avoid dental surgery for 3 weeks
  • The doctor will prescribe antibiotics if there is a substantial risk of infection

Follow your doctor`s recommendations and enjoy youthful skin!

The Aptos thread lift is a minimally invasive procedure and does not require general anesthesia to correct small areas such as the face and neck. General anesthesia is used for armoring and lifting of body (breast, buttocks, thighs, etc.)

In both cases, the thread lifting procedure is not associated with pain or other discomforts. After the preparation of the correction zone, the patient undergoes local anesthesia with an anesthetic solution, which is in action after a few minutes.

All that can be felt during the procedure is the insertion of the cannula but without any pain.

The procedure lasts about 15 minutes, leaves no scars or other marks, and does not require a long recovery.

Thread lifting is classified as a minimally invasive technique. However, minimally invasive procedures also involve some contraindications.

Below are the most common ones:

  • Allergy to plastic, biomaterial, non-absorbable fillers
  • Active acne or skin infection
  • Keloid predisposition
  • Auto-immune diseases: scleroderma, sarcoidosis, amyloidosis, etc.
  • Anti-coagulant medication: coumarin & heparin (aspirin)
  • Haemophilia
  • Hypertension stages 2 and 3
  • Severe diseases
  • Collagenosis
  • Neurological and mental disorders
  • Pregnancy, breastfeeding
  • Malignancy/Chemotherapy
  • Hepatitis B & C, HIV
  • Porphyria

In order to avoid complications, always honestly share your medical history with the doctor, and, if necessary, undergo the appropriate examinations.

And remember, your health comes first!

To be informed about any side effects before any manipulation is a must!

Even if it is a minimally invasive procedure when the needle touches the skin there is a possibility of side effects, although not everybody experiences them. Today we are sharing with you all types of side effects, what causes them, and how to fix or avoid them if possible.

  • Pain or discomfort during the first couple of days can be eased using any painkiller that works well for you.
  • Swelling is normal after any invasive procedure, it can vary depending on the procedure area or how intense the invasion was.
  • Temporal asymmetry is either caused by swelling of certain parts of the face or by intentional hypercorrection to compensate the natural asymmetry of the corrected area.
  • Transient rippling or dimple formation sometimes happens when the thread was inserted closer to the skin surface and will pass after the swelling comes off or can be fixed by a doctor.
  • Transient hematoma or bruising is also the normal effect after injection or thread lifting. It is temporary and to lessen or prevent the bruising the Ice pack application is recommended a couple of hours after the procedure.
  • Slight depression or skin irregularity can be caused by the above-mentioned swelling or hypercorrection, especially if the corrected area has extra skin.
  • Inflammation can be caused by improper preparation or holding of the procedure, touching the injection area with dirty hands, or as a system`s individual reaction. It`s also quite easy can be treated and avoided by prescribing antibiotics, only if needed. 

If you experience any side effects don`t hesitate to talk to your doctor.

One of the best things about Aptos thread lifting is that a specially trained doctor is always prepared to fix any of them during and after the procedure.

All of the possible side effects are well studied and have a whole range of treatment protocols to avoid any long-term complications.

There are more than 10,000 Aptos certified specialists around the world! How to find a doctor near you?

It is already well-know that thread lifting does not require general anesthesia and skin incisions.

Does this mean that any surgeon, cosmetologist, or specialist in a related profession can perform a thread lifting procedure?

Of course not.

Thread lifting affects the deep layers of the skin, so the procedure requires to be carried out by a professional with higher medical education and excellent knowledge of skin and subcutaneous anatomy. In addition, the doctor must also undergo appropriate trainings in thread lifting methods.

This is how we guarantee safe procedures and perfect results with Aptos thread lifting!

To help you find Aptos specialists easily and conveniently we’ve created Aconnect.

No special preparation is required prior to the Aptos thread lift.

However, it is recommended to discuss your expectations and ask your doctor any questions you have before the treatment. The patient selection criteria are a very important part of the thread lifting procedure.

The doctor must evaluate the patient`s face, considering their age, skin condition, the grade of ptosis, and asymmetries.

All these criteria are giving the specialist a possibility to decide which thread type and method from a wide range of Aptos products are suitable for a specific patient.

For example, in some patients, especially for those who have extra skin, heavy tissue, signs of III-IV degree ptosis is recommended to choose surgical methods or adjust their expectations with the possible thread lifting outcome. 

Inform the doctor of any treatment you have already received and of any medicines, you are currently taking. Perform the test for local anesthetic allergies if necessary.

The best results can be achieved in combination with proper skincare, device procedures, injectables (mesotherapy, biorevitalization, PRP), botulinum toxin, and fillers.

Ask your doctor which procedures will help you to prepare the skin before the thread lift, and which are great to maintain or prolong the effect.

The success of the thread lifting procedure depends on the correct selection of the patient.

Being on the verge of plastic surgery and cosmetology, thread lifting is able to solve a wide range of problems, in case the patient selection criteria are met.

Ideal candidates for thread lift include people with minimal signs of aging who need just a small lift. Usually, these are women and men between 30 and 55.

Right candidates are those patients who have:

  • the prominence of the jaw
  • a relaxed / sagging mid-facial appearance
  • slight bags under the eyes or on the neck
  • those who have had some relapse from a previous procedure such as a facelift or neck lift

Aptos methods can be used to treat various parts of the face and body:

  • Contours of the face
  • Jawline
  • Cheeks and mid-face area
  • Eyebrows
  • Neck
  • Breast
  • Arms
  • Abdomen
  • Buttocks
  • Inner thighs
  • Knees

Poor candidates:

  • Those patients who have excessively sagging skin at an advanced age will show a very limited improvement
  • Those patients who are obese, or have very heavy, rugged skin too will show no improvement. In these patients, thread lift can be combined with liposuction

Are you an ideal candidate for a thread lift?

Ideal candidates for thread lifts include people with minimal signs of aging who need just a small lift. Usually, these are women and men between 35 and 55.

Right candidates are those patients who have:

  • the prominence of the jaw
  • a relaxed/sagging mid-facial appearance
  • slight bags under the eyes or the neck skin ptosis
  • some relapse from a previous procedure such as a facelift or neck lift

Aptos methods can be used to treat various parts of the face and body:

  • Contours of the face
  • Jawline
  • Cheeks and mid-face area
  • Eyebrows
  • Neck
  • Breast
  • Arms
  • Hands
  • Abdomen
  • Buttocks
  • Inner thighs
  • Knees

Poor candidates are those patients who:

  • have excessively sagging skin at an advanced age, the procedure will show a very limited improvement
  • are obese, or have very heavy, rugged skin, the procedure will show no improvement. In these cases, thread lift can be combined with liposuction

Everyone will notice, no one is going to know!

What is the most pleasant about Aptos thread lifting results is the improvement of facial features and volumes without visible signs of intervention.

Unlike traditional surgical facelifts, Aptos threads rejuvenate the face without changing your natural features. Usually, soft tissues are just re-positioned to their original location. After a thread lift, you can typically expect to look like you did several years ago.

It has been almost 25 years since the first Aptos thread and method has been introduced to the aesthetic world. It was first developed in 1996 by Dr. Marlen Sulamanidze.

Aptos threads are currently available in 75 countries. Millions of threads are sold all over the world.

Aptos products comply with the requirements of European Pharmacopoeia. Products have a CE mark and FDA approval and the production is certified according to ISO 13485, that guarantees the quality throughout the entire manufacturing process.

As there is no cutting of the skin and only a local anesthetic is used, the procedure is considered less complicated than a full surgical face lift.

For thread lifting, a strict procedure protocol has been developed, which implies compliance with septic and antiseptic standards for minimally invasive interventions. Compliance with all recommendations, numerous studies and the composition of the thread ensures the minimization and prevention of any complications and unwanted consequences from the procedure.

It is important to remember that thread lifting can only be performed by a licensed doctor who has undergone special Aptos training.

It all started with an idea …

The history of Aptos development goes back to 1987, when the Georgian plastic, reconstructive surgeon Marlen Sulamanidze was inspired by the idea of ​​avoiding a long rehabilitation period and reducing the risks associated with traditional interventions of plastic surgery.

Now the Aptos product line is a large selection of threads of different composition, shape, and purpose.

Aptos threads are made of both non-absorbable (polypropylene) and absorbable (poly-L-lactic acid + caprolactone) material. Polypropylene threads are used in surgery as a suture material for more than 50 years, as well as Polylactic threads which are composed of fully absorbable, non-allergic material.

Last year Aptos inventors presented a revolutionary new formula of thread composition – the 3rd Generation Aptos Thread with Hyaluronic Acid.

An improved formulation ensures additional benefit for the skin, provides less traumatic procedure, faster rehabilitation. Skin elasticity and texture improvement are visible right after thread implantation.

Why Choose Us ?

As one of the Leading Aesthetic Clinic in Malaysia, NextMed Clinic provides top-notch procedures by Certified Medical Practitioners. Whatever your concerns, be it enhancing your natural features or reversing the signs of aging, NextMed Clinic is able to deliver a wide range of quality, state of art & personalized aesthetic, general health services & wellness solution, merged with exemplary service, in a warm and pleasent enviroment designed to make you feel completely at ease.

At NextMed Clinic, we strongly believe that each patient is unique. Therefore treatments are customized to each patient’s specific needs.

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