The Russian Threads are used to do light liftings in the soft tissues in face and neck (Soft-Lifting in Face and Neck), although tried to use with poor results to lift sagging buttocks and breasts (ptosis). Russian threads are also known as Apto Threads.

How Russian Threads procedure is practiced

A polypropylene material is used in the form of serrated surgical thread caliber 2-0, which is biocompatible, inabsorvible, with minimal tissue reaction and high durability.

It´s placed by percutaneous way under local anesthesia and intravenous sedation using a special hollow needle known as firing-pin, placing the thread (through fatty tissues below the skin surface) to the place fallen and lifting it to the desired location, anchoring the thread right there, achieving lift the fallen tissues.

The procedure is known as Soft-Lifting and it was designed by the Sulamanidze brothers in 1999. The Russian Threads are using in ambulatory patients.

Russian Threads are indicated in middle-aged people, irrespective of sex, with slight skin sagging without fall of deep tissues.

Possible Complications

Among  the complications that can occur in a very small number of patients, are the following:

  • Bleeding, hematomas and seromas
  • Infection
  • Thread Extrusion (due to very superficial placement)
  • Foreign-body granulomas
  • Thread rejection

However, with proper care and control, evolution tends to be very satisfactory.


The recovery is fast, the patients can make their normal lives after the first week and they must use an elastopresotherapy strip the first fifteen (15) days of post-operative time.

Not practice lymphatic drainage massages, due to the surgical threads may get off easily from tissues.

The patients should not gesturing, yawning or laughing strongly for 3 days, and must wait 8 weeks for exposure to the Sun, heat, go to beaches or physical exercises.

Without complications, the final result is very rewarding.

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