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Updated: Jun 24, 2026

19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Summary
Nonsurgical facial and neck rejuvenation utilizes self-retaining barbed sutures like APTOS threads for lifting and WOFFLES threads for suspension. These innovative threads offer effective tightening, firming, and repositioning of facial tissues.
Area of Science:
- Aesthetic surgery
- Minimally invasive cosmetic procedures
Background:
- Self-retaining barbed sutures represent an advancement in nonsurgical facial and neck rejuvenation.
- Two primary types, short APTOS threads and long WOFFLES threads, are currently available.
Purpose of the Study:
- To describe the application of APTOS and WOFFLES threads for specific facial rejuvenation techniques.
- To detail the use of these barbed sutures in improving facial contour and addressing tissue ptosis.
Main Methods:
- APTOS threads were employed for malar (cheekbone) area rounding, facial tightening, and firming.
- WOFFLES threads were utilized as a sling to suspend ptotic facial tissues.
Main Results:
- The application of APTOS threads resulted in enhanced malar definition and improved facial firmness.
- WOFFLES threads effectively suspended sagging facial tissues by anchoring them to the temporal scalp.
Conclusions:
- Self-retaining barbed sutures, including APTOS and WOFFLES threads, provide effective nonsurgical options for facial and neck rejuvenation.
- These techniques offer solutions for contour enhancement and correction of facial ptosis.
