APTOS threads

There is a new technique that involves inserting barbed or spiral threads under the skin to tighten sagging tissue (Figures 29.12 and 29.13). These are known as Aptos threads or Russian threads, as in their current form they were designed by a Dr M Sulamanidze from Moscow. " The Aptos threads are inserted deeper than the phenol penetrates there is therefore no risk of interaction between the phenol, and the thread that would, in any case, resist it chemically. 

It is therefore preferable not to insert Aptos threads at the same time as performing a phenol peel. 

Moreover, phenol partially tightens the skin, and it may well be more worthwhile using Aptos threads as a second line of treatment, when the phenol has taken full effect, after at least three months. The presence of threads inserted in the skin several months previously is not a contraindication for a phenol peel, and it is possible to decide on the opposite course of action if the doctor thinks this is a better option for the patient Aptos threads can be inserted first and a phenol peel can be done afterwards. 

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