By Dr. Fouad Reda

  As years go by, it is not only the skin of the face that starts to show signs of age, but the skin on other parts of the body as well. Cellular and tissue structures change, leading to the loss of skin elasticity and tightness. Skin dehydrates and loses its moisture. Collagen production goes into decline, the skin is no longer toned, and the epidermis wears thin. However, modern-day medicine can now offer a new minimally invasive treatment method using APTOS Threads . Bio-absorbable Caprolactone threads with microscopic cogs which are inserted in the hypodermis of the sagging areas. Caprolactone is a wide approved component to create absorbable surgical thread. Therefore, the method ensures Bio-compatibility and safety.   What is minimal invasive surgical vaginal tightening with APTOS Threads? Women age, the skin of the vagina loses its elasticity and vitality as collagen fibers become fatigued. Just as cosmetic procedures have been used for decades to improve facial skin and to restore its youthfulness, minimally invasive surgical vaginal tightening with APTOS threads improves the health and vitality of vaginal tissue. Loss of elasticity and strength in vaginal tissue occurs for a number of reasons, including: • Aging • Smoking • Obesity • Childbirth • Hysterectomy • Surgery • Episiotomy These events replace the skin’s natural collagen with fibers that do not recoil or stretch properly. Vaginal tightening with threads is a cosmetic procedure that restores the appearance and function of the vaginal area.   What does tightening and rejuvenating the vagina and perineum mean: The perineum is the part of the surface of the human body between the anus and the external reproductive organs. A woman's perineum lies between the labia majora and the anus. It is a body covered in skin and made of muscle and fascia tissue, with a length of about 3-4 cm. The muscles are arranged in three layers, form the pelvic floor which supports the internal reproductive organs . Of great importance are the sphincters of the anus, which tighten the orifices of the rectum and the vagina. If the muscles of the perineum or pelvic floor are damaged, the reproductive organs can sag or fall out, the bladder and the rectum might droop as well. In such a case, corrective surgery of the perineum muscles and the vagina is necessary. A Vaginoplasty is a plastic surgery that aims to tighten and rejuvenate the tissues of the vagina and pelvic floor (perineum) and recover the lost joy of sexual life. Such procedures are usually necessary for women who's vaginal tissues have lost their tone and elasticity due to childbirth, trauma or congenital pathology. This can have a big influence on both a woman's and her partner's sexual life. The vagina and perineum tightening and rejuvenation procedure with APTOS Threads has a dual effect: • The anatomy of the perineum, the vulva, is reconstructed. • The long-term effect of the Threads is that new collagen is produced around the thread, forming fibrous tissue and strengthening the pelvic floor.   When can you use APTOS Threads? • If the vagina or perineum ruptures after childbirth; • In the case of prolapsed vagina; • For perineum reconstruction after episiotomy; • For rejuvenating the tissues of the vulva. Why APTOS Threads , What are the benefits of this procedure? • This technology helps to reconstruct the aesthetic and functional condition of the female reproductive organs; • Minimally invasive; • Fast recovery. Compared to the standard plastic surgery conducted on the perineum, this procedure offers more benefits: • the procedure is conducted on an out-patient basis, • the procedure lasts only 20 to 30 minutes, • it does not require general anesthesia, just local anesthesia. • it is minimally invasive.   The effect of the vagina and perineum tightening and rejuvenation procedure with APTOS threads is dual: Not only does the procedure reconstruct the anatomy of the perineum and the vagina, but it also helps to achieve long-term results. Collagen is produced, creating fibrous tissue which ensures the long-term strength and elasticity of the pelvic diaphragm. The Threads are used at such a depth as necessary for the desired effect, whether it be to reconstruct the anatomy of the perineum or to tighten it. The post-operative period lasts about 3-5 weeks, depending on the extent of the surgery. During this healing period, the patient might feel a slight tightness and sensitivity of her vaginal and perineal tissue. It is also necessary to abstain from sexual relations and to limit physical activity. The vaginal tightening and rejuvenation procedure can be conducted on both women who have given birth and women who have not. This quick and simple procedure allows women to regain their confidence.   VAGINAL TIGHTENING indications : • Revirgination • Vaginal tightening • Perineal reconstruction after episiotomy postpartum • Perineal reconstruction after lacerations from childbirth Vulvar tissue lifting VAGINAL TIGHTENING works in two ways : by immediately pulling the tissue by mechanical action and by generating a strong secondary fibrotic reaction that leads to the formation of the so-called “secondary vector of pull”. The effect given by fibrosis remains even after the total absorption of the thread, ensuring a permanent and lasting result over time.
What you need to know about the non-surgical treatment If you are looking for a non-surgical way to get younger look again, then fastest-growing anti-ageing treatment could be the answer. The thread lifting is an easy way to smooth wrinkles and tighten sagging skin without surgery. There is a huge increase in the number of enquiries about thread liftings lately. The procedure involves inserting threads into the soft tissues which are then pulled tight, lifting the skin. As a result, the face is redefined, volume restored & the effects of ageing are significantly reduced. The threads can be both non-absorbable and absorbable. As absorbable threads dissolve naturally, the skin starts to produce more collagen and elastin which gives a longer-lasting result. The threads are inserted without incision in the skin, so the procedure is totally safe. Thread lifts can be used to treat a number of different areas, from smoothing horizontal and vertical forehead wrinkles to lifting the brow and outer eyebrow area and restoring volume to sagging cheeks. They can also smooth lines around the mouth and tighten sagging skin under the lower jaw, lift and rejuvenate various parts of the body. Results are evident immediately after the procedure and can last from 1,5 to 5 years, depending on the thread composition.    


  • It’s vital to have a consultation before the procedure.
The best candidates for a thread lifting are aged 35 to 55 and have relatively good skin tone with a little sagging. If there is too much loose skin then surgery may be the best option.
  • There are many different types of threads for lifting available.
APTOS presents wide range of threads for various parts of the face and body.   Indications for Aptos thread lift:
  • mild to moderate signs of ptosis of the skin
  • loss of tissue volume
  • development of fine lines and wrinkles
  • sagging eyebrows
  • a relaxed / sagging mid-facial appearance
  • thinning of the lips
  • prominence of the jaw
  • slight bags under the eyes or on the neck
  • patients with some relapse from a previous procedure such as a facelift or neck lift
  • facial asymmetry
  • skin dehydration
  Before the procedure: No special preparation is required prior to the treatment. However, we recommend that you discuss your expectations and ask your doctor any questions you have before starting the treatment. Inform the doctor of any treatments you have already received and of any medicines you are currently taking. Avoid blood-thinning medicines and vitamin “E” a week before and after the treatment. Procedures with APTOS threads must be performed by a doctor who has undergone specific training.   The 20-minute procedure Applying APTOS threads takes around 20 minutes in a treatment room. Most people are able to resume work the same day after the procedure. For patients who have multiple threads inserted, it can be a little complicated. For patients who have multiple threads inserted, there can be more discomfort. The treatment will be adapted to your preferences and can be combined with other aesthetic procedures.   Advantages of APTOS thread lift:
  • Double action: lifting and regeneration
  • Minimally invasive procedure performed under the local anesthesia
  • Takes about 15 - 20 minutes
  • Immediately evident results
  • Minimum of downtime
  • New collagen growth and increased microcirculation
  • Long-term effect
Recommendations after treatment
  • After the procedure, a slight swelling or bruising may occur. Arnica tablets can help with swelling and bruising
  • Sometimes, a slight depression or skin irregularities appear. These inconveniences will subside within few days after the procedure
  • The doctor will prescribe antibiotic if there is a high risk of infection
  • Apply ice packs immediately after the procedure
  • Take analgesics in case of pain for 2-3 days
  • Refrain from applying make-up for minimum 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
  • Sleep face up, in an elevated position on pillows for about 3-5 nights
  • Wash and dry 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 over-exposure to direct sunlight and do not use tanning beds for 2 weeks
  • Avoid sports and exercise for 2 weeks
  • Do not use saunas for about 3 weeks
  • Do not use saunas or hammams for about 3 weeks
  • Avoid dental surgery for 3 weeks
  • The doctor will prescribe antibiotic if there is a substantial risk of infection

Excellence Method – absorbable thread with barbs for lifting and armouring.

Visage is new dawn for minimally invasive aesthetic medicine. The threads have special barb arrangment.

Each subsequent barb is located in the opposite direction from the previous, which allows stronger hypodermic fixation, grouping the tissues on every micro-section of the thread.