Thread lifting Saarland

Thread lifting a minimally invasive treatment procedure

Thread lifting is a minimally invasive treatment procedure in which a surgical thread with barbs is inserted into the subcutaneous fatty tissue. The connective tissue of the fat pads gets caught in the hooks. This slightly lifts the subcutaneous fatty tissue. The procedure was first performed by a Georgian plastic surgeon in 2002 using specially developed surgical threads (Sulamanidze M.A., 2002, Dermatol Surg). These threads, called Aptos®, were patented in 1999 and were made of polypropylene. However, the results of lifting with polypropylene threads were sobering. The stitches were visible and palpable under the skin (Rachel JD, et al., 2010, Dermatol Surg). The use in 2012 of self-dissolving sutures made of polydioxanone (often abbreviated PDO or PDS) brought a significant improvement (Suh DH, et al., 2015, Dermatol Surg). Several studies followed showing positive results and rare complications with the use of PDO suture. PDO and PLLA are known as collagen stimulants and are thought to stimulate long-term rejuvenation benefits.

The threads are considered a medical device and are therefore not as strictly regulated and controlled as pharmaceuticals, but must have CE certification. Nevertheless, there are considerable differences in quality among CE-certified sutures (Aitzetmueller M.M., 2019, Plast Reconstr Surg).

The common threads include:

  • Silhouette Soft® (Sinclair Pharma, London, United Kingdom)
  • Happy lift® (Promoitalia, Milan, Italy)
  • VENUS V-Line® (Vivacy, Archamps, France)
  • Princess® Lift (Grand Aespio Inc., Seoul, Korea)
  • Aptos Excellence (Aptos, Moscow, Russia)

There is currently no reliable data available for thread lifting, although small studies have been published and are promising. The thread lift is very popular because it leaves no scars and the recovery time is shorter than with a facelift. This fact should not obscure the fact that the results of a facelift cannot be achieved with a thread lift (Gülbitti HA, et al., 2018, Plast Reconstr Surg). Substantial marketing budgets are allocated by companies to “train” non-surgically trained doctors in these minimally invasive lifting procedures in a one-day course. There is a risk that the technique will be used, even if it is unsuitable, because surgical treatments are not mastered. The risk of infection should not be underestimated, especially if this procedure is offered by doctors who are not familiar with sterile working in the operating theater.


  • Softlifting

What our patients say

Your experts for thread lifting

Dr. Adelana Santos Stahl
Dr. Adelana Santos Stahl
Dr. Stephane Stahl
PD. Dr. Stéphane Stahl

Dr. Adelana Santos Stahl has a unique international perspective with a female view of plastic surgery. Your individual and detailed approach is the key to the beautiful and natural results. Having trained in Brazil, one of the largest and best-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.

She completed her medical studies and training as a specialist in plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the state medical examination.

Two years later, in 2011, she received the German and in 2012 the EU specialist certification (EBOPRAS) for plastic surgery. From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.

A VDÄPC Fellowship (continuing scholarship for graduate students) in Switzerland, France and the USA has further enriched her professional experience. Dr. Santos Stahl is active in various renowned professional associations. In addition to the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.

She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.

She has been based in Saarbrücken since 2019.

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