title: A case of Aptos thread migration and partial expulsion.
abstract: BACKGROUND
  In our practice, the use of dented polypropylene suture has become a very simple, conservative, and effective procedure for lifting flabby ptosed facial tissue, improving it without surgery. As with some cosmetic procedures, we have seen complications with this technique.
  
  
  OBJECTIVE
  To present a case report of migration and partial expulsion of Aptos thread (TOTAL Charm, Moscow, Russia).
  
  
  METHODS
  After successful fixation of facial tissue with 10 Aptos threads (5 on each side, 3 in the upper and central cheek, and 2 in the mandibular area), the patient returned 28 days later owing to migration and partial expulsion of one of the Aptos threads.
  
  
  RESULTS
  The expulsed thread was easily removed, and the patient was treated with antibiotic therapy without further complications.
  
  
  CONCLUSIONS
  After this experience, we can conclude that Aptos threads are an additional tool in our arsenal for the treatment of facial aging. We must be especially cautious and aware that our patients can present with previously unknown complications secondary to newly described procedures, as with this recent technique.
authors.affiliation: Department of Dermatology, University of Nuevo Leon, Monterrey, NL Mexico. siwady@att.net.mex
authors.forename: José G
authors.initials: JG
authors.lastname: Silva-Siwady
authors.forename: Celina
authors.initials: C
authors.lastname: Díaz-Garza
authors.forename: Jorge
authors.initials: J
authors.lastname: Ocampo-Candiani
mesh_terms: D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D015361:Rhytidoplasty / Q000009:adverse effects* / Q000379:methods; D013536:Suture Techniques
chemical_list: D011126:Polypropylenes