Dr. Marlen Sulamanidze, thought that if you took suture and cut barbs along its length, it could act as a rope to hold up a drooping brow, cheek or jowl; and this resulted in the development and creation of APTOS threads in the late 1990’s. These barbed threads have now been patented, and further developed. Other forms of threads, both barbed and smooth have also now been developed for use in thread lift procedures.

Download document here