X-TOSIS is one of several mini-invasive face-lift methods using special threads with cogs. It is called eX-TOSISf because a thread is placed crossing against the upward pulling direction, and it looks like the shape of eXf.
Typical design of X-TOSIS is shown. A long thread is inserted as A-B-C, and another long thread is inserted as D-B-E, crossing the first thread at B point. After that, the triangle plane made up of D-B-E is lifted up by pulling the first thread in the A-C direction.
Actual pictures of before and immediately after the operation are shown below. The threads are inserted along the hairline or the outline of a chin, therefore, thread and needle marks cannot be recognized even right after the operation.
X-TOSIS can be designed variously depending on the personfs way of sagging. Several applied examples are shown below.
Example 1: Sags on neck
||A thread inserted as B-A-C is pulled by the D-A-E thread crossed at A point.
Example 2: Sags on temple (around the eyes)
||A long thread inserted as A-B-C-D is pulled in the directions of E-B-E and F-C-F.
Example 3: Sags of forehead (eyebrows)
||Threads are placed as A-B-C, D-E-F, and G-H-I, and they are pulled up by another thread placed in the side of hair to the opposite direction, with B, E, and H as crossing points.
Postoperative progress of X-TOSIS
In X-TOSIS operations, the state of being pulled up is the strongest just after the operation, eReversionf occurs slowly taking approximately one month, and then it becomes stable.
||Compared to the state before the operation (picture: above), you can see that the face is pulled up strongly immediately after the operation. eReversionf occurs after about a month, but it does not completely ereverse,f and it becomes stable at some point (picture: middle). You can see the state is maintained after a year (picture: below).
This patient added an Aptos thread on each side of the face after a year.
If you cannot see the subtle changes clearly only by plane pictures, please put the cursor on the picture below.
||This is another patient. You can see the difference between the state before the operation (picture: above) and the state after a year (picture: middle). After a year, she further added a pair of X-TOSIS threads.
In this way, X-TOSIS and Aptos can be added each time when you care about the sags. No scars are left and there is little downtime.
X-tosis is a very satisfying operation. Different from Aptos,
its design is a stereotype, so that operatorfs designing skill
does not influence much. Please adapt this method to the range
of services at your clinics.