Anatomically
Guided
Permanent Lifting
Guided
Permanent Lifting
Skolkovo & Clinic
Dr. Nour Hotaki’s proprietary system: from tissue analysis and reposition-vector planning to ultrasound guidance, hands-on practice on biological tissue specimens, and launching the new procedure in your own practice.
At the core of the patent-pending technique is a flat,
non-absorbable implant and an original method of fixation
At the core of the patent-pending technique is a flat,
non-absorbable implant and an original method of fixation
Training for Aesthetic Physicians
A Continuing Education Diploma
and 36 Credit Points
The training program is approved under state education standards for the accreditation of aesthetic physicians. Documents are issued by the Moscow Medical Institute.
36
credit points per treatment area
Each treatment area is five days of training. Physicians use these points toward their next accreditation cycle.
Certificate and Continuing Education Diploma
State-format documents are issued by the Moscow Medical Institute. Physicians separately receive a personalized certificate bearing Dr. Hotaki's own signature.
Entry in the State Register
Details of issued documents are entered into the state register, so the training is officially verifiable — not confirmed only within the program itself.
Counts Toward Accreditation
Physicians present the points earned for completed treatment areas during their next accreditation, so training in the technique isn't separate from that process.
Nine years in aesthetic medicine, practice experience on Harley Street in London, more than 500 procedures performed with the technique
Member of the Royal College of General Practitioners (UK)
Board-accredited aesthetic physician
and dermatologist in Russia
and dermatologist in Russia
Creator of patent-pending techniques for non-surgical lifting of the face, neck, brows, and buttocks, and for alarplasty
Fellowship Training
in Aesthetic Medicine
in Aesthetic Medicine
A training program for aesthetic medicine physicians, developed by Dr. Hotaki
Книга для врачей
Over 200 pages covering basic and advanced botulinum toxin therapy, dermal fillers, thread techniques, and a section on skin. Written for the physicians Dr. Hotaki trained at his clinic
@hotakilondon
62,000 followers; a practice feed with clinical case studies for every treatment area
Website of the London clinic where Dr. Hotaki practiced. Pricing for procedures using the technique is publicly listed
Situations where your usual tools fall short
The technique isn’t about adding "one more thread type" — it addresses specific limitations physicians face in their own practice
Working in high-risk zones is nerve-wracking
The course and depth of vascular and neural structures vary, and without verifying the layer, physicians are forced to rely on averaged landmarks
The outcome is hard to predict
How pronounced the lift looks is visible right after placement, but controlling it during the procedure is difficult — the outcome largely depends on how the tissue settles onto the barbs
The vector is chosen by template
Placement diagrams are built on averaged markings rather than on the specific patient’s anatomy — their own fixation and mobility zones
Heavy fat compartments won’t reposition
Where soft tissue carries significant weight, absorbable threads can’t achieve enough repositioning, and the result fades faster than expected
The material has a limited lifespan
Biodegradation over 6−18 months means the support in the tissue is gone, and the patient returns to their original state
You want to move from points to planning
From executing a technique along pre-drawn lines to anatomically planning tissue repositioning for the individual patient
The result comes not from the implant itself, but from the calculation of reposition vectors, the fixation method, and a purpose-built needle
That’s why the training isn’t structured as "placing one more type of thread," but as a clinical-anatomical system for controlled soft-tissue repositioning. Physicians don’t receive a ready-made "entry point, vector, exit point" diagram — they learn an algorithm for anatomical decision-making tailored to each patient
Which soft-tissue complex is creating the aesthetic concern in this patient
The target anatomical plane and how to identify it on ultrasound
The reposition vector relative to the fixation and mobility zones defined by the retaining ligament system
Vessels, nerve branches, and other at-risk structures within the chosen trajectory
Dissection on biological tissue specimens, ultrasound navigation, and monitoring the support’s position
What are we repositioning
Where the implant runs
Where are we repositioning to
What must not be damaged
How to verify it
01
02
03
04
05
A supportive framework in the tissue, not thread tension
The implant is placed with a purpose-built needle and secured in a triangular fixation, forming a supportive structure within the superficial soft-tissue complex. It distributes load across multiple fixation zones instead of pulling tissue toward a single point. Frameworks are built in several directions; the reposition-vector calculation and target layer differ by zone.
The implant is not placed intramuscularly. Its target plane lies within the superficial soft-tissue complex, and its position relative to the mimetic muscles, superficial fascia, and retaining structures depends on the treatment zone. As a result, facial expression and changes in facial volume don’t displace the framework
Material
Instrument and technique
A surgical suture material used in surgery for more than fifty years
Used to suture heart valves and the bowel, and in organ transplantation
Flat and completely smooth, without the barbs or cogs that anchor absorbable threads and cause micro-trauma during placement
A polymer whose surface resists microbial colonization, unlike braided suture materials
An antimicrobial coating is in development to reduce infection risk during the first two to three weeks
Manufactured at a Russian facility holding a registration certificate, produced exclusively for this technique
A double-pointed, sharp needle, built to Dr. Hotaki’s own design
The implant is threaded through the needle; the needle is withdrawn, leaving only the support in the tissue
The fixation scheme and needle design haven’t been published anywhere
The technique cannot be reproduced from video recordings of the procedure
Patent applications for the method, needle, and device are currently underway
The technique can only be learned through in-person training with Dr. Hotaki
Where the load goes
This diagram illustrates the retention mechanics and is not an anatomical atlas. The specific placement layer and reposition-vector planning are covered during training
Absorbable thread
Tissue is held by barbs and pulled toward a single fixation point. Load falls on individual barbs and runs in a single direction
Dr. Hotaki's technique
The flat support is anchored in a triangle and distributes load across several zones within the superficial soft-tissue complex
The result lasts for years
If body weight decreases by more than 10%, the visible result may diminish. The implant's position does not change; correction is done by placing an additional support
Weeks
A connective-tissue capsule forms around the implant, fixing it in its placement bed
1 year
The material does not biodegrade; load is shared between the support and the capsule formed around it
10 years
The material is designed to remain permanently in tissue — which is exactly why it’s used for internal sutures
3–5 years
With correct technique, the implant maintains its position in the placement bed, with no migration
Why the technique
isn't taught by video
isn't taught by video
The course and depth of the face’s vascular and neural structures vary, and the nature of that variability depends on the specific zone and structure. Working from a video recording means working from an averaged template, without verifying this particular patient’s anatomy
The cost of error in these zones
Injury to the motor branches of the facial nerve can cause temporary or permanent impairment of facial expression. Damage to vascular structures can lead to bleeding and hematoma formation; the risk depends on the vessel’s caliber, its depth, and the anatomical zone
Risk
Observations from the technique’s creator
Across a series of more than 500 procedures performed by Dr. Hotaki, no cases of nerve or artery injury, infection, implant migration, or implant removal have been recorded. The developer attributes this to the trajectory planning and the fixation method
Experience
Anatomy and ultrasound navigation
Topographic anatomy of each zone is taught by two professors from medical universities. The target anatomical layer and placement trajectory are studied on biological tissue specimens under ultrasound guidance
Preparation
Three Levels of
technique control
technique control
Anatomy
Ultrasound
Biological tissue specimens
Physicians understand where the critical structures run and how the fixation and mobility zones of soft tissue are organized in that area
Physicians see the actual layer before the procedure and the implant’s position during it, then use ultrasound for follow-up monitoring
Physicians verify their own trajectory through dissection and see exactly where the implant ran and what it crossed
01
02
03
Clinical Data and
Patient Selection
Patient Selection
The technique is about five years old. In that time, Dr. Hotaki has performed more than 500 procedures with it and follows these patients himself. Data on implant behavior, post-placement reactions, and contraindications come from his own practice
What's been recorded across 500 procedures
No cases of infection, implant migration, or implant removal have been recorded. No repeat corrections have been required
01
Follow-up and publications
Patients are followed up at 3, 6, and 12 months with ultrasound monitoring of implant position. Publications on the results are in preparation, and patent applications for the method, needle, and device are in progress
02
Reactions after placement
The procedure is minimally invasive: no skin is excised, and access is through a puncture of up to 5 mm. Swelling, bruising, and discomfort during healing are possible, occur rarely, and resolve quickly
03
Patients return for the next zone
A patient who has the procedure in one zone typically comes back for others as well. For the practice, this means more work with a patient who has already walked through the door
04
Who isn't accepted
for the procedure
for the procedure
Connective tissue disorders
Systemic and hereditary conditions that substantially alter the mechanical properties of skin and the fascial-ligamentous system
Tissue can’t hold the support: the skin lacks elasticity and can be stretched several centimeters
These conditions reduce the predictability of mechanical correction and require separate evaluation during patient selection
Body dysmorphic disorder
A disorder in which the patient continually perceives flaws in their appearance
Once such a patient enters a cycle of procedures, they don’t leave it
Identified during consultation through verbal markers, followed by referral to a psychologist or psychiatrist
The procedure is never performed at the first consultation. Dr. Hotaki first assesses the patient and presents options; the patient makes the decision. Screening is covered as a separate module in training — it prevents most future complications and complaints
Dr. Hotaki reviews long-term clinical cases and technique details personally with each candidate
The general overview is published on the site; everything else is discussed in conversation
Методика рядом
с привычными решениями
с привычными решениями
Сравнение построено по механике вмешательства. Пациент выбирает между хирургической подтяжкой и безоперационными методиками, и методика занимает место между ними
Параметр
Восстановление
Иссечение кожи
Анестезия
Рубцы
Механизм удержания
Поверхность материала
Судьба материала
Контроль целевого слоя
Хирургическая
подтяжка
подтяжка
Длительное
Требуется
Общая
Формируются
в местах разрезов
в местах разрезов
Иссечение избытков и ушивание
Не применимо
Не применимо
Не применимо
Рассасывющиеся
нити
нити
Короткое
Не требуется
Местная
Не формируются
Фиксация насечками, постоянной опоры нет
Насечки и зубцы, дополнительная травматизация
Биодеградация
за 6-18 месяцев
за 6-18 месяцев
Затруднен
Методика
Доктора Хоттаки
Доктора Хоттаки
Короткое
Не требуется
Местная
Не формируются,
доступ через прокол
доступ через прокол
Опорный каркас
с распределением нагрузки
с распределением нагрузки
Гладкая, без насечек
Не рассасывается
Верифицируется ультразвуком до и во время установки
Обучение у автора
и курс по чужой методике
и курс по чужой методике
Кто преподает
Лектор-практик, методика чужая
Врач, разработавший методику
Анатомия
Обзорно, в рамках общей части
Отдельный день с двумя профессорами топографической анатомии
Практика
Муляж или отработка на коллегах
Биоматериал, ультразвуковой контроль, живые модели в клинике
Размер группы
15-40 человек
Не более 4х врачей
Материал после обучения
Любой бренд, доступный всем на рынке
Поставка только обученным врачам
Кто отбирает участников
Оплата закрывает место
Заявка рассматривается до оплаты
Обучение у Доктора Хоттаки
Параметр
Хирургическая подтяжка
Five treatment areas
of the original technique
of the original technique
Training is structured in modules, and each module covers a distinct zone with its own anatomy, reposition vectors, and target anatomical layer. Each area is also priced separately in a clinic’s fee schedule. Physicians choose where to start and add the remaining areas as their practice grows
01
02
03
04
05
Face lift
Correction of midface ptosis and jawline contour. The technique’s flagship area and its highest-priced procedure
Neck lift
A standalone service, not part of a full facelift. There’s currently almost nothing to offer patients in this area who decline surgery
Brow lift
Correction of upper-face ptosis without blepharoplasty and without downtime — the patient returns to work the next day
Gluteoplasty
Buttock contouring without implants or general anesthesia. There is no non-surgical equivalent on the Russian market
Alarplasty
Non-surgical narrowing of the nasal alae. The nasal tip lifts as a result, with no separate intervention required
Contraindications apply. Consultation with a specialist is required. Results vary by individual and are not guaranteed
Punctures up to 5 mm
Local anesthesia only
No skin excision
Target-layer control
Day 3
Ultrasound
Day 2
Anatomy
Anatomy verification under ultrasound
Identifying the target anatomical layer on biological tissue specimens under ultrasound, and checking how the implant sits in the tissue
Ultrasound guidance as a tool for follow-up patient monitoring
Monitoring the support’s position and reviewing typical deviations
Day 4
Hands-on practice
Demonstration and independent work on biological tissue specimens
Dr. Hotaki performs the procedure on a biological specimen, explaining each step
Personal correction of technique throughout, in a group of no more than four physicians
Each participant practices the placement independently
Day 5
Clinic
Live models in a licensed clinic
Participants observe Dr. Hotaki working on live models
Post-procedure patient management, written protocols, and complication response steps
A review of clinical decisions: why this patient’s case called for this reposition vector and this target layer
The session is led by two professors of topographic anatomy who teach at medical universities
A review of the variability in the course of vessels and nerve branches in the treatment zone
Building an individual anatomical map of the patient before the procedure
The retaining ligament system and fascial envelopes of fat compartments: where tissue is fixed and where it’s mobile
Topographic anatomy with professors
The exact day-by-day schedule is confirmed once a cohort is formed and may vary by treatment area
Five days
per treatment area
per treatment area
Training proceeds step by step through a single zone: from material and anatomy to hands-on independent work on biological tissue specimens. The first days take place at the Skolkovo venue; the final day is held in a licensed clinic, since work on live models is only permitted there
Day 1
Foundations
Why It matters to the physician
To identify the working plane
To understand dynamic effects
To understand tissue mobility
To avoid sensory disturbances
To identify the layer in vivo
To understand load transfer
To avoid functional injury
To plan a safe trajectory
To identify fixed and mobile zones
To avoid working from an averaged template
What's Covered
Layer-by-layer anatomy of the zone
Sensory branches of the trigeminal nerve
Mimetic muscles
Fat compartments
Ultrasound anatomy
Arteries and veins
The superficial fascial system and SMAS
Motor branches of the facial nerve
Retaining ligaments and septa
Individual variability
What the implant is made of, and why this particular class of suture material was chosen
Material, technique, indications
Dr. Hotaki’s experience and a review of clinical cases from his practice
How the entire procedure is structured, from marking to completion
Patient selection, indications and contraindications, screening during consultation
Who it's for
What you get when you finish
Aesthetic physicians and dermatologists with an active accreditation
Physicians already working with injectable and implant-based techniques
Specialists with their own patient base: the investment pays back noticeably faster
Clinic owners, provided the owner is themself an accredited aesthetic physician
A technique held by a limited circle of physicians, and the right to practice Dr. Hotaki’s method
A personalized certificate bearing his own signature
A new service in your price list, priced at the premium tier
The option to add the remaining areas module by module
An alumni chat where Dr. Hotaki addresses practice-related questions
One-on-one clinical supervision is arranged separately, as it requires additional days and model recruitment
Access to implant supply, closed to anyone who hasn’t completed the training
Written protocols: placement, patient management, and complication response
A state-format certificate and continuing education diploma from the Moscow Medical Institute, entered into the state register
36 points per treatment area toward your next accreditation
The technique hasn’t been broken down into video lessons or handed off to other instructors
The fixation method isn’t published
- Technique
The result comes not from the implant itself, but from the vector calculations, the fixation method, and a purpose-built needle. This part of the technique isn’t described anywhere and is only taught in person
The implant is available only to graduates
2. Material
This material isn’t available on the open market: the manufacturer produces it to order, exclusively for this technique. A colleague across town won’t be able to buy it for a procedure
Biological specimens, ultrasound, and live models
3. Practice
Hands-on practice with anatomy professors, target-layer verification under ultrasound guidance, and observing Dr. Hotaki work on live models in clinic
No recording of the course exists: training is in person, and only with Dr. Hotaki
A treatment area your competitors don't have
For a clinic, this isn’t just one more line item on the price list — it’s a premium-tier service with a closed door for competitors
A limited circle of specialists
Only four physicians complete a module per cohort, and the implant is supplied only to those who’ve trained. While the alumni cohort remains small, only a handful of clinics in any given city offer the service
A name behind the service
The clinic works with Dr. Hotaki’s technique, and that name appears in the service description, in patient materials, and as a hook for press coverage
Higher margins
An outpatient procedure priced at the premium tier with predictable material costs. The training investment pays back within the first few months of offering the service
Steady demand
Patients who decline surgery come in year-round. Non-surgical buttock correction has no equivalent at all on the Russian market
The technique's creator
Dr. Nour Hotaki
Dr. Nour Hotaki
Accredited in Russia
Royal College of General Practitioners
Harley Street Practice Experience
Author of a Book for Physicians
500+ Procedures Performed
A graduate of medical school and a board-accredited aesthetic physician and dermatologist in Russia. Nine years in aesthetic medicine; before that, he worked in hospitals across several specialties and ran a private general practice
He has practice experience on Harley Street in London. This street is known far beyond the UK as the hub of private medicine — home to physicians whose patients have included members of the Royal Family
He has trained physicians from various countries and created the Fellowship Training in Aesthetic Medicine program. For his students, he wrote a book of more than two hundred pages covering basic and advanced botulinum toxin therapy, dermal fillers, thread techniques, and a section on skin. It had a limited print run and was never sold
He spent several years developing his own permanent-lifting technique: selecting the material, calculating vectors for each zone, designing a dedicated needle for the fixation method, and writing patient-management protocols. He has personally performed more than 500 procedures with it. He teaches the course himself, with no assistant instructors and no recorded lectures
Results before and after
Patients who provided written consent for publication. Results vary by individual and are not guaranteed
Управляемый перманентный
лифтинг лица и шеи
лифтинг лица и шеи
Коррекция крыльев носа
Осложнения после
нитевого лифтинга
нитевого лифтинга
Управляемый перманентный
лифтинг лица и шеи
лифтинг лица и шеи
Коррекция после
ринопластики
ринопластики
What this means for your practice
01
A Premium-tier service
The procedure is performed on an outpatient basis under local anesthesia, and its results are comparable to solutions currently available only through surgery. This allows pricing at the top of the range
Patients you already have
The main flow is patients who decline surgery. Today, this patient walks into an aesthetic physician’s office and walks out without a solution to their concern
02
Proprietary material
The implant is manufactured to Dr. Hotaki’s specification and supplied only to trained physicians. Cost is known in advance and doesn’t depend on a change of distributor
03
£4 500
The standard procedure fee in Dr. Hotaki’s London practice. For certain cases, it’s £5,500. At current exchange rates, that’s roughly ₽470,000
There's no direct equivalent to this technique on the Russian market, so physicians set the service price themselves
Run the numbers yourself
Your fee per procedure 250,000 ₽
Procedures per month 2
Annual revenue from this treatment area
6 million ₽
At your current pace —
that is 24 procedures per year
that is 24 procedures per year
This calculation is provided for general estimation purposes and does not guarantee income.
The physician sets the procedure fee independently, while patient volume depends on their practice.
How to join a cohort
Four physicians secure a spot per cohort
Applications are reviewed before any conversation about payment — Dr. Hotaki first looks at your practice profile and advises which area to start with
What’s included in a module
Enrollment fee
Terms are discussed in a personal consultation once your application has been reviewed. In terms of investment scale, it's comparable to purchasing a clinic device
A spot in the cohort is secured with a deposit, which is credited toward the module fee. Additional treatment areas are added as separate modules as your practice grows
On request
Access to implant supply after training
A personalized certificate, continuing education diploma, and written protocols
Patient screening and selection, complication management
Observing Dr. Hotaki work on live models in a licensed clinic
Hands-on practice on biological tissue specimens and target-layer verification under ultrasound
Topographic anatomy of the zone with two professors
Five days of training in one treatment area, in a group of no more than 4 physicians
Contraindications apply. Consultation with a specialist is required. Procedure results vary by individual and are not guaranteed. Every procedure carries risk, and the technique described here is no exception
Training format: Dr. Nour Hotaki’s original program, approved under state education standards for the accreditation of aesthetic physicians. The state-format certificate and continuing education diploma are issued by the Moscow Medical Institute, and details are entered into the state register. The award of 36 points per treatment area is confirmed by institute documentation
The revenue calculation or this treatment area is provided as a rough estimate and is not a promise of income: physicians set their own procedure pricing and caseload
Work on live models is performed at a licensed medical facility, with medical screening and written informed consent
Legal protection for the method, needle, and device is currently being filed; no protective documents have been granted yet
Questions asked before applying
By the material, the retention mechanism, and how long it lasts. Absorbable threads biodegrade within 6–18 months, hold tissue with barbs, and those same barbs cause additional trauma during placement. This technique uses a smooth, non-absorbable implant made from surgical suture material; it forms a supportive framework, and load is distributed along its full length. A detailed comparison is provided in the "Technique Alongside Familiar Solutions" section.
Enrollment terms are discussed in a personal consultation after your application is reviewed. In terms of investment scale, it's comparable to purchasing a clinic device, not to a course on a single technique. This approach exists because, before any conversation about money, Dr. Hotaki reviews your practice profile — the technique pays back differently for a physician with an existing patient base than for someone just entering aesthetic medicine.
Each zone has its own anatomy, its own reposition vectors, and its own target anatomical layer, so every treatment area is covered in full: anatomy with the professors, ultrasound guidance, hands-on practice on biological specimens, and observation on live models. Physicians start with the area closest to their practice and add the rest module by module.
The implant isn't placed intramuscularly — its target plane lies within the superficial soft-tissue complex, so facial expression and volume changes don't displace it. If body weight drops by more than 10%, the visible result may diminish; in that case, an additional support is placed. The position of an already-placed implant remains unchanged: no cases of visible contouring or deformation have been recorded in the developer's observations.
Publications on the technique are in preparation. Right now, the evidence base is Dr. Hotaki's own clinical series: more than 500 procedures with no recorded cases of infection, implant migration, or implant removal. Patients are also followed up at 3, 6, and 12 months with ultrasound monitoring of the support's position. Dr. Hotaki personally reviews long-term clinical cases during consultation.
Working with biological specimens, ultrasound guidance, and personal technique correction don't scale to a group of 20–30 people. For the same reason, the number of trained specialists per region stays small.
Aesthetic physicians and dermatologists with an active accreditation. A clinic owner is admitted only if they are themself an accredited aesthetic physician. This requirement is intentionally strict: the technique involves working near vessels and nerves, and it should only be practiced by a specialist licensed for such procedures.
Complication management is covered separately during training. Physicians receive a written action protocol, patient-selection criteria, and stop signals that indicate the procedure shouldn't be performed. After training, practice-related questions are addressed in the alumni chat.
Four physicians per cohort keep the number of trained specialists per region small, and the implant is unavailable to anyone who hasn't completed the training. Territorial arrangements are discussed individually when your application is reviewed.
A personalized certificate bearing Dr. Hotaki's own signature confirms mastery of the technique. A state-format certificate and continuing education diploma are issued by the Moscow Medical Institute: the program is approved under state education standards for the accreditation of aesthetic physicians, and details of issued documents are entered into the state register. Each treatment area — five days of training — earns 36 points toward your next accreditation. Physicians practice under their own active accreditation.
The implant is manufactured at a Russian facility holding a registration certificate and license, produced to order exclusively for this technique. The full document set is provided to candidates during application review, before any deposit is made.
Candidates are placed on the waiting list for the next cohort, or receive feedback on what to build up in their practice profile before reapplying.
Your application is reviewed
by Dr. Hotaki
by Dr. Hotaki
Submit your application, and we’ll reach out to discuss your practice profile, choose a treatment area for your first module, and answer any questions about enrollment terms
A personal consultation with Dr. Hotaki before any conversation about payment
Clinical cases and technique details covered during consultation
A treatment area matched to your patient base
ОТПРАВИТЬ ЗАЯВКУ
Имя и фамилия
Город практики
E-mail
Телефон / WhatsApp
Специализация и аккредитация
Направление, которое интересует в первую очередь
Собственная база пациентов
Комментарий
Врач-косметолог, дерматолог
Лифтинг лица
Есть, веду прием постоянно
Опыт работы с имплантационными методиками и что хотите освоить
Обучение предназначено только для врачей с действующей аккредитацией. Данные конфиденциальны
Training for cosmetic doctors in a patent-pending permanent lifting technique
Specialized modules, anatomy with professors, ultrasound guidance, and only four places per cohort
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