A surgical apparatus with an insertion tool and fixation device for lifting or remodeling soft tissue as described. A combination of a fixation device and insertion tool allows for incremental release and engagement of the fixation device, which is supplied with prongs to grasp the soft tissue and hold on the other end to allow suture lifting of the soft tissue. The careful deployment of the fixation device and the manipulation and tension on the insertion tool allows a gradual, adjustable, and uniform lifting of the soft tissue that are to be remodeled.