Silhouette Lift™ is an FDA cleared minimally invasive technique used to lift and tighten sagging tissue in the mid to lower face. This is a non-surgical alternative to a traditional facelift and is growing in popularity, having been successfully performed over 25,000 times in 55 countries around the world. It is now available at Dermology.
What is Silhouette Soft Threading?
- It is a resorbable suture with bidirectional cones that is used to redefine facial features, by elevation.
- The suture is made of Polylactic acid and the cones are made of L-actic acid (82%) and glycolic copolymer (18%).
- These components are totally resorbable in 8-12 months for the cones and 18-24 months for the suture.
Why is it important that the threads are resorbable?
What happens by placing the thread is a foreign body reaction → leads to inflammation → leads to fibrosis. The cones hold the tissue in place, but the fibrosis causes the eventual lift.
2 actions with 1 treatment:
- Lift action – as soon as the treatment is carried out, the doctor is able to redefine the focused area by compressing the tissue and lifting the skin thanks to the bidirectional cones.
- Regenerating action – by resorbing, the polylactic acid acts in the subcutaneous tissue and stimulates fibroblast activation and collagen production, thus restoring shapeliness to the face.
What are the indications for embedded threading?
- Mid-face skin ptosis
- Jaw line ptosis
- Brow ptosis
Can the neck be treated with embedded threading?
A Silhouette suture lift improves sagging of the neck and helps restore an optimum angle of the skin in the neck. Before any suture or thread lift procedure, it is very important to understand the capability of the procedure and what CAN and what CAN’T be achieved. If you are expecting the same results as a surgical neck lift procedure, then this is not the appropriate procedure for you. It is important to remember that this procedure is non-invasive and it takes about 60-90 days to see the result, as the result will depend largely on the skin’s condition and healing ability.
Silhouette Suture lifting techniques do not replace surgery. However, they can be used to further improve the results of neck and facelift surgery, OR they can be preventative in younger patients delaying or even preventing the need for surgical intervention. These threads assist the Doctor in repositioning the treated tissue, but do not remove excess tissue. So the tightening part of this procedure is seen after a couple of months once the skin has had the opportunity to lay down the new collagen and elastin which has been triggered by the insertion of the thread. The other great advantage of this is that Silhouette Suture lifts can be repeated over time if necessary, whereas multiple surgeries are highly inadvisable.
The Silhouette sutures described here may be retightened during a secondary procedure.
What are the contra indications for Silhouette embedded threading?
- Any known allergy or foreign body sensitivities to plastic biomaterial
- Permanent fillers
- Acute and chronic skin diseases
- Auto immune diseases
- Pregnancy and breastfeeding
- Patients with sepsis or infection
- Patient with limited willingness to restrict activities or follow directions during the healing period.
- Patients under 18
What can be expected during the treatment?
Silhouette Lift is an outpatient procedure performed under local anesthesia. The patient remains awake and alert during the procedure, but will be unaware of any pain. The total treatment time is approximately one hour, and the patient will be able to leave immediately after the procedure.
For facial rejuvenation, the Doctor will make a small incision into the temporal region, just above the hair line. To prevent contamination the patient will wear a head cap and sterilized procedures will be followed. Depending on the desired lift, a number of Silhouette sutures will be inserted and pulled back to lift the lower face.
What can be expected after the procedure?
After the treatment, most patients experience some mild soreness and pain following the procedure. However, the patient can resume normal activities within two to four days. Expect ten days for the skin to fully recover its natural aspect.
- Swelling and bruising may be noticeable for a number of days (3-10 days)
- The area treated may be tender to touch. Thus is normal and will improve over 5 days
- Follow up appointments are made with the attending doctor: 3 days after procedure, 1 week after, and 2 weeks after procedure to ensure the skin is responding and healing as it should.
- Ice can be applied to the treated areas, immediately after the procedure and thereafter to reduce swelling.
- Keep the head elevated for the first 3 nights and sleeping face up is recommended (5 nights)
- Wash and dry face gently, without rubbing (5 days)
- Put on make up, shave and wash hair gently (5 days)
- Avoid direct sunlight and do not use tanning beds (2 weeks)
- Avoid facial massages, and all facial aesthetic treatments (3 weeks)
- Avoid sports, in particular contact sports (3 weeks)
- Do not use saunas (3 weeks)
- Avoid dental surgery (3 weeks)
- Avoid excessive facial movements while chewing, talking, yawning, smiling etc. Avoid smoking and drinking from a straw.
When should Silhouette Soft be recommended?
All threading treatment are a final treatment option. It is thus only recommended after other skin treatments such as lasers and other skin tightening has been done on patients. This is an option for patients who do not want a facelift and want to go to the next level of support and lift of the face.
The ideal patient is a person who has had optimal skin tightening treatments but need extra support or lift for their skin.