Facial Procedures - Silhouette Lift

Silhouette Lift

What is Silhouette Lift?

Silhouette Lift is a patented self anchoring thread technology that permits a minimally invasive surgical approach for elevation and fixation of skin. Silhouette Lift is the FDA approved product for elevation and fixation of midface, brow and neck.

Silhouette Lift is made from polypropylene, a material that has been used inside the human body as a suture material for decades. Silhouette Lift is designed with patented dimensional cones that attach to the subdermal tissue, lifting, suspending and fixating contour of the brow, midface and neck areas.

Procedure Description

The Silhouette Lift is a minimally invasive office procedure performed under local anesthetic that is designed to elevate, reposition and lift lax skin of the brow, face and neck.  The Silhouette Lift works by having these fine threads inserted painlessly under the skin. These fine threads are similar to those that would be used to support the deep structures of your face if you were to receive a real surgical facelift.

Using local anesthetic, the threads are passed into the droopy facial element with a special guide needle. The threads are then able to grab on to the droopy soft-tissue and muscle of the desired area. Most patients experience minimal bruising or swelling for 1-7 days. The Silhouette Lift is not painful and most patients can return to normal activities with makeup the next day. The threads stay where they are inserted and, like all internal sutures, are generally well tolerated by the body.

The Silhouette Lift shows immediate effects. Patients can achieve 30-70% of what an invasive facelift may achieve and well over 90% of Silhouette Lift patients report very satisfying lift results. The Silhouette Lift lasts 3-5 years and can be repeated. Many Silhouette Lift patients may combine the skin tightening effects of the Silhouette Lift with other procedure. Patients may choose to re-suspend tissue with this technique in several years or go on to more traditional forms of plastic surgery.

Frequently Asked Questions About The Silhouette Lift

What is Silhouette Lift?

A Silhouette Lift with patented Silhouette Lift is a minimally invasive, safe and effective non-surgical procedure that offers that offers subtle, natural-looking facelift-like results.

How is it performed?

A Silhouette Lift utilizes tiny surgical sutures to lift and support the droopy areas of the brow, cheeks, face and neck. Silhouette Lift has tiny, teeth-like (barb-like) cogs that will grasp on to and lift the soft tissues. The threads are inserted in precise locations using a long needle, and once inserted under the skin, they open in an umbrella like fashion to form a support structure that gently lifts and repositions the tissues into a more vertical and youthful position. With the lift effect secured, the needle is removed, the end of the thread is cut and knotted, allowing it to retract deep under the skin where it cannot be felt or seen. The non-absorbable threads stay within the deep tissues and provide support.

What are “barbed” sutures?

Unlike conventional sutures which are smooth, patented Silhouette Lift has tiny teeth-like cones or cogs that are spaced evenly apart. Once inserted under the skin, they are fixated with tension that creates a suspension effect that gently lifts sagging tissues.

What do the threads look like?

Unlike other thread products, Silhouette Lift is clear so they are not visible under fair or thin skin.

How do they work?

Due to the unique design of the cogs of Silhouette Lift, the surrounding tissues act to hold the threads in place without the need for visible scars. The physician makes a tiny incision behind the hairline and the threads are advanced along the previously marked contours so they create a firm hold on the underlying tissues without causing additional trauma. The cogs do the work of holding, by being fixated to tissue as they are softly contoured into place. Once in position, your body generates new collagen bundles that surround each thread to maintain the lifting effect.

Does it hurt?

Pain and discomfort are very minimal with this technique and most patients can take only Tylenol for pain relief. In most cases, ice compresses are recommended for the first 24-48 hours.

Is it safe?

When performed by a certified physician with experience, the procedure is very safe. The risks and complications are uncommon and usually easily correctable. The actual sutures are made from polypropylene, which is a material that has been used in brain, heart and abdominal surgery for many years. Since a Silhouette Lift is performed under local anesthesia, there are none of the risks associated with general anesthesia.

What kind of care is required after the procedure?

Following a Silhouette Lift procedure, there are some practical instructions and care that must be followed to avoid traumatizing or dislodging the threads from their supportive locations in the deep fat of the face and neck. Some of these instructions include avoidance of forceful facial rubbing or trauma, sleeping on your back, minimal facial animations, putting pressure on the face, and avoidance of excessive mouth opening. After 3 weeks, there are no more restrictions.

When can I return to work and activities?

Depending upon your job and your tolerance for some minor bruising and swelling, you may be able to return to work in 2-3 days following the procedure. Most patients look good in makeup after one week.

How many treatments will I need?

Usually only one procedure is needed to achieve the desired lifting effect.

How long do the results last?

Physicians’ experiences have shown that duration varies, depending on the age of the patient at the time of the procedure, the degree of sagging, and the number of threads used.

What are the possible side effects?

The Silhouette Lift is a simple procedure to perform. Complications are rare and will be less likely with an experienced, fully trained surgeon.

Can this procedure be combined with other cosmetic procedures?

The Silhouette Lift is a stand alone procedure. However, it is not uncommon to have this procedure combined with botulinum toxin (Botox) to reduce facial muscle activity, dermal fillers to enhance volume, or peels and laser therapy to improve skin texture. Liposuction of the neck and jowls, and chin augmentation, are some of the other procedures that can be done in conjunction with a Silhouette Lift procedure.

Are the threads permanent?

Silhouette Lift is non-absorbable, and it will not dissolve over time.

What areas can be treated?

Silhouette Lift is used for:

  • Lift sagging eyebrows
  • Adjust asymmetric eyebrows
  • Reposition sagging cheeks
  • Lift drooping soft tissue of the mid and lower face and neck
  • Smooth out premature skin aging

What type of results will I see?

The effects are immediate. During the time of your consultation, Dr. Yadegar will demonstrate in the mirror, the relative amount of lift that the Silhouette Lift can achieve. The procedure can also be combined with other techniques including blepharoplasty (eyelid surgery), fat transfer, dermal fillers, botulinum toxin (Botox), and liposuction of the neck.

Do I need to have anesthesia?

In most cases, only local anesthesia is required. Your physician may also offer you the option of having light sedation or twilight anesthesia, depending on the extent of the Silhouette Lift you are having and the number of Silhouette Lift to be used in one stage. General anesthesia is not necessary for this technique.

How long does it take to perform?

The Silhouette Lift is most commonly performed under local anesthesia and the procedure usually takes less than 30 to 60 minutes to complete, depending on the number of threads used. Patients are able to go home soon after the procedure.

Are there any other treatments that may enhance or preserve the effect?

Many physicians offer non-invasive outpatient treatments that enhance or protect the effect. These adjunctive procedures include botulinum toxin (Botox), dermal fillers, laser and light therapy, chemical peels and microdermabrasion.

Will I still be able to have a conventional face lift or a brow lift at another time?

Developed by a board certified plastic surgeon, the unique design of Silhouette Lift allows a traditional facelift or browlift procedure when you are ready.

How much of a lifting effect can I expect?

The exact placement of the threads will vary from patient to patient. Results will vary depending on the extent of sagging and the degree of lifting desired, as well as the technique of the physician and the number of threads used in each area treated. Many patients can achieve a 50% improvement after one treatment session.

Who is a good candidate for a Silhouette Lift?

In general, the best candidates for a Silhouette Lift include both women and men who want a more dramatic and long lasting effect than fillers and botulinum toxin or other treatments can provide, but do not want a full face lift or brow lift procedure.

How do I know if I am a good candidate?

Ideal candidates are women and men in the thirties through the sixties with moderate drooping of the soft tissues of the brow, face and neck. Patients must have realistic expectations. They should not be too heavy or too thin, and should be medically well and not be taking blood thinning medication.