Dr. Maas discusses a new device called the Silhouette Lift, which uses a device placed under the skin to elevate tissue, which is long lasting, but not permanent. It is a good option for some patients, but not meant to be a replacement for a facelift.
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“I wanted to take a few minutes and talk about a new device that is exciting, it’s not a new technology but a new device that’s really refine and much improve some older technology it’s called the Silhouette Lift or the Silhouette instant lift which uses a thread or suture technique and it’s a special design to create lifting by placing the device in the under the skin, the subcutaneous tissues and elevating the tissues in a way that is long lasting but not permanent, the suture itself dissolves overtime with the silhouetteInstalift and I want to make this distinction because many of us remember the era of what was called the barbed thread lift and there were many names for this feather lift etcetera and this little barbed sutures replaced many, many of them below the skin surface and a similar fashion and it was the barbs when they’re placed in a certain direction that retarded the skin or kept the skin from falling back down and what we learn was the effect of this was the very short lift that 3 or 4 months they benefited the barbed sutures that were placed were gone really and there was really benefit for the caused.
The Silhouette lift or the instalift procedure that’s by Sinclair Pharma company actually is a series of small PLGA which is an absorbable suture like material in fact it is a material for many sutures that has in it a series of cones that are directional. When the device is placed using a special needle below the skin surface that has cut little tiny cones are threaded up underneath the skin of the face and the series of passes one or in two usually preside and once they’re placed the skin is elevated and the cone formation keeps the skin elevated and keeps it from falling back down. The little thread is clipped at the entry and exit points just a very small puncture type of incision and the sustained elevation of the skin is then achieved by the formation of collagen that replaces the suture overtime. So that procedure is very different than what we have seen in the past with the so-called gred lifts and something that we are hoping to see 2 or 3 the results with for people. Certainly not a permanent correction, it’s not a replacement for lower face lift or full facelift and those patients who want an enduring type of procedure but for someone that wants a small but accessible lift this is an area where suture lift thing might be a benefit to you.
There’s been a few other devices that’s very similar one that I’ve described historically that are specifically designed for the cheek path pad or using a different type of suture and I think this one in particular is beneficial in elevating the jowl area and the mid-face zone and it can be a real compliment or a supplement to using volumizing type of fillers.
What I’m saying now and I think the trend very common, these people are massively overfilled to try to get a lifting effect and the main reason is they don’twant to have surgery and that’s understandable if people are not ready or prepared or either emotionally or financially for other reasons to do a lifting procedure I understand and we certainly know that some volume is needed with aging, it’s the replacement of the loss volume so I understand the rational between or behind not wanting to have surgery but the concept of using fillers to try to truly lift someone is really not the best direction ago and in minimally invasive procedures the Silhouette Intanlift is the common term for now, may provide a really good alternative for lifting while we can also supplement that with soft tissue augmentation using injectable fillers.
There are other lifting devices that do a minimal approach against stimulating collagen such as Ulteraphy and so now we have a few tools Ulteraphy which uses ultrasound and focused energy we have the Silhouette instalift which is a newer device, it’s been in Europe for many years and it’s been refined here in this country but I think that these additions, minimally invasive approaches that may not have permanent duration but are at last thing or in during improvement really are something that patients are looking for and then I feel are safe when they are dissolvable like the design with the PLGA design that we see with Silhouette.
If you have any questions about the Silhouette InstaLift the procedures in general to lift the face that are minimally invasive or even surgical please don’t hesitate to call or right if you have any experiences with these or questions that you like to ask about your experience also please don’t hesitate to contact me, you can send pictures or even videos if you want of yourself and I’ll be happy to comment on them publicly or privately. As always it’s my pleasure, this is Corey S. Maas MDTM on looking best.”