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521 Park Avenue, New York, NY 10065
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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Silhouette InstaLift

Minimally invasive techniques have advanced greatly in recent years as the trend in patients desiring a non-surgical approach to anti-aging continues to grow. Many aspects of facial aging can be addressed with safe and effective techniques that offer minimal downtime and natural-looking results. While deep wrinkles, brown spots and lost volume can be treated with traditional tools such as lasers, fillers and Botox, no great options existed that offered a minimally invasive method for lifting the cheeks, jowls, and neck until now

SILHOUETTE INSTALIFT

The Silhouette InstaLift uses completely dissolvable surgical threads to lift and re-suspend sagging facial structures such as jowls, cheeks, nasolabial folds, and excess neck skin. These tiny threads have integrated dissolvable cones that anchor the cheeks. The Silhouette InstaLift is now available at Pearlman Aesthetic Surgery in Dr. Steven Pearlman’s NYC office.

Dr. Pearlman uses these innovative new threads to lift underlying tissues that sag with the natural aging process. The procedure is typically used around the cheeks, jawline, and neck in order to restore structure and youthful orientation to the face. Procedures such as dermal filler injections and laser rejuvenation are used primarily to treat signs of aging such as loss of volume and elasticity; whereas the InstaLift is used to create lift at a much deeper level.

As they age, our patients often wish to correct sagging facial tissue, such as jowls along the jawline, drooping skin under the chin (“turkey neck”), descending cheeks, and deep creases from the outer nostrils to the corners of the mouth (nasolabial folds). The Silhouette InstaLift procedure mitigates many of those signs of aging, all with very little downtime!

The procedure is typically performed under local anesthesia in Dr. Pearlman’s AAAHC accredited surgical suite located in the privacy of our Park Avenue office. However, oral sedation is available if desired. Patient comfort is of paramount concern at Pearlman Aesthetic Surgery; and we do everything possible to ensure that our patients are well taken care of. Next, Dr. Pearlman will determine and mark out the best sites to insert the “thread” in order to achieve the maximum desired result. Dr. Pearlman then begins the process of inserting the threads. The threads are gently inserted into the skin (the target depth is roughly 5mm). Once those sutures are in place, Dr. Pearlman can “lift” the sagging skin thanks to the bi-directional anchor cones located along the suture that intertwine with your natural tissue. Once fixated, the InstaLift threads work by encouraging the body’s natural process of producing collagen around the threads. While the thread itself lifts the sagging tissue, the restorative powers of collagen last for years to come. In general, the entire process takes less than an hour, allowing patients to resume their normal activities after a short recovery. The specifics of patient recovery times will depend on the patient’s unique needs, aesthetic goals and general activity.

WHAT IS A THREAD LIFT and why is this different? 

A thread lift is a non-surgical, minimally invasive facelift procedure that uses special sutures to “lift up” sagging skin of the brow, cheeks, neck, and face, and other areas of the body. The procedure is less time-consuming than a traditional facelift, and there is very little recovery or downtime. The end result is a more youthful, rested and refreshed version of yourself. When you first hear this term, you might think of a prior procedure that was available a few years ago, the key point to keep in mind is this previous procedure while similar in technique, used permanent surgical threads. This procedure had a number of problems, due to reactions to and complications from the permanent threads, so much so that they were taken off the market by the FDA. This new and improved procedure has been available in Europe and South America for a number of years and patients report amazing results that can last up to 2 years.

How do Silhouette Threads work?

Silhouette InstaLift threads are made of glycolide L-lactide (PLGA), a widely used biomedical copolymer that has a long history of being generally well-tolerated in the body. These threads are comprised of the same formula as the deep dissolvable sutures surgeons have been using for many years in countless surgical operations. The use of resorbable sutures and their break down process in the body has been studied extensively. The other component is Poly–L Lactic acid, the substance that makes up the very popular facial filler, Sculptra, which was first FDA approved in 2004 to treat facial volume loss and lipodystrophy. Once inserted under the skin, the threads provide mechanical fixation of the underlying tissue until collagen synthesis occurs and subsequent encapsulation of the suture in your collagen takes place, which is the beginning of the biological fixation that makes the threads so successful. Once the sutures are inserted subcutaneously, the implanted PLGA suture acts by stimulating the fibroblasts and the production of your collagen. This action continues over time and helps to restore the volume and shapeliness to the face gradually and most importantly, naturally.

AM I A “LIFT” CANDIDATE?

The best Silhouette InstaLift candidates are in good physical condition and have normal skin thickness and early facial and jowl laxity. If you had a prior surgical facelift and are currently experiencing sagging skin, you may be an ideal candidate. This procedure is also an excellent option for younger women and men who wish to delay the physical changes they are noticing to combat early signs of aging. Anyone who would like to achieve subtle rejuvenation results in the cheek, jowls, or neck is the ideal candidate for a thread lift. As with all procedures, patient education and gauging expectations is crucial in a successful procedure. Not everyone is a great candidate and this is not a substitute for a surgical facelift.

In general, Silhouette Thread Lift patients have the following characteristics:

  • Early Sagging skin of the mid-face, jawline, and neck
  • Loss of facial volume
  • A desire to avoid invasive surgery, either due to medical reasons or personal preference
  • A wish to avoid general anesthesia
  • Realistic expectations about what this procedure can accomplish

RECOVERY AND RESULTS for the Silhouette InstaLift

Patients who undergo a Silhouette InstaLift are usually able to resume normal activities quite quickly. There may be some bruising or swelling after the procedure, but this should subside within 3-7 days. So the threads can be incorporated into your tissue, patients should avoid the gym for one week.

Most thread Lift results will be noticeable nearly instantly; however, results improve over time. Our patients who have opted to undergo a thread lift procedure consistently remark on how their improved facial structure makes them look significantly younger, and feel more confident. A thread lift with Dr. Pearlman can achieve a natural, beautifully revitalized version of yourself.

Choosing a Surgeon

Dr. Pearlman is world renowned for his excellence in all things pertaining to facial aesthetics, he is known among his peers as a “luminary” in his field for his development of many different non-invasive, non-surgical procedures and techniques. Facial Plastic surgeons and physicians from around the world travel to NYC to observe and study his cutting-edge techniques. The makers of many various injectable products and laser companies have called upon Dr. Pearlman to help them develop their procedural protocols, and subsequently teach them to other physicians. Dr. Pearlman’s extensive clinical experience allows him to identify the best strategies for utilizing the new and improved threads, and offer his patients the best possible outcomes without major surgery with very little downtime. As a result, you can be confident that you will receive the beautiful, natural looking results you deserve.

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