Average Cost of Silhouette Instalift ?

Question

I am a previous full facelift patient. After 5 years,I'm starting to see some mild jowling , as well as some loose skin in the neck region.I have seen the advertisements for this new procedure(with Dissolvable Cones) ,and I'm curious as to it's average cost and effectiveness . I'm not ready for a second full lift & this seems like it could be a worthy enhancement to a previous lift. Waste of money and time?

Mark Karolak, DO, FAOCO · Answer

As a facial plastic surgeon who's passion is facial rejuvenation, I perform a wide variety of facelift procedures depending on the needs, goals, and aging pattern of each individual patient.  In my opinion and experience, The Silhouette Lift is a nonsurgical/minimally invasive tool which can be used to help patients achieve their goals by truly tightening, and lifting drooping volume and skin in the face without incisions. THIS IS NOT THE SAME THREAD LIFT THAT LOST FDA APPROVAL YEARS AGO

Until now, the closest thing to this procedure has been the "skin-only facelift", which is a surgery that I find hard to justify performing. "Skin-only" facelifts  usually require incisions that are similar to a mini-facelift, but without any muscle tightening, so results tend to last a few months to a year. A well performed mini-lift can last 3 years, and in many cases significantly longer.

I view the Instalift as a procedure for patients with mild to moderate looseness of the mid and lower face, without a significant amount of loose skin, who do not have the time to recover from a facelift (about 1 week), are okay with results that can last about 18-36 months, are not open to having incisions, and find that the cost (about $3500-$6000 - which is in the same range as ulthera and thermitight) is worth the benefits. The results are subtle, but visible to both my patients and me. Patients have been happy. The procedure involves injecting dissolvable sutures with "sculptra" cones under the skin to lift the cheeks and lower face. It can be combined with fillers and botox to create an overall rejuvenated appearance. There are no incisions. Bruising and swelling is minimal if any.  Patients drive themselves home. It takes about 30 minutes to perform with minimal discomfort. Very often the recovery time is similar to that of a filler (24-48 hours if any at all).

Although patients may get excited to hear its done under local anesthesia,  those who have become part of my practice know that I perform all of my facial plastic surgeries (including facelifts) under local anesthesia as well, which creates a level playing field when it comes to that part of it.  In the right patients, I have found that the results are worth the time, effort and resources. The procedure is a minimally invasive way of tightening the skin of the face.

To find out if it's an appropriate procedure for you, I suggest doing your research and seeing a board certified surgeon who regularly performs a variety of different facelifts and nonsurgical facial procedures in order to truly get an unbiased recommendation.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  I customize every treatment to the patient's concern and the actual price varies depending on the number of sutures that are required to achieve the desired results.  Costs can vary from as little as $1500 (one pair of sutures, rarely enough) to over $5000 if a significant number of sutures are required.  But the average is between $3500 - $4500 for a midface treatment that helps to soften the nasolabial folds and marionette lines (I.e the parentheses folds around the mouth).  More important than price, however, is that you seek an experienced surgeon who can develop a customized plan to help you achieve your aesthetic goals.

Thomas Trevisani, MD · Answer

There are different marketing terms for different branded "thread lift"- which in my opinion is useless. The best and most permanent way to achieve the best neck contour and definition, remove excess skin is through a traditional facelift/neck lift

Kaete A. Archer, MD · Answer

It sounds like you are a great candidate for the Silhouette Instalift.  My recommendation is to have a consultation with a qualified surgeon in your area and discuss more details about the procedure and pricing.  The pricing depends on many factors including geographic location, your facial examination, and the number of sutures recommended.  In central Florida, our price for the Silhouette Instalift ranges between $3000-4000.

Edward E. Dickerson, IV, MD · Answer

The cost of Silhouette Instalift varies from facility to facility and can range anywhere between 2,500.00 to  5,000.00 dollars. Find a Doctor who specializes in the procedure and is board certified. Make an appointment for an evaluation to see if you are a good candidate for this procedure.

Dennis Gross, MD · Answer

Silhouette InstaLift is a non-invasive alternative to a traditional surgical facelift. It helps to address volume loss as well as skin laxity through not only instant lift of the skin, but also long-term collagen production. Specially formulated dissolvable sutures with bidirectional cones are used to mechanically fix deep tissue until collagen production ensures tissue fixation biologically. The entire procedure takes only 45 minutes and requires no incisions or anesthesia. Instead, lidocaine is injected locally to ensure patient comfort during the treatment. While cosmetic dermatologists have performed thread lifts previously, InstaLift provides a vast improvement thanks to the use of dissolvable threads and cones made up of a synthetic material called polylactic acid, which is also used in Sculptra. This material slowly disintegrates as the body creates scar tissues, which provides a natural lift for the face in their place. Through the use of bidirectional cones, the lifting caused by InstaLift can be more finely controlled. Combined, these advantages result in the long-lasting effects of InstaLift while avoiding the potential side effects once felt by patients who chose previous versions of thread lifting. The pricing at our office starts at $4500, price is determined in consult. The treatment is customizable, not every patient needs the same amount of threads.

Dave Christianson, MD · Answer

Hello!

I am of the opinion that a patient 5 years post full facelift, does not have a significant amount of loose skin and believe that this procedure may be an ideal option for you. The silhouette instalift may be used in the mid face jawline, neck, and even forehead area and provides an average of 1-2 mm. lift. As importantly, because it's made of poly-l-lactic acid, it will provide volume collagen stimulation which is so important to a youthful appearance. Sight unseen, I cannot make a recommendation, but I believe it would be a great route for consideration. This procedure provides results that last up to 2 years.  Our practice charges $600 per suture, and my guess is that you'd want 4-8 sutures depending (4 per area, jawline, or neck, or both).

Thank you for asking your question!

Dave Christianson, MD

Neda Vanden Bosch, MD · Answer

thank you for your question. Sillouette in sta lift is a new and exciting procedure for lifting of the face with absorbable sutures made from sculptura, lasting average of 18 months or more. There is immediate lift as a result of the cones that snap into the place and tighten the skin, as well as long-term result as a result of collagenesis caused by sculptra filler. This procedure is completely different from previous Barb sutures or thread lift, that gained a poor reputation. The results are immediate and improve over time, are natural and long-lasting. In my experience patients are very happy, there is minimal downtime and procedure is extremely safe. Over 200,000 cases were performed in Europe with no adverse affects! The cost of the procedure depends on the number of the sutures used. The average cost is between $2500 to 3500. If there are more sutures needed the cost may be higher. This procedure, by the way, is an excellent option for post facelift tweaks, such as yourself. Good luck!

Kyle T. Yamamoto, MD · Answer

When it comes to lifting the jowls and neck, there are truly no good substitutes (yet) for surgery.  Many of the advertised non-surgical lifting procedures (e.g. Silhouette Instalift, Threat Lift, etc.) may be great in terms of cost and recovery time, but generally do not give you good results.The important part of a facelift procedure to ensure a good result and longevity is to lift the muscles of the face under the skin.  Only a surgical procedure truly does this.You may be a great candidate for a "mini" facelift, of which most facial plastic surgeons and plastic surgeons perform.  The surgery is more limited compared to a full facelift, but the muscles of the face are still lifted and repositioned.  The advantages of a mini facelift are lower cost and reduced recovery time.  Look for a surgeon in your area who specializes in the face and performs a lot of mini facelifts.Best of luck in your decision!

Sean Freeman, MD · Answer

marg2009, as an old saying goes you can dress up a pig but it is still a pig. My advice is to avoid thread lifts no matter how they are dressed up and what fancy name they are given. You would probably do fine with a short flap facelift which can be done under local. Read about my SignatureLift on my web site. I'm sure there are capable surgical specialists near you that do "only faces" that can offer you this procedure. Good luck!

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