Has anyone had any experience of the Silhouette soft? (photos)

I have had quite a bit of experience with the predecessor of the silhouette soft, the thread lift. Although the manufacturer of the thread lift promised results that would last about five years, I never made such promises. I told the patients that if they were happy with redoing it in 1 to 2 years, then we can proceed. A thread lift never lasted longer than this. The thread lift was a unidirectional notched thread instead of using PLLA cones on an absorbable suture. In any case, although the PLLA will absorb over time and stimulate some college, it will not be enough to hold any substantial amount of tissue for a long period of time. It just does not provide a strong enough and long lasting result. In any case, I do not believe it is beneficial for the patient for any type of suspension to be absorbable over time as this only removes additional support after the patient's internal scar tissue softens (scar is our friend most of the time and is the patient's soft tissue glue). I presume that the dimple marks represent entry points to place the silhouette thread. It is possible that these represent areas  where the cones are more protruding and visible. The bottom line is that there is no nonsurgical substitute for a facelift. The facelift is the gold standard for repositioning of tissue. Skin quality is an entirely different subject and should be treated as a separate problem. I wish you the best.

Thank you for sharing. 
I am the UK trainer for silhouette soft thread lifts and have seen great results from Silhouette soft thread lifts alone, however it is all about patient selection. I would suggest from your pre treatment images that you required combination treatment to treat the degree of facial laxity you have as your facial tissue is quite hypertrophic. 
At Dr Leah clinics we have created The Dr Leah Lift, for such cases - it combines US lifting treatment "Ultherapy" with Silhouette Soft thread lift, plus a facial peel to treat facial sagging that is deemed to be moderate or severe. 
Some form of combination treatment is what you should consider, it is unlikely that threads alone will provide an effective result for you.
I hope this helps.
Best wishes,

Dr Leah Totton (Medical Director Dr Leah Cosmetic Skin Clinics and UK trainer Silhouette Soft) 

Many patients are hesitant to undergo a face and neck lift procedure because they believe that the surgery is too radical, takes too long, or will make them look overdone. Unfortunately, many of these patients will look for alternative less invasive treatments to improve their face. Thread lifts are one of these alternatives. While great in theory and possibly beneficial for those with just a slight amount of sagging of their tissues, they just don't produce the same long lasting results as a traditional facelift for those with significant jowling and neck laxity.  At this point, your lifting probably won't improve much, but the dimpling should lessen with more time.