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

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.

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) 

Perhaps revising your operation and converting it to a face lift while removing the Silhouette sutureand releasing the skin will give you a better correctionand solve your concerns. Consult with a board certifiedplastic surgeon in your area for a complete evaluation andrecommendations. Best wishes.

It is disappointing that you are not satisfied with your results of your Silhouette treatment so far. It is not uncommon to get some swelling initially, as well as some dimpling and puckering. This normally resolves within 2-3 weeks. The lifting effect is achieved initially due to the fixation of the skin to the tiny cones incorporated into the threads. There is normally a further lifting effect over the subsequent 2-3 months due to collagen stimulation, but this is more subtle. It is difficult to assess the amount of lift that was achieved without seeing your before photos.
I would recommend allowing more time for everything to settle down. The best results are often achieved when Silhouette treatment is combined with cheek volumisation using fillers, as well as collagen stimulation to improve skin texture. It would be worthwhile seeing your practitioner about 6-8 weeks after your treatment to discuss the possibility of using fillers to improve the results.
Best wishes 

Are there any before pictures? It's difficult to say. We all think that Silhouette is a magic treatment but in reality it is to be considered the same as a filler, botox or peeling. It is not surgery and the results are not as visible or longlasting as surgery. However Silhouette contributes to the general anti-ageing of the face and has a unique lifting effect  However it's not the only treatment that we need at this age. I wonder if this was explained to you before treatment. You should return to the doctor and ask about further treatments to improve and refine the results.

Im sorry to hear you havent had a great experience with Silhouette Soft so far.  A Silhouette Soft lift will give you a subtle mechanical lift at the outset, in my experience it does then tend to drop a little between 2-4 weeks then as the collagen stimulation kicks in your results will improve further over the next 2- 3 months. My patients sometimes say they can see ongoing improvements up to 6 months.
Quite often after repositioning the tissues i will put some midface volume in as well to really optimise my patients results.
From your photos im unsure what techniques were used to insert the threads. There are many ways of placing the sutures but some methods have better longevity and results than others. If at the three month period you are not happy with the results you may need a little volume added to give you your desired results. 

pip, my oh my I thought that these procedures had finally been relegated to the history books. These procedures no matter what they cost work poorly and can cause post operative issues. I suggest that you do your homework better next time. See a surgical specialist that is board certified and does "only faces" who knows deep plane techniques and has great photos to see on his/her web's site. See the video. Good luck!

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.

From the pits which are present on your lateral cheek it looks like the threads and your tissue reaction are still evolving, so you can expect further improvement up to 3 months after your treatment.

However, as your face tissues seems heavy the amount of improvement that can be achieved with threads is limited and I would recommend to consider a Face Lift.

Sorry to hear about your experience. Your Specialist should have informed you of the expected progress, it does get better with time and your dimpling, or puckering will improve. Thread lifting is NOT a substitute for a face lift, it can be helpful if expectations are aligned, and if you are a suitable candidate. Things will setting in the next 2-3 weeks. Dr Davin S. Lim, Dermatological surgeon, Brisbane. Australia.