Can I get Ultherapy after a silhouette soft thread lift?

Thank you for the detailed question. Yes, you can use Ultherapy as an adjunctive treatment to the face and neck along with the Silhouette Thread Lift. I would recommend waiting at least three months after the Silhouette Thread Lift before getting Ultherapy so that you can see the final result and how much improvement you get with the Silhouette Thread Lift. I suggest going back to the plastic surgeon who did the Silhouette Thread Lift, or seeing another board-certified plastic surgeon to discuss your concerns.

Yes, you can have ultherapy after a Silhouette thread lift. Keep in mind, Ultherapy is a unique device that targets tissue deep to the skin and performs it's effect while leaving the overlying skin intact and not involved. Thus, it does take time for the thermal ( heat) areas to transform into collagen and result in tightening. That does take 3 months at least. Be patient and you will see the results. 

Thanks for your question. The Silhouette sutures are made primarily of PLLA (Poly-L-lactic acid. Once placed they stimulate a build-up of collagen over time, creating volume at the site of injection, while the PLLA microparticles are metabolized to carbon dioxide and water and expelled through the respiratory system. You are now approximately 4 months out from this procedure so the sutures are still having that effect. Should you decide to do an additional collagen induction procedure such as Ultherapy it is possible that the heat from that procedure would cause the suture to break down more quickly. That isn't necessarily something you would notice, since the Ultherapy procedure would be producing collagen at the same time and resulting in a lift on its own. So, as far as "safety" I don't expect there would be a concern but we cannot be sure what effect or how much effect there would be in terms of the 'life' of the Silhouette sutures, because that has not been specifically studied.

Best,
Lisa Vuich, MD