Can silhouette soft threads with cones be removed after insertion?

There is often puckering for a week or less after threadlifting such as with InstaLift Silhouette threads. It is more difficult to remove them then insert them and there could be minimal trauma to the skin to gain access to the thread which could cause a small scar or indentation or hyperpigmentation of the skin's color (darker). In some cases it is the best scenario to insert new threads without removing the old ones provided there is no contour change issue in the skin from the first set of threads. 

Thank you for sharing.
Having silhouette soft threads can be a shock to the patient as the puckering on the skin often does not look nice and can last for around 3-5 days. It is however a normal part of the treatment and it will improve on its own. It should have been explained to you by your treating doctor that you should not massage or touch the threads in the face, as although the puckering on the skin does not look very nice it is important to the overall treatment result. By massaging it away you will reduce the benefit of the threads, that said I suggest you do not try to have them removed as they produce collagen when left in the face and that will be beneficial to you. There are also risks involved to removing them. 

Hope this helps and best wishes,

Dr Leah Totton (Medical director Dr Leah Cosmetic Skin Clinic and UK silhouette soft trainer)

To be very honest, it is very difficult to remove silhouette soft threads after insertion. In that matter, any thread that once put is difficult to remove, so before undergoing the procedure, make sure to understand all pros & cons of the procedure.  

You might have listened a bit more to the instructions given by your doctor, Puckering, tightness and weird feelings are quite normal after  SIlhouette procedure and touching and massaging is definitely not a good idea. Infection is the worst thing that might occur after such interference so please stop this now!!
The threads will dissolve of their own accord. It is likely that any benefit will be lost by your interference but please don;t make it any worse by trying to remove the threads yourself or by asking anybody else to. They don't come out easily. Let it all settle down for a good four weeks and then review your face before you make any more drastic moves. It will all be OK if you leave it alone.

Depending on the degree of skin laxity skin puckering is a very common but self limiting side effect post treatment. In my experience the puckering normally settles within 5 days. Once placed in the tissue and tightened the sutures are quite hard to remove. If you have massaged the suture you have probably removed the tightening effect of it. You may have lost the initial lift effect but you will still get the secondary effect of collagen stimulation from the PLLA so they are best left in the skin

Silhouette Instalift is an implanted suture made of Polylacticoglycolic Acid, FDA approved to elevate mid-face.
The soluble sutures is inserted, and engaged into the dermis.  Once the thread has been secure, it cannot be removed. Overtime, your body will naturally metabolize the suture, causing it to stimulate your own collagen. The results may last up to 18 months.

Always discuss possible side-effects with your Board Certified Dermatologist. 

If its only one day, I would give it time to settle. Puckering of the skin is seen in 100% of cases, it often takes 2 weeks before things settle down. With the design of the cones, its very difficult to remove the threads without significant trauma to the skin. Be patient, and see what eventuates, if you have problems, go back to your Specialist who performed the tread lift as he or she will know the EXACT location of the threads as we keep notes on how many cones were used and the vectors of placement. All the best, Dr Davin S. Lim, Brisbane aesthetic dermatologist. Australia.