Silhouette-Lift® FAQ

Frequently asked questions

What is a Silhouette-Lift®?
Silhouette-Lift™ is a microinvasive technique developed for use with Silhouette Sutures™, which are designed especially to suspend your tissue. This less invasive technique is used to lift and reposition sagging mid face tissue especially when compared to traditional face lift procedures. The Silhouette Sutures™ offer significantly greater lift due to their unique absorbable cones. The sutures, once placed in the proper position, are then anchored to the muscle fascia through a small incision usually hidden in the hairline.
What is a Silhouette-Lift® used for?
As of today, Silhouette Lift™ is ideal to correct signs of aging in the nasolabial fold, the expression lines and the jowls. The procedure is determined to be safe and effective for this purpose by the Food and Drug Administration. Silhouette Lift™ is also being successfully used 'off label' for the neck and the brow lifts. The procedure with minimal modification is also being investigated to lift the breast and buttocks.
When I get older can the Silhouette-Lift® be redone?
The Silhouette Sutures™ generate scar tissue, especially around the absorbable cones. If and when you want, the lift can be retightened easily under local anesthesia usually taking about 20 minutes and again done as an outpatient procedure. The results of the retightening procedure can be significant and should increase the lift even longer .
My face is very different from one side to the other. Can a Silhouette-Lift® help me?
Yes a Silhouette Lift™ can be used to fix an imbalance in the face caused by Bell's Palsy, stroke or old facial injuries. This is an advanced use of this technique and will require an evaluation by Dr. Kolegraff prior to the procedure. Most people have minor differences between the sides of their face. Attempts to adjust for these differences can be made during the procedure and may result in some improvement. More difficult cases will not be attempted by our office until we have more experience with the procedure.
How long will the results last?
This is difficult to answer as everyone will age somewhat differently. If we were to only put Silhouette Sutures™ on one side of your face I would expect that side to look the best for the rest of your life. Your face will of course continue to age. Many patients who in the past opted for traditional face lifts are usually talking about another face lift a in five years. The sutures are new but clearly seem to last three years when used for cosmetic surgery and four years for reconstructive surgery. The Silhouette-Lift® looks like it can be retightened in a 20 minute outpatient procedure under local anesthesia, maintaining the lift even longer. Your initial results will be influenced too by how you follow the post procedure instructions. Exaggerated facial expressions in the first two weeks after the procedure will reposition the cones and reduce the amount of lift you get from the procedure.
How long does the procedure take?
The Silhouette-Lift® is a new procedure at re*be® and we were happy that our first one was completed just about one hour. Clinics that do a lot of these procedures such as Dr. Richard Goldfarb in Langhorne, Pennsylvania report being able to routinely place 8 sutures, four in each side of the cheek in 40 minutes. We hopefully anticipate to have similar procedure times when Dr. Kolegraff and the staff get more familiar with the technique.
How does the Silhouette-Lift® compare to a Lifestyle Lift®?
The Silhouette-Lift® is different from a Lifestyle Lift® in that it uses anchoring sutures to lift and hold the sagging portions of your face in place. The Lifestyle Lift®? involves an incision around and behind your ear, removing skin and lifting your face. The company that offers the Lifestyle Lift® will not be giving us permission any time soon to do their procedure. re*be® is authorized as a training center for other physicians and will be regularly holding training courses to do this. Dr. Kolegraff has been trained to do the Silhouette-Lift® and is now scheduling the procedure in Okoboji. There is a much smaller incision (microinvasive) hidden inside the hairline when the Silhouette-Lift® is used. The target of jowls and wrinkles around the mouth is very similar for each procedure. It is too soon for us to make claims as to which procedure is better but are very happy with our initial results using The Silhouette-Lift® procedure.
How much does it cost to have a Silhouette-Lift® procedure done at re*be®?

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