Author Topic: THE SILHOUETTE FACELIFT  (Read 7546 times)

Dr. Donn Hickman

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« on: February 09, 2008, 09:33:19 PM »
The SILHOUETTE LIFT is a new (trade marked)  lifting approach using suture threads, but these threads do not have the barbed features noted in CONTOUR THREADS, APTHOS THREADS, OR RUSSIAN THREADS.  Instead, this newly FDA-approved prolene (polypropylene) suture has tiny cones on the surface which harness the skin instead of hooking it as with the barbed variety.  These cones dissolve in time anticipating that the suture will hold the lift in position.

It is performed similar to the CONTOUR THREAD LIFT and other suture suspension methods, where the sutures are deployed  from above,  threaded down into the slumped soft tissues and  retrieved where the suture is tugged upward to create the desired lifted position.

As with any suture thread suspension lifts, the procedure is best applied in the younger patient who wishes a subtle tightening of the brows and cheeks.  In the older patient, it is best applied in conjunction with other measures to rejuvenate the mid face and lid/brow unit.  OUR PRACTICE CONTINUES TO USE THE EROL METHOD OF LOOP SUTURE SUSPENSION, where a non-barbed or non-coned suture is deployed from above, and looped around the slumped facial soft tissue structures, then retrieved and brought back up and tied.  We believe its best use it to embellish the results of an upper eyelid surgery where the brow is suspended to its natural location. 

Each suture suspension approach is designed to delay the more invasive measures at brow, cheek, and neck lifting, but exceptional results can be obtaining when combining surgery with suture suspension.

SEE COMPARISON TO THE HIGHLY ADVERTISED LIFESTYLE LIFT------------------------------------------------------

     The LIFESTYLE LIFT  is a a familiar method, featured in the news and on Saturday morning infomercials. This is a trademarked procedure (requiring doctors who advertise it to be trained by the organization from which it is promoted).
      The lifestyle lift is simply a minimal neck and very low face lift performed directly in front of the ear and behind, that tugs on the muscles and underlying structures, and anchors the pull with barbed threads or loop threads.  It can be performed in one to two hours.   The down time may range from 3 days to a week or more.  The operation must be extended where there is excess fat in the neck and jowls, and heavy bands under the chin.  Most patients may require these additional measures causing surgery plus recovery to be longer. 
        In most patients from 40 to 80, additional measures are necessary for outstanding neck and jowl rejuvenation.  The classic neck operation for those with good cheek contours, is called a CERVICOPLASTY.  Its recovery may be less than a week in most cases. This operation involves a tiny cut and reshaping beneath the chin, as well as the identical approach around the base of the ear as for the LIFESTYLE LIFT.  It necessarily involves shaping fat, and muscle bands.   
        The minicheek lift, S lift, MACS lift, SMAS lift, and temporal face lift are similar to the lifestyle lift and are examples of minimally invasive (and short recovery) lifts for the cheeks and temples.
         A recent study in the Plastic Surgical literature indicated that these mini lifts that are done just in front of the ear whether they be in the temple area or all the way to the neck, may only last 1-2 years.  A full Cervicoplasty may expect to have a duration of 5 years and beyond.  A full face lift involves a Cervicoplasty, cheek, and temple lift, which can last 5 to 12 years.  Fees that are charged for a Lifestyle lift may be comparable to those for a NECK LIFT and MINI face lift, but again, the former may not last as long in older patients with thin elastic skin, and sagging near the jowls and chin region.  Current blogs on the procedure indicate a 60% satisfaction rate for those commenting.  It seems to be best applied to patients with thicker and less elastic skin in the 40 to 55 age range.
« Last Edit: February 09, 2008, 09:39:04 PM by Dr. Donn Hickman »