SILHOUETTE INSTALIFT

Instant Results from a NonSurigcal Face Lift?

The Silhouette InstaLift™ provides an instant Face-Lift that improves with time!


The InstaLift™ provides instant lifting and support for:

  • flattened cheeks and sagging cheeks
  • jowls and lower cheek looseness
  • Deep marionette or smile lines

When Fillers Aren’t Enough

Many patients look to dermal fillers in their 30s and 40s to reverse the beginning signs of aging. Cheek flattening and sagging, as well as jawline looseness becomes a concern during these years. There are some great dermal fillers available to replace lost volume in the cheeks, namely Restylane Lyft and Juvederm’s Voluma. However, over time, most people find that these dermal fillers just aren’t creating lift, and adding more and more volume to the cheek is what creates that distorted “over-filled” look.

The InstaLift by Silhouette (also sometimes called “Silhouette Soft”) works differently than fillers. Rather than adding volume, InstaLift lifts the skin immediately, then stimulates new collagen growth over time that plumps and tones the skin. Like dermal fillers, the InstaLift is dissolved over time, usually within 6-12 months. As the injectable filaments are dissolved, your results will actually improve! That’s because as your body dissolves the filaments, it lays down new collagen, not only preserving your new, lifted look, but also creating new support collagen for your skin.

Proven Technologies, Now Available in the U.S. 

The InstaLift is an injectable procedure performed by our board certified facial plastic surgeon, Dr. Mark Karolak, right in our office. It’s very similar to dermal fillers in that it is injected into the face to produce immediate results. In fact, the injectable filaments used in InstaLift are made from the same substances as the dermal filler Sculptra (PolyLastic Acid (PLA). These products have been used to build new collagen and form new tissue connections for years. However, InstaLift is a new way of using these technologies in combination, to treat skin sagging and looseness.

These dissolvable injectable filament lifts have been available in Europe for several years. At the end of 2016, about 13,000 of these procedures have been performed. This is important because it gives us good data on the safety, efficacy, and duration of results provided by these products. Beyond the FDA clearances received (which requires several studies and approvals by medical boards), patients have given very high satisfaction ratings to their results with this procedure.

Love the Way You Look, Without Surgery!

TABLE OF CONTENTS

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  1. What areas of the face can the InstaLift improve?
    1. flattened cheeks and sagging cheeks
    2. jowls and lower cheek looseness
    3. Deep marionette or smile lines
  2. What is the Silhouette InstaLift procedure like? What type of anesthesia is used?
  3. What should I expect in terms of downtime and recovery from the InstaLift procedure? Will I need to take time off of work?
  4. Am I a candidate for the InstaLift procedure?
  5. When will I see results and how long will my results from last?
  6. Who performs the InstaLift procedure in New Jersey at Reflections? How do I find a good doctor I can trust?
  7. Is the InstaLift the same thing as a thread lift?
  8. What are the alternatives to the InstaLift procedure? What are PDO threads and how is that different?

 


What areas of the face can the InstaLift improve?

InstaLift provides immediate lifting of skin and underlying support tissues, as well as long-term thickening of the skin through collagen synthesis. This is an ideal improvement for the cheeks, which lose support both in terms of collagen structures within the skin and in terms of fat pads that lose volume in the high cheek. Replacing this volume, creating new support for the skin, and lifting the skin with the Silhouette InstaLift are the perfect treatment for mild to moderate jowls, nasolabial folds (smile lines), and flattened or sagging cheeks.

In the photo to the right, you can see the immediate improvement to the jowls and smile lines, with some improvement to cheek. The improvement to the cheek will continue to improve over the next 3-9 months as new collagen is formed by the body. For a more immediate result, Juvederm Voluma or Restylane Lyft can be added to the cheeks to replace the lost volume. The reason the jowls and smile lines are treated immediately is because both of these areas of concern are caused by facial drooping. The InstaLift provides immediate lift in these areas, so those concerns are addressed the day of the procedure. Encouraging your body to build new collagen takes time, because of the natural processes involved. So improving volume, support, and skin quality will occur over several months after treatment.

The reason the jowls and smile lines are treated immediately is because both of these areas of concern are caused by facial drooping. The InstaLift provides immediate lift in these areas, so those concerns are addressed the day of the procedure. Encouraging your body to build new collagen takes time, because of the natural processes involved. So improving volume, support, and skin quality will occur over several months after treatment. Silhouette InstaLift encourages the growth of collagen, but not fat. Our faces do lose fat as we age, and sometimes with significant weight loss. InstaLift cannot replace lost fat. You may find you want to replace that lost volume with a dermal filler, to augment the results of InstaLift. This can be done during the same visit, or at future appointments, including after the full result of InstaLift is realized.

What is the Silhouette InstaLift procedure like? What type of anesthesia is used for the InstaLift procedure?

The InstaLift procedure is a comfortable and easy process. It starts with local anesthetic which is injected to numb the area. This is a very similar medicine to what your dentist uses, given through a very small needle. Numbing is a quick process and afterwards, you shouldn’t feel anything other than touch or pressure. The InstaLift dissolvable filaments are injected by our board certified facial plastic surgeon, Dr. Mark Karolak. The injection portion of the procedure typically takes less than an hour. Dr. Karolak is one of the most experienced providers of InstaLift in the nation and has used his experience to optimize the patient experience and results with InstaLift. 

What should I expect in terms of downtime and recovery from the InstaLift procedure? Will I need to take time off of work?

After your InstaLift procedure, you may want to take the evening off to relax, particularly if you desire to keep your procedure private. However, we have had some patients go out to dinner following the procedure.

You should expect to have some redness and swelling immediately following your procedure. Bruising is a risk, although any bruising is generally mild, such as the slight yellow bruising shown in the patient above. Severe or dark bruising can be treated at our office with specialized lasers used to break up the bruise and speed healing. This is provided free of charge to any of our patients who experience bruising following a procedure at our office. Swelling and redness typically resolve within 24-48 hours. Most patients feel comfortable covering any redness with makeup and returning to work the following day. Swelling is generally mild and not noticeable to others. 

Am I a candidate for the InstaLift procedure?

Most patients are candidates for InstaLift. The few exceptions are those with any known allergy or foreign body sensitivities to plastic biomaterial or in situations where internal fixation is otherwise contraindicated, (e.g. infection.). The best results will be with patients who have mild to moderate sagging and jowling. This procedure is a not a replacement for a facelift, and cannot achieve the same results, or the same longevity of results. However, it can be a good option for those wanting to delay surgery with a nonsurgical treatment.

When will I see results from InstaLift, and how long will those results last?

Lifting results from InstaLift are immediate. You will see them as soon as the procedure is done. These results can be expected to last 1.5 -3 years. As the filament dissolves around 9-12 months, your skin will heal in this new lifted position. As time wears on, aging will continue, and around 18-36 months (depending upon your individual aging pattern) you will see your results start to diminish. At this time, you can consider having InstaLift repeated, or trying a different lifting procedure.

Collagen building requires your body to respond to InstaLift and will take 3-6 months to occur. This new collagen will still be subject to your normal aging patterns. You should expect to see skin tone and texture improvements from the InstaLift last 1.5 – 3 years after initial injection.

Who performs the InstaLift procedure in New Jersey at Reflections? How do I find a good doctor I can trust?

The InstaLift procedure is performed exclusively by Dr. Mark Karolak at Reflections. He is our board certified facial plastic surgeon and was one of the first providers in the nation to offer Silhouette InstaLift. His skill at creating natural-looking results through precise correction of the multiple underlying causes of aging makes him an outstanding InstaLift provider. Just like with other injectable treatments, who injects the product is far more important than which product is used. With over 10 years experience performing facelifts under local anesthesia, the InstaLift procedure felt like a natural extension of his work and has quickly become one of his favorite procedures.

When you are searching for an InstaLift provider, you want to look for a board certified facial plastic surgeon. This is a specialized type of plastic surgeon who only performed facial procedures and has extensive knowledge of the facial anatomy and layers. When InstaLift was first introduced to the US they were selective in their release of the product, and only made it available to facial plastic surgeons at first. Choosing a board certified facial plastic surgeon who provides InstaLift provides you not only with the most qualified type of physician to perform the procedure but also means you’re more likely to be treated by someone with more experience in the procedure. You can and should ask your provider to see their before & after photos to confirm their experience and skill at creating the type of results you desire. That’s an important part of choosing a provider for any procedure because it not only allows you to feel more confident in your decision and to assess your provider’s skill, but it also opens the door for clear communication about the type of result you want to achieve.

Is the InstaLift the same thing as a thread lift?

Many years ago thread lifts gained in popularity as a quick-fix facelift. But the FDA ended up outlawing them because they had a high risk of complication. The most common complications were puckering and ripples in the skin. The next most common complication was breaking of the thread, which led tissues that were suspended to fall and sag, usually unevenly. This typically happened when too much pressure was put on the thread to lift heavy tissue that was beyond its capacity, or as the thread aged, particularly in high-stress areas. These thread lifts were sold as a replacement to a traditional facelift, and that led to doctors treating patients that really weren’t good candidates for the procedure, and overloading the threads which lead to puckering and breaks. Those threads also didn’t dissolve. So as you continued to age, the stress on the thread continued to increase and that also led to breaks.These complications became problematic when it was discovered that these threads were very difficult to remove, even after they had broken.

The InstaLift filament is different in many ways than the threads used in the past. The InstaLift is a dissolving filament that is easy to remove in case of a complication. That having been said, the lifting mechanism in the InstaLift is not as intense as these previous threads, and that leads to reduced risk of pulling the thread too tight and creating puckers or enough stress to cause the thread to break. This new design can easily be removed and replaced if needed. Thankfully there have been very few reports of such complications with InstaLift, despite its widespread use in Europe. The InstaLift threads are expected to completely dissolve within 6-12 months, so that age of the thread is no longer a factor.

What are the alternatives to the InstaLift procedure? What are PDO threads and how is that different?

Nova PDO Threads are another brand of dissolvable injectable filaments that offer immediate lifting and long-term collagen building. They are made of a slightly different material, PDO (polydioxanone), which has been used for many years as a dissolvable suture used in cardiothoracic surgery (such as open-heart surgery). These sutures produce a similar collagen-building effect within the skin. There are several types of Nova Threads, which you can read more about by visiting our Nova PDO Threads page. These threads offer a slightly shorter duration of result – about 12-18 months (versus 1.5 – 3 years with InstaLift). However, they also offer treatment for concerns the InstaLift cannot tackle, like a drooping brow, undefined lip border and lip lines, as well as jawline definition and neck treatments. For that reason, these two types of dissolving filaments are commonly combined to create a full-face treatment for patients with these types of concerns.

When it comes to instant, nonsurgical lifting results, only two procedures can come close to InstaLift – the Nova PDO Threads discussed above, and large volumes of the dermal fillers Restylane Lyft and Juvederm Voluma (which is only suitable when volume loss is the main underlying cause of sagging). There are several other non-surgical skin tightening and lifting procedures, but all of those rely on your body creating new collagen to create the result. This takes time, usually at least 3-6 months. Facelifts can also provide immediate lifting, and do provide a more comprehensive approach to aging and a longer-lasting result than InstaLift, but there is significant downtime with any surgical procedure. For these reasons, we feel confident saying InstaLift fills a hole that’s been missing in the cosmetic medicine space for a long time. No other treatment can provide dramatic instant lifting with truly minimal downtime and natural-looking results that last for years to come.

Is InstaLift right for you? Schedule a consult with Dr. Mark Karolak, board certified facial plastic surgeon, to discuss your best treatment options today!