Silhouette Instalift™

Immediate results without facelift surgery.

Silhouette Instalift

The Problem: Sagging facial skin

Silhouette Instalift™ immediately reverses the effects of the natural aging process as well as provide longer term lift to your face. Think of your face in terms of an hourglass. When you have more time the sand is in the top half creating what we call the “triangle of beauty” or the heart shaped face. As your body matures the sands of the hour glass move to the bottom causing your triangle to invert. Facial volume settles in the chin, lower cheeks and neck radically changing your face’s shape. Fortunately you have retaining ligaments that maintain the aesthetic position of your jaw but the equation of Maturation+Conditions+Gravity causes the following problems:

  • Thinner facial skin.
  • Weaker supporting collagen and elastin.
  •  Facial fat thins.
  •  Fat compartment in the jaw droops.
  •  Supporting bones also begin to thin.
You develop these results:

  • A tired, distressed appearance.
  • Flat, featureless cheeks.
  • Jowling.
  • Sagging brow.
  • The neck sags.
  • The jawline sags.
  • Volume in general heads south.
  • The triangle of beauty sinks so the base is in your chin and jaw.
  • The corners of your mouth descending giving you permanent “sad mouth.”

All of these results can be made worse by other conditions such:

  • Sun damage.
  • Smoking.
  • Environmental toxins.
  • Little exercise (resulting in shorter telomeres, the things that allow for cell replication).
  • Poor nutrition (few antioxidants and collagen building proteins).
  • High sugar intake (causes glycation).
  • Lack of daily skin care,

Without the supporting structures gravity starts to win the battle for how you look….UNTIL NOW!

Triangle of Beauty

As you mature your skin’s supporting structures weaken and gravity pull you skin south causing wrinkles and sag as volume settles in you lower cheeks, jaw, chin, and neck.

Silhouette Instalift™ FAQs

Facelift vs Silhouette Instalift™ : Which one is for me?

“I’ll get a facelift!”
There is a couple of problems with jumping to that conclusion. First, your body has about 2 facelifts in it before you start to look fake and overdone. A facelift lasts about 5-10years so you should save them until later in life when you’ve exhausted less extreme choices. Another problem is a facelift gives you a fixed result even though your body will continue to change. Imagine being stuck with your 19 year old wardrobe and hair style through your entire life. You want to be able to roll with the changes. At the New You Center our approach to cosmetic medicine has been to favor natural looking results and therefore adopt therapies that work with your body over just a forced addition that won’t evolve with your changing appearance.

Facelifts are appropriate when you need them and they are right for you. You don’t want to get them too early in life. Facelifts are costly and involve considerable downtime. (If you are a candidate for a facelift, I’ll be straight forward with you and say so. I can recommend some of the best plastic surgeons in the country if not the world.) Instalift will not replace facelifts in intensity or longevity of effect. Nothing replaces a facelift…when its needed.
Silhouette Instalift™ also known as Silhouette Soft™ (in Europe) fits nicely between energy therapies like Halo™ and the surgical approach of a full blown facelift. Silhouette Instalift™ as my good friend, colleague, and mentor Dr. Jason Pozner has says, “This [Instalift] is another tool for the right patient; the younger patient who is not yet ready for facelift, or older patient who medically is not a good candidate for surgery.”1

Dr. Mary Beth Mudd from the New You Center

Doc Thought:
“Your body has about two surgical facelifts in it before you start to look fake and overdone.”

Who is a good candidate for Silhouette Instalift™

The Instalift is a great option for you if:

  • You want to see an immediate improvement.
  • Don’t want much downtime.
  • You’re noticing cheek sag.
  • You have mild to moderate jowling but nothing that’s significant enough to get a facelift.
  • You want to elevate and rejuvenate lost facial fullness.
  • You’re a physical candidate for a facelift but you don’t want the cost, surgery or lengthy recovery.
  • For physical reasons facelift surgery is not an option for you.
  • You’re in between facelifts. The lifespan of a facelift is about 10 years but some people see gravity ruining their investment about 5 years in. Instalift can help you maintain your contour.
  • You’ve experienced some significant fat loss but not enough to get a facelift.
  • It’s been a few years since you had your Instalift and you want to maintain your look. You can do Instalift without it making you look overdone.
  • If you have heavy or large jowls Instalift may not be for you and I’ll tell you if that’s the case. Some people are happy with just a little lift. A full diagnosis by a physician should include all your options and possible outcomes.

How does Silhouette Instalift™ work?

Instalift uses a polylactic-co-glycolic (PLGA) biodegradable thread and bidirectional cones made out of poly-L-lactic acid (PLLA). Now what all that “sciency” means is that the coned thread is made of lactic acid like you find in your body. It will breakdown and it won’t create inflammatory rejection. In fact the PLLA cones have the same active ingredient as the dermal filler Sculptra™. PLLA stimulates type III collagen, which is the structural and solid collagen that makes for a good skin foundation. Type III collagen builds around the cones so that when they are absorbed a fibrosis is formed which maintains the supporting tissue in its new lifted position.
These polylactic cones create a technology that mechanically attaches to the retaining ligaments and deep skin in your face. Once the thread is in place it’s pulled and the cones open up like little umbrellas. Now isn’t that cool! Dr. Susan Weinkle, a dermatologist from Brandenton, Florida observed, “The polylactic acid remains in place…and actually stimulates the fibroblasts and collagenesis, so that you get some continual improvement over following six to eight weeks.”2

Lift now – Lift later.
The nice thing about Instalift is you get to elevate and rejuvenate your face in one procedure for immediate as well as long lasting results.
Elevate immediately: Delayed gratification is great…as long as you don’t have to delay it! After the cones are anchored in your skin they immediately lift and elevate your face’s shape. Walking right out of the procedure everyone wants to hit the mirror and see the difference!
Rejuvenate later: Instalift has a time release aspect. We generally think of inflammation as a bad thing. Inflammation is your body’s response to healing. Instalift gives you “Goldilocks inflammation,” not too much; not too little, but just right. As the cones slowly breakdown, they trigger your body’s collagen development which replaces the thread and cones with your own collagen so your skin stays elevated long after the threads are absorbed.


“In my 20 years’ experience of using a wide variety of different threading techniques, this is the best one that we’ve ever used. In all cases, the procedure is a home run with patients. They are extremely satisfied.”3 — Dr. Daniel J. Goldberg

Silhouette Instalift Thread

A greatly enlarged Silhouette Instalift thread. Actual size is the thickness of your driver’s license!

What's the Silhouette Instalift™ procedure like?


  • We’ll do a pre-procedure physical.
  • Plan to have someone drive you home or we’ll call you a taxi.
  • I mark your face and confirm with you the areas to be treated.

The Instalift Procedure:

  • The procedure lasts only 45-60 minutes.
  • You’ll get a local anesthetic and perhaps a Xanax.
  • A small opening is made in an anchor location usually in front of your ear or above the hairline. (Don’t worry no one will see it.) Everyone asks, “How big is the opening?” I’m talking tiny, it’s about the size of the thickness of your driver’s license! See this “o”? Well it’s smaller than that.
  • The Instalift thread is inserted with the cones shut and the cone tips pointed down toward your chin.
  • A fine thread guide, again the same size as mentioned above, is used to position the thread and cones in the desired locations.
  • Once in position the thread is gently tugged to the necessary snugness to restore your natural lift. Again nothing uncomfortable. A comparison would be for you to take 3 fingers and put them on a line on you cheek. Now move them quickly upward. With the thread triggered two things happen:1.) The cone swings open like a microscopic umbrella and they attach to your deep skin.2.) The open cones fill the gaps where collagen is lacking at the moment.The number of threads used depends on the results desired and the area being treated.
  • Once the thread is in place, the cones are opened and they have a good hold on your skin, I’ll remove the thread guide and tie off the thread.
  • I’ll check to make sure your skin has a balanced and natural shape and make some smoothing adjustments.
  • The best part! You get to look at you restored and rejuvenated face and see your immediate results!

What will I have to do after I get Silhouette Instalift™?

  •  After your anesthetic wears off you face and the little opening will feel sore (That’s the good inflammation at work.)
  • You may have some redness.
  • You might have some minor swelling so you’ll want some ice bags handy at home.
  • Bruising is generally mild. I offer complimentary laser bruise treatment to patients to quickly break down bruises, speed up healing and make you feel better about yourself.
  • No driving for 48 hours after the procedure.
  • No alcohol for 48 hours.
  • Expect the tiny openings to drain. (That’s good.) No band-aids or peroxide.
  • Don’t submerge the opening for 2 weeks (No swimming.)
  • For the first 72 hours drink plenty of water and eat a soft diet.
  • You want to avoid excessive stress on the thread for the first two weeks so no excessive or repetitive chewing like gum, hard or sticky food.
  • Avoid huge yawns, heavy laughing, or smiling in the first 2 weeks.
  • Don’t sleep on your face for 72 hours.
  • No vigorous exercise for 2 weeks.
  • VERY IMPORTANT: Take ALL of the prescribed antibiotic until it is ALL GONE. (You don’t want to create resistant super bugs.)
Dr. Mary Beth Mudd from the New You Center

Doc Thought:
“Unsure about your results? Don’t worry. Because we look at our faces everyday we sometimes don’t see the effects of the collagen development. You can always ask for another ‘after’ picture so you can see your progress.”

How soon until I see results from my Silhouette Instalift™

That’s easy…IMMEDIATELY! Now most of you know me but for those who don’t, I prefer to be conservative about results. With Instalift you DO get immediate results and results continue to develop:

  • The threads dissolve over 3-9 months being replaced with your own collagen.
  • Collagen builds over 3-6 months and is subject to your body’s normal aging process.
  • Results last 18 months to 3 years.
  • Your skin heals in the new lifted position.

What will I look like after Silhouette Instalift™? : Before and after photograph

Silhouette Instalift Before and After PictureThe picture on the left is immediately before the Silhouette Instalift™. The picture on the right shows the patient immediately after the procedure. Note in the picture on the right:

  • The reduction in the nasolabial folds.
  • The added fullness in the cheeks.
  • The smoothness around the chin.
  • The results will improve as her collagen continues to develop.

What is Dr. Mudd's Face Shift Technique™ using Silhouette Instalift™

In the “Comparisons” section below you’ll see that each therapy offers something unique. Energy therapies like Halo, Photofacial, Ultherapy or Dermal Fillers all have something to add to your unique appearance. So why limit how good you can look to just one therapy? The Face Shift Technique™ combines the results of Instalift, Energy therapies and Dermal fillers to get a composite result.  By combining all three procedural results we can achieve full face revitalization which your cannot achieve with only one therapy alone. With the Face Shift Technique™ we reset the time on your face’s hour glass by “flipping” the volume from the bottom of the hour glass back up to the top. Instalift strength is immediate and more specific mechanical skin lifting and longer term collagen development with returns some fullness. Overall skin rejuvenation is the strength of energy therapies. Dermal fillers provide added volume to replace lost facial fat.  I am offering Silhouette Instalift™ is because I can see the value it offers not only in itself but as an essential tool for those of you interested in full face revitalization. My approach is supported by several experts in the field:

Volume Flip Technique using Silhouette Instalift

The Volume Flip Technique combines the results of all three therapies to achieve superior full face revitalization for the longest period of time.

Dr. Roberto Pizzamiglio a Scientific Consultant and Director of Training for Silhouette Soft, a world expert in the procedure says the following about combining Instalift with dermal fillers:

“Most of the time when repositioning the tissues, we may also need to replace volume, so we can use the [Instalift] as part of a full-face non-surgical bio-revitalization. We suggest combining treatments or using the [Instalift thread] a month before or after the volumization procedure. This combination can five a notably more effective result compared with a single treatment alone.”5

Dr. Julius Few, a Chicago plastic surgeon, agrees that combination is the way to get optimal results:

“Used alone, results can last up to 18 months, but we often use the absorbable suture lift in combination with fillers, lasers and other nonsurgical facial treatments to create a ‘stackable treatment,’” he says. “The results are expected to last several years when combined with other treatments and wear off gradually.”6

When you’re considering Instalift, don’t just think about it the results you can get with it alone but in conjunction with energy therapies and dermal fillers. All three can be combined to “flip” the hour glass and restore your face shape for longer term results that cannot be achieved using just one therapy by itself.

Instalift certainly offers a quick fix which is great but if you are thinking about how you will look 10, 15, 20 years from now, I would strongly suggest you look into full face revitalization using the  Face Shift Technique. You can ask more about it at your consult and see if its right for you.

How does Silhouette Instalift™ compare with Contour Thread Lift, Halo Laser®, BBL/Photofacial™, Ultherapy® and Dermal Fillers?

Silhouette Instalift™ vs. Contour Thread Lift

First of all the FDA withdrew its support for Contour Thread Lift in 2009 so it is no longer available. The Contour Thread Lift was a permanent thread that was usually looped around the chin and then anchored behind the ear using a barbed thread. The Contour Thread Lift had several problems:

  • High risk of complications.
  • Puckering and rippling of the skin due to asking the thread to do too much.
  • Thread breaking causing retained skin to not only fall and sag again but often to do so in an uneven manner.
  • The thread was permanent and didn’t dissolve and so couldn’t evolve with the patient’s body changes. As patient’s aged more skin was suspended not only causing the thread to fail but creating an odd appearance.
  • Swelling and skin inflammation that wouldn’t go away.
  • Visible knots and dimpling under the skin.
  • Extensive scarring that made the threads hard to remove especially if a facelift was later chosen.
  • 20% of patients needed repeated procedures.
  • The thread could only be adjusted in one direction giving a phony 2 dimensional result.
  • Poor results. On a scale of 0-3 after an average of 21 months, Contour thread lift patients reported 0.2-0.5 levels of improvement.
    Worst of all the procedure didn’t do what ti was supposed to do. FDA doctors concluded it did not change the shift in facial volume that occurs with age.7

Silhouette Instalift™ provides an immediate mechanical lift with the absorbable coned thread that anchors within your skin. Instead of forcing your body to do something artificially, Instalift gives you the immediate lift without being a permanent thread and without of the complications that came with the old Contour Thread Lift approach. The Instalift thread evolves with your body and lets it replace the thread with your body’s own natural collagen.

Silhouette Instalift™ vs. Dermal Fillers

How does Instalift compare with dermal fillers for lifting and restoring lost face volume? Both procedures take about the same amount of time. Dermal fillers have little or no recovery while Instalift takes about 3 weeks for full recovery. Both dermal fillers and Instalift will give you immediate and longer term results, which will vary depending on the person. Instalift isn’t going to replace fillers and vice versa. Dermal fillers give you volume now and Instalift gives you volume later.
Over time gravity gets the better of even dermal fillers. If I use too much filler to counter the effects of gravity and the naturally maturing body you can end up with a puffy, over-filled look and we don’t want that. Instalift doesn’t add volume directly but provides direct and immediate mechanical lift to skin. Later it stimulates collagen so your own body plumps and tones your skin naturally. Like dermal fillers, Instalift lasts 6-12 months as the thread dissolves and your body stimulates collagen production.

Silhouette Instalift™ vs. Halo Laser

Instalift will restore volume and elevate the physical skin mechanically with its thread. Halo will rejuvenate the skin itself and provide an over all restoration of the skin which produces some elevation but in a generalized way. Instalift gives you fine tuning and exact control over the lifted area and very specific collagen development. You should consider getting a Halo every 1-2 years as part of a full-face revitalization.

Silhouette Instalift™ vs. BBL/ Photofacial

Photofacial works in a similar way to Halo in giving generalized overall skin restoration but not the specific and directed mechanical elevation of Instalift. Photofacial will work well in supporting your full-face revitalization that’s begun with Instalift. The two work well together. Consider getting a Photofacial every 6-8 months to help boost your Instalift results.

Silhouette Instalift™ vs. Ultherapy

Where Instalift gives immediate and specific lift and longer term results. Ultherapy’s results are not immediate and unfold over time in a generalized way. Again like the other therapies it provides excellent overall skin improvement.


  1. Cosmetic Surgery Times, June 21, 2016
  2. The Aesthetic Guide, January/February 2017, page 8
  3. Ibid, page 8-9.
  5. accessed 4/05/2017.
  6. accessed 4/05/2017
  7. Rima F. Abraham, MD; Robert J. DeFatta, MD, PhD; Edwin F. Williams III, MD, “Thread-lift for Facial RejuvenationAssessment of Long-term Results,” Arch Facial Plast Surg. 2009;11(3):178-183. doi:10.1001/archfacial.2009.10