Skin lifting and regenerating

In addition to the wide range of dermal fillers and neuromodulators which have become standard in the aesthetic market a new product has been gaining a lot of attention and popularity lately: the so-called “Thread Lift”. 

In Cyprus we saw the appearance of PDO threads: straight short threads made out of Polydioxanone (PDO) which are placed in the subcutaneous skin layer in rather large numbers (10 - 20 or more in the face only).  To our opinion these threads have only a regenerating effect: their presence triggers the immune system to react by stimulating the synthesis of collagen and thus skin regeneration.  Polydioxanone is a colourless, crystalline, biodegradable synthetic polymer also used in the preparation of surgical sutures.  There is to our knowledge, until this day, no medical authority in the USA or in the EU which has approved PDO threads for use in aesthetic procedures. 

In view of the foregoing we are happy to introduce Silhouette Soft®.


Silhouette Soft®

Silhouette Soft® is produced in the United States by the same company which introduced the Silhouette Lift® sutures in the plastic surgery market in 2006.  Silhouette Lift® threads are suspension sutures which are used in cosmetic and reconstructive surgery. 

They are until today the only suspension sutures to have received approval from the American FDA (since 2006) and they are CE marked for the European market.  Since 2007 more than 20.000 Silhouette Lift® procedures were carried out successfully and presently every 15 minutes somebody somewhere in the world is being helped with Silhouette Lift®.

In October 2012 Silhouette Soft® was approved for use in the European market as a “spin-off” of the Silhouette Lift® sutures: they are shorter, with fewer cones and without the need to be stitched to the skin on either end.  They are best described as polylactic acid bi-directional bio-resorbable sutures with cones.  They have in the mean time also been approved and launched in the Latin American markets (including the massive Brazilian cosmetic market) and FDA approval and subsequent launch in the North American market is imminent.  


Polylactic Acid (PLA)

Unlike other existing threads, Silhouette Soft® is made out of a natural component: polylactic acid, which is derived from renewable resources such as corn starch or sugarcane.  Being able to degrade into harmless lactic acid, PLA is used for medical implants in the form of screws, pins and rods (and now also lifting threads).  PLA breaks down gradually over a period of 6 to 24 months.  This gradual breakdown is desirable for creating a support structure.



The Silhouette Soft® suture is made of a clear resorbable material and 8, 12  or 16 absorbable cones.  The length of the suture is 26,8 - 27,5 or 30 cm.  The resorbable cones are made of Lactide Glycolide (a mixture of lactic and glycolic acid) and they are positioned on the suture and separated by knots.  There are four, six or eight cones on each side of the suture, free floating between tied knots each 0,5 cm apart.  Each series of cones faces the opposite direction and points towards the end of the suture, hence the term “bi-directional”.  Two knots 1,5 cm apart are tied in the central section of the suture.  These two knots are at equal distance from the middle of the suture.  There is no cone between these knots.




The insertion of the suture in the subcutaneous (adipose) skin layer occurs through an entry point in the middle of the suture pattern.  The entry point enables the insertion of each half of the suture respecting the appropriate orientation of the cones.  After the insertion of the sutures in the treated area a manual compression of the adipose tissue is performed to obtain the full and immediate result.

Silhouette Soft® sutures can be placed in different patterns: straight, obtuse angle, in a V or in a U pattern (with straight or crossed legs).  Once inserted they remain in place, preventing any risks of migration or extrusion, due to the specific cone technology.

A light local anaesthesia (Lidocaine) is required only at the entry and the exit points of the sutures.  The sutures are inserted under sterile conditions through the skin in the subcutaneous tissue.  The procedure is performed at our clinic and does not require any surgical incisions or stitches and it does not cause you any downtime.


How does it work?

Combatting the effects of ageing above all means restoring smoother and more toned skin, but also a more shapely face.  To meet this dual requirement Silhouette Soft® combines two effects: lifting and regenerating:

  • The lifting effect is immediate and discreet as it is the result of compressing and elevating tissue at the time of adjusting the suture.  After inserting the suture, the doctor applies slight pressure on the treated area.  In this way she reshapes the surface of the skin and makes it visibly smoother.
  • The regenerative effect is gradual and natural: polylactic acid (PLA), the principal component of Silhouette Soft® is a natural polymer known in the medical science for many years (suture thread, orthopaedic pins, screws and nails for bone fractures are all made of PLA).  It is because this product is particularly biocompatible with the human body and also completely biodegradable that such applications have been developed.  Once the suture is applied, the PLA acts on the deeper layers of the skin and naturally stimulates the production of collagen.  This action which continues over time helps increase the volume of saggy areas and restores shapeliness to the face (or other body part) gradually and perfectly naturally.


In which cases is Silhouette Soft® indicated?

Silhouette Soft® is recommended for men and women of 30 and over who are trying to combat effectively the signs of ageing, who do not want any heavy or invasive treatment, but are looking for real and natural results.

Silhouette Soft® treatment is suitable for all skin types – testing for allergic reactions proved negative in clinical trials (4.000 patients).  Nevertheless the use of Silhouette Soft® is not recommended if you are allergic or sensitive to biomaterials.

Silhouette Soft® can be used for correction of the following areas:

  • Facial contours
  • Lower jaw
  • Cheeks and cheekbones
  • Eyebrows
  • Neck
  • Certain parts of the body (knees, upper arms, belly, ...)

The number of sutures to be applied is depending on the desired result and the condition of your skin.  Our doctor will give you exact information during your (free) consultation.


Combination with other procedures.

We are very enthusiast about Silhouette Soft® because it constitutes a perfect addition to dermal fillers and neuromodulators:

  • Neuromodulators (Botox, Dysport) relax relevant small muscles and avoid the appearance or reduce the existence of lines and wrinkles (like crow’s feet and worry lines)
  • Dermal fillers (Restylane, of course) replace lost volumes and fill up small and large wrinkles and folds.
  • Silhouette Soft® sutures form the supporting frame.  They provide an immediate lifting effect and safeguard or restore the facial contours.

The three different procedures together constitute a complete and a very efficient armoury in the war against ageing.


Why Silhouette Soft® is safe

  • Silhouette Soft® received CE 0499 approval and the ISO 1385 standards are in accordance with European Directive 93/42.  Silhouette Lift® is since 2006 already FDA approved in the USA and CE marked.
  • The development of Silhouette Soft® is based on six years of experience in suture suspension with cones used in reconstructive and cosmetic surgery in the United States (Silhouette Lift®).  Silhouette Soft® has been used since 2010 in the Asian market where met great success.
  • Silhouette Soft® is manufactured in Michigan/USA under strict medical and sanitary control.
  • The natural substance of Silhouette Soft® (polylactic acid) has been used for many years in various pharmaceutical and medical applications such as suture thread, orthopaedic pins, screws and nails for bone fractures.  It is also used in new biodegradable stent trials.
  • Application of Silhouette Soft® must be carried out only by a doctor who has been trained in a Silhouette Beauty® Laboratory or by a certified Silhouette Soft® training doctor.



  • The cost per each Silhouette Soft® suture with   8 cones is 250,00 €uro - all included. 
  • The cost per each Silhouette Soft® suture with 12 cones is 325,00 €uro - all included.
  • The cost per each Silhouette Soft® suture with 16 cones is 400,00 €uro - all included.


Silhouette Soft® has been awarded the Anti-Ageing & Beauty Trophy for Best Skin Tightening Device at the 2014 Anti-Ageing Medicine European Congress (AMEC) in Paris on 18 October 2014

For more information contact us for a (free) consultation.

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