Enhanced Silhouette InstaLift™ Technique for Precision Lifting: A Technical Innovation and Retrospective Analysis of Personal Experience in 100 Consecutive Cases.

BACKGROUND

The Silhouette InstaLift™ (Sinclair Pharma, Irvine, California, United States) has gained popularity as a minimally invasive technique with an effective and safe profile, offering immediate results and minimal downtime compared to barbed suture thread lifting. This study introduces a modified Silhouette InstaLift™ technique designed to enhance precision in thread placement and reduce complications. We report our experience on the clinical outcomes and safety of this modified technique.

METHODS

We retrospectively analyzed 100 consecutive cases treated between 2018 and 2023. All procedures were performed by a single surgeon using the modified Silhouette InstaLift™ technique. The approach involved precise thread placement and multi-point fixation to enhance the stability of the lift. Outcomes were assessed using the Global Aesthetic Improvement Scale (GAIS) at postoperative day 1, one month, three months, and six months. Complications were recorded and analyzed.

RESULTS

The mean thread count used was 6.1±2.3. A small proportion of patients (7%) utilized other types of threads, and 3% underwent concurrent procedures. Complications were minimal, with 6% of patients experiencing dimples and 2% reporting unevenness. GAIS assessments showed that 90% of patients reported improvement on post-procedural day 1, which increased to 94% by six months. The trend demonstrated a sustained and even a continuous increase in aesthetic improvement over time.

CONCLUSIONS

The modified Silhouette InstaLift™ technique provides enhanced precision in lifting, resulting in improved aesthetic outcomes and a lower complication rate. It can prevent cheekbone protrusion, provides greater stability than the original method, and leads to long-term satisfaction. Further research with larger and more diverse populations is recommended to validate this novel approach and explore long-term outcomes.