What is Silhouette Soft Lift Treatment?

Silhouette Soft Lift treatment is a patented self-anchoring thread technology that permits a minimally invasive approach for elevation and fixation of skin. Silhouette Soft Lift treatment is now available in Cape Town and Somerset West administered under the watchful eye of Dr Wade Merchant. Silhouette Soft Lift treatment is an FDA approved product for elevation and fixation of mid-face, brow and neck.

Silhouette Soft Lift treatment is made from polylactic acid , a material that has been used inside the human body as a suture material for decades. Silhouette Soft Lift is designed with patented dimensional cones that attach to the sub dermal tissue, lifting, suspending and fixating the contour of the brow, mid-face and neck areas.

Procedure Description

The Silhouette Soft Lift treatment is a minimally invasive office procedure performed under local anaesthetic that is designed to elevate, reposition and lift lax skin of the brow, face and neck.  The Silhouette Soft Lift treatment works by having these fine threads inserted painlessly under the skin. These fine threads are similar to those that would be used to support the deep structures of your face if you were to receive a real surgical facelift.

Using local anaesthetic, the threads are passed into the droopy facial element with a special guide needle. The threads are then able to grab on to the droopy soft-tissue and muscle of the desired area. Most patients experience minimal bruising or swelling for 1-7 days. The Silhouette Soft Lift treatment is not painful and most patients can return to normal activities with makeup the next day. The threads stay where they are inserted and, like all internal sutures, are generally well tolerated by the body.

The Silhouette Soft Lift treatment shows immediate effects. Patients can achieve 30-70% of what an invasive facelift may achieve and well over 90% of Silhouette Soft Lift patients report very satisfying lift results. The Silhouette Soft Lift treatment lasts up to 18 month and can be repeated. Many Silhouette Soft Lift patients may combine the skin tightening effects of the Silhouette Soft Less with other procedures. Patients may choose to re-suspend tissue with this technique in several years or go on to more traditional forms of plastic surgery.

Silhouette Soft Lift

What do the threads look like?

Unlike other thread products, Silhouette Soft Lift is clear so they are not visible under fair or thin skin.

How do they work?

Due to the unique design of the cones of Silhouette Soft Less, the surrounding tissues act to hold the threads in place without the need for visible scars. The cones do the work of holding, by being fixated to tissue as they are softly contoured into place. Once in position, your body generates new collagen bundles that surround each thread to maintain the lifting effect.

Does it hurt?

Pain and discomfort are very minimal with this technique and most patients take only Paracetamol for pain relief. In most cases, ice compresses are recommended for the first 24-48 hours.

 Silhouette Soft Less treatment

Is it safe?

The risks and complications are uncommon and usually easily correctable. The actual sutures are made from polylactic acid, which is a material that has been used in brain, heart and abdominal surgery for many years. Since a Silhouette Soft lift is performed under local anaesthesia, there are none of the risks associated with general anaesthesia.

What kind of care is required after the procedure?

Following a Silhouette Soft lift procedure, there are some practical instructions and care that must be followed to avoid traumatizing or dislodging the threads from their supportive locations in the deep fat of the face and neck. Some of these instructions include avoidance of forceful facial rubbing or trauma, sleeping on your back, minimal facial animations, putting pressure on the face, and avoidance of excessive mouth opening. After 3 weeks, there are no more restrictions.

When can I return to work and activities?

Depending upon your job and your tolerance for some minor bruising and swelling, you may be able to return to work in 2-3 days following the procedure. Most patients look good in makeup after one week.

Silhouette Soft Less treatment

How many treatments will I need?

Usually only one procedure is needed to achieve the desired lifting effect.

How long do the results last?

Physicians’ experiences have shown that duration varies, depending on the age of the patient at the time of the procedure, the degree of sagging, and the number of threads used.


Can this procedure be combined with other cosmetic procedures?

The Silhouette Soft Lift is a stand-alone procedure. However, it is not uncommon to have this procedure combined with Botulinum toxin (Botox) to reduce facial muscle activity, dermal fillers to enhance volume, or peels and laser therapy to improve skin texture.

Are the threads permanent?

Silhouette Soft is absorbable, and it will dissolve over time.

What areas can be treated?

Silhouette Soft Lift is used for:

  • Reposition sagging cheeks
  • Lift drooping soft tissue of the mid and lower face and neck
  • Smooth out premature skin aging

Silhouette Soft Lift

What type of results will I see?

The effects are immediate. During the time of your consultation, Dr. Wade Merchant will demonstrate in the mirror, the relative amount of lift that the Silhouette Soft Lift can achieve. The procedure can also be combined with other techniques including dermal fillers and Botulinum toxin (Botox).

Do I need to have anaesthesia?

In most cases, only local anaesthesia is required. General anaesthesia is not necessary for this technique.

How long does it take to perform?

The Silhouette Soft Lift is most commonly performed under local anaesthesia and the procedure usually takes less than 30 to 60 minutes to complete, depending on the number of threads used. Patients are able to go home soon after the procedure.

Silhouette Soft Less treatment

Who is a good candidate for a Silhouette Soft Lift treatment?

In general, the best candidates for a Silhouette Soft Lift include both women and men who want a more dramatic and long lasting effect than fillers and Botulinum toxin or other treatments can provide, but do not want a full face lift or brow lift procedure.

How do I know if I am a good candidate?

Ideal candidates are women and men in the thirties through the sixties with moderate drooping of the soft tissues of the brow, face and neck. Patients must have realistic expectations. They should not be too heavy or too thin, and should be medically well and not be taking blood thinning medication.

Silhouette Soft Less treatment


Contact us if you would like to know more about Silhouette Soft Lift treatments or would like to schedule consultation to discuss the various aesthetic treatments we can offer.

Natural Aesthetics – Silhouette Soft Thread Lift

Cape Town| Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Silhouette Soft Threads – Technological innovation serving rejuvenation

When women are asked what they consider their two main signs of facial ageing, the answer is invariably loss of skin tone causing sagging of facial contours and the appearance of wrinkles, fine lines and creases.

This phenomenon, which worsens with age and the menopause, is due to the loss of collagen, the protein found in all structures of the body, especially the skin, and which ensures the cohesion, elasticity and regeneration of tissue. With age, collagen diminishes and the skin becomes less firm and saggier. The face also loses fats (becoming more skeletal), becoming hollow on the sides, and heaviness accumulates under the chin, and the lower cheeks.

Solutions exist, but choices have to be made: either to restore volume, using targeted injections, or to tighten the skin, by means of more invasive interventions.

Silhouette Soft Lift

Silhouette Soft Threads are a unique treatment enabling two combined actions

• A discreet and immediate lifting effect : as soon as the suture is applied, the doctor reshapes the treated area by means of a double action: compressing and elevating tissue.
• A gradual and natural regenerating effect : in being absorbed, the component of the suture, polylactic acid allows to restore shapeliness to the face.

Silhouette Soft Threads

The 30 – 60 minute procedure

After a small local anaesthetic, the doctor inserts the suture under the skin to a depth of about three to five millimetres. No incision is required, as the suture is inserted using a fine needle. It is held in place with absorbable cones oriented in opposite directions (bidirectional). Once the suture as been applied, the doctor performs slight compression of the tissue to reshape it by hand and to obtain the desired lifting effect.

The non-inserted ends of the suture are cut off. One or more sutures may be applied, depending on the patient and treated area. Silhouette Soft Threads can be used as a single treatment or in combination with fillers and botulinum toxin.

Silhouette Soft Threads

After treatment : a few recommendations

After the Silhouette Soft Threads treatment, as with any cosmetic treatment, some slight swelling, redness or bruising may sometimes be observed, but these disappear within days.

There is sometimes a slight wrinkling of the skin (required for optimisation of the treatment) which disappears very quickly.


Recommendations for good post-treatment follow-up :

✓ During the week after treatment, do not undergo any dental surgery, and avoid facial and  beauty treatments.
✓ Avoid all contact sports for the first few weeks.
✓ Preferably sleep on your back.
✓ In the event of pain, take a pain reliever according to your doctor’s prescription.


Silhouette Soft Threads


Contact us if you would like to know more about Silhouette Soft Threads treatments or would like to schedule consultation to discuss the various aesthetic treatments we can offer.

Natural Aesthetics – Silhouette Soft Threads Lift

Cape Town| Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Silhouette Soft Lift

There are a lot of questions out there about the Silhouette Soft Thread Lift. The short answer: it is not a means of hair removal!

Silhouette Soft

The sutures have cones that facilitate lift.

Silhouette Soft Threading is the latest advancement in non-surgical face-lifts. Threading has been around for the last ten years. The problem was that the threads were not natural and were never reabsorbed by the body. Silhouette Soft Threads are totally reabsorbable, bio-compatible and biodegradable – which means that you get great natural results without the worry of having a synthetic substance in your face.

The actual threads last 18 months before they are naturally reabsorbed by the body. Before they are reabsorbed, the body is activated to form it’s own natural thread made of collagen fibers. So even though the threads are reabsorbed, the effect lasts much longer after 18 months as a result of this natural collagen stimulation.

Silhouette Soft Lift

The thread is specialised suture – not unlike the same one that you get when a doctor places dissolving stitches in a cut or wound. The specialised part is that there are a series of miniature cones and knots along the thread that give it the ability to hold and pull skin and tissue in a certain direction. Generally, on the face, the direction is upwards and backwards to restore what has been lost to gravity.

Before the treatment you would visit Dr Wade Merchant for a consultation to see where the threads would need to be placed. He will take photos of your face in certain positions so that he can study where the threads would best be placed. The threads would then be placed on your follow-up visit.

Silhouette Soft Lift

On arrival, Dr Merchant would ask you to wipe any excess make-up from your face. You will then sit on a comfortable bed where your face will be cleaned and then marked with a pen so that the correct lines of entry, exit and placement can be adhered to. At this point a small amount of local anaesthetic will be injected with a very small needle into the entry and exit points of the thread. Patients tolerate these injections very well and it is usually done in less than 30 seconds. This is the only “painful” part of the procedure. After these injections all you should feel is movement and pressure.

The threads are gently guided under your skin from entry to exit point with a long needle – none of which is painful as you have already had a local anaesthetic injection.

Once the threads are placed under your skin, they are gently pulled so that the cones on them are activated. These cones then support the tissue in its new position – giving you a natural and gentle lift. The treatment generally takes under 45 minutes.

Generally after the procedure you may feel some tightness and a little discomfort at the sites where the needle entered and exited. The discomfort usually wears off after 2 days – and Dr Merchant generally advises clients to get the procedure done on a Thursday or Friday – you can then go back to normal activities on Monday. That said, there have been some clients that go back to work the following day – everyone is different.

If you only have a mild degree facial sagging then one thread should be enough. If you have advanced sagging, two threads will be needed. Considering the cost of a surgical face-lift as well as the complications and downtime of surgery, this has become a great safe and affordable alternative.

 – Dr Wade


Contact us today if you would like to know more about  the Silhouette Soft Thread Lift or would like to schedule a consultation to discuss the various aesthetic treatments we can offer. Dr Wade Merchant practices in Somerset West, Green Point and Camps Bay, Cape Town.

021 433 0967

Natural Aesthetics – Silhouette Soft Thread Lift

Cape Town| Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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