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

Follow us on Facebook

Facial Fillers – Juvederm Voluma

Juvederm is a family of injectable hyaluronic acid facial fillers used to provide correction for moderate to severe facial wrinkles and folds, such as nasolabial folds (lines from the nose to the corners of the mouth).

One of the products in the range of 5 facial fillers, called Voluma, replenishes lost skin volume to regain a youthful curve to the cheeks and can be used to enhance the overall shape of your face. Voluma is a brand of injectable hyaluronic acid facial fillers that adds fullness to areas that need a little more support or enhancement. Shortly after treatment with Voluma, you should notice that your facial contours appear fuller and rounder, giving your face a softer, more youthful appearance.

facial fillers

Juvederm aims to rejuvenate.

Voluma was specifically created to restore lost facial volume in the cheeks, cheekbones and chin. It was developed to be smoother than other hyaluronic acid facial fillers, making it easier to inject during the facial fillers treatment and resulting in a smooth, natural look and feel. Voluma was developed with Vycross technology to deliver a natural look and feel, with results proven to last up to 18 months.

facial fillers

Voluma facial fillers have been FDA approved for the treatment of volume loss in the mid-face – and have been in use for some years now. Below is a review of the facial filler on the website Realself. Realself gets reviews from real life patients and then forms a score to show how many patients were happy with the treatment. It generally gives a good indication as to whether a treatment works or not.

facial fillers

Realself is a website that rates cosmetic treatments. 92% of users rated the treatment as “worth it”.



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

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

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

Follow us on Facebook

Liquid Facelift

The liquid facelift is the non-surgical method whereby the face is lifted using a combination of dermal fillers and Botox injections. Facial aging is as a result of numerous factors namely, genetics, sun-exposure, smoking, diet and exercise. All of these factors cause the face to sag – everything “droops”. More often than not if you are concerned about the lines on your face you will look in the mirror and gently pull the skin in the middle of your face upwards – that is what a liquid facelift aims to do. Gently Lift the face – without the risk or downtime of surgery.

liquid facelift

In order to create lift the face must be looked at holistically.

In order to do this your face is thoroughly assessed by your aesthetic doctor. Photos are taken and the problem areas are identified. With this information in mind, your face is cleaned and then marked out with a white eyeliner. Marking the face allows your doctor to identify which areas are deficient in volume. Our faces are never symmetrical (sleeping on a favorite side causes one side to sag more than the other) – marking also helps to clearly show which side has the deeper lines.

liquid face lfit

Juvederm Product Range

The liquid facelift starts with the dermal filler treatment – 3 points on the cheek are injected – this replaces volume that has been lost and also lifts the skin below the cheek. Together with the lifting effect, it also rejuvenated the eyes. As you are probably aware, the first place we look we when we see a face is the eyes. Friends, family and colleagues usually comment on how happy or well rested you look – this is all because of the filler treatment. This lifting lasts anywhere from a year to 18 months. Hyaluronic Acid – the substance found in fillers – has also been shown to stimulate collagen production. So in the months after the treatment, you will continue to look great.

Secondly a Botox Brow Lift is performed – the frown and the tail of the brow are injected. This relaxes the frown (so you appear happier!) and gently lifts the eyebrows. It is a great treatment that will leave you looking refreshed and energized. At the end of the day the liquid facelift is all about facial rejuvenation and less about looking like you’ve have a facelift (which is probably a good thing!).


The treatment itself is relatively pain-less but if you are at all concerned please ask your doctor for a numbing cream to be applied beforehand – they will happily oblige.

– Dr Wade



Contact us today if you would like to know more about liquid facelift treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

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

Follow us on Facebook

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

Follow us on Facebook