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Board certified plastic surgeon Dr. Christine Hamori describes the Silhouette lift, an option for patients wanting a facelift without surgery. If you find yourself in front of a mirror moving your cheeks upward with your fingers, you might be ready to entertain options to keep them up there. This situation describes would-be patients of facial rejuvenation, but probably doesn’t point to a need for surgical intervention. If you’re young and your face is only mildly starting to “fall,” you may be a good candidate for the Silhouette Lift. It’s an effective, minimally-invasive alternative to the traditional, and surgical, facelift. Massachusetts board certified plastic surgeon Dr. Christine Hamori says it’s not uncommon for women to contact her office in the weeks leading up to an important life event for a procedure. They want to refresh their look with little or no downtime. “Let’s say their daughter is getting married, and they contact the office with three months to go until the wedding. They want to look the best they can. They don’t have time to recover from a facelift, or they don’t want the expense of surgery,” shares Hamori. By combining a Silhouette Lift with a little bit of filler, she is able to provide her patients both lift and volume within a short time frame. TRADITIONAL THREAD LIFT VS. SILHOUETTE LIFT The Silhouette Lift is a technological advance on the thread lift that become popular in the 90’s. Thread lifts used surgical sutures, called threads, with little barbs that made it easy to move the thread in one direction (upward) but very difficult to move in the opposite direction (downward). If you’ve ever used a zip tie, you can visualize how barbs can make movement in one direction easy and movement in the opposite direction difficult. During a thread lift, the thread was inserted in the lower portion of the cheek, then pulled through the tissues below the skin, lifting them upward, and finally anchoring them into position. The permanent sutures used in thread lifts posed several problems. Once anchored, the sutures had a tendency to cut through the soft tissues of the face, a condition referred to as cheese wiring. When permanent sutures cut through the deeper tissues of the face instead of holding them in a lifted position, it negated the purpose of the lift. In some cases the permanent sutures even became visible.