cosmetic procedure that lifts and realigns sagging tissue while adding definition to facial contours by using absorbable ‘threads’. This procedure helps to reposition sagging cheeks, lift eyebrows, correct the marionette line, support the neck and improve facial features.

How do they work?

Due to the unique design of the specially designed soft barbs or cogs of the threads, the surrounding tissues act to hold the threads in place without the need for visible scars. For the mid-face procedure, the surgeon makes a tiny incision close to the ear and the threads are advanced along the previously marked contours toward the chin and jaw line, thus creating a firm hold on the underlying tissues without causing additional trauma. The barbs or cogs do the work of holding, by being fixated to tissue as they are softly contoured into place.

Threads are ideally suited for younger and middle aged patients whose skin tone has started to become lax with time or sun damage and who don't want or are unable to have a traditional face-lift. Patients are assessed individually for their suitability.

The procedure is safe and effective when performed by a medical practitioner who has been trained in these types of procedures. Threads can be used alone or to complement other facial surgery and non-invasive procedures such as IPL, Botox or injectable Dermal Fillers.

Treatment info

Threadlifting is generally well tolerated with local anaesthetic and oral sedation. Occasionally intravenous sedation is used to add to patient comfort or assist in longer procedures where more than 4 threads are implanted. A standard procedure (4-6 threads minimum per side) takes approximately 30-60 minutes.

When more than 6 threads are implanted, monitoring and sedation are compulsory. No hospitalisation is required, however the patient remains under observation for 1 or 2 hours after the procedure before going home.

Your suitability and possible side effects / adverse reactions will be discussed with you at the consultation appointment with the doctor.

What are the possible side effects / adverse reactions?

You may experience swelling, discomfort / pain, bruising, ‘pulling’ or ‘tightness’, puckering / dimpling of the skin, scarring, asymmetry, bleeding, nerve damage, infection, numbness, (usually temporary), shorter effect of the expected duration of correction, thread breakage. However, these rarely occur and in most cases will resolve.

After Treatment

Cold ice compresses are recommended for the first 2 hours after the procedure. Sometimes soreness or light pain can occur, which can be treated with oral analgesic.

Thread types

PromoItalia Threads are unique and patented threads made of either polypropylene (permanent) or Caprolactone/PDO (resorbable), each with specially designed soft barbs (also known as cogs) that provide a superior grip on surrounding tissues. They gently move sagging tissue upward and then suspend it through a special technique, allowing the surgeon to provide a relaxed and natural appearance. Additionally, they preserve and enhance the natural contours of the face. The aim of this procedure is not to replace a conventional face-lift, but rather to establish a minimally-invasive approach to a more youthful looking appearance.

Unlike a conventional thread that is smooth, the patented soft barbs on PromoItalia threads attach themselves to the surrounding tissue and act like velcro to hold the tissue in place and achieve the desired effect. They are also absorbable and will dissolve within 9-12 months, yet still maintain the revitalising effects for several years after. PromoItalia threads are made from the same material as dissolvable sutures that have been used in surgical procedures for many years.

Download Promoltalia brochure.

Silhouette Soft™ Threads are made of Lactide Glicolide 82-18 and Polylactic Acid with bidirectional cones. All these ingredients are FDA cleared for the US market. They are entirely resorbable, with no side-effects or complications such as migration or protrusion, therefore offering immediate, longer-lasting results.

Silhouette Soft™ threads are designed with cones as opposed to barbs for a ‘soft’ rejuvenating effect. Silhouette Soft™ enhances facial features such as the cheek and chin areas and restores volume for a more youthful look. This treatment is a quick 30-minute procedure.

The procedure is also an excellent complement to other cosmetic treatments such as hyaluronic acid dermal fillers and Botulinum Toxin. The visible aesthetic benefits of a Silhouette Soft™ treatment normally last for a period of 12 to 18 months.

All Silhouette products are manufactured in Michigan, USA, and are subject to rigorous sanitary controls. Silhouette Soft™ is a natural substance that counteracts the loss of volume, which afflicts aging skin. The procedure is suitable for all skin types – allergic reaction tests have been negative throughout clinical studies.