Japanese Society of Aesthetic Surgeons Specialist Specialist of Japan Society of Plastic and Reconstructive Surgery Regular member of the International Society of Aesthetic Surgery Japanese Society of Anti-Aging Medical Science Specialist Director of Japan Association of Aesthetic Medicine
There are multiple types of treatment methods called "thread lifts" that insert a special thread (thread) with a hook under the skin to raise the slack in the face and neck, and one of them is silhouette soft. there is.
There are two types of threads used in thread lifts, one that melts and the other that does not melt. Silhouette Soft can be expected to have a high lift-up effect among thread lifts that use meltable threads .
However, in some cases it may be necessary to combine different treatments for the ideal finish. In order to make the treatment without regrets, it is necessary to know the characteristics of the treatment effect by Silhouette Soft and the effect obtained by using it in combination with another treatment.
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SHIHOUETTE SOFT is a product developed by a British medical device manufacturer, and it is said that you can feel the lift-up effect immediately after inserting it. The effect varies from person to person, but the nasolabial fold and marionette line become thinner, as if you lifted your cheeks with your palm, leading to a youthful impression.
The silhouette software that has been used since 2012 is also called "3D lift" because it has a three-dimensional cone shape called a bio-cone attached to the thread and can naturally aim for a plump and three-dimensional lift-up. By firmly catching the biocorn on the subcutaneous tissue around 360 degrees around the thread and supporting it so that it scoops up, a high lift-up effect can be expected in deep slack such as the nasolabial fold and marionette line.
In addition, after inserting the thread, the wound healing action promotes the production of collagen around the thread, so the silhouette soft treatment can be expected to have the effect of pulling up the skin tissue and making the skin firm.
Silhouette soft is a wound healing function that tries to heal wounds on the skin tissue pulled up by threads and biocorn, and promotes the production of collagen, which is the source of firmness and elasticity of the skin. Collagen produced during the absorption of threads and biocorn into the body tends to give the skin a firmer texture, in addition to the physical lifting effect of the threads.
The threads used for thread lifts include threads that do not melt and threads that melt like silhouette soft. Most of the insoluble threads are made of polypropylene, which is one of the plastic materials, and the effect lasts longer than the insoluble threads, but some people are reluctant to leave the threads in the body.
Most of the meltable threads are made of PDO (polydioxanone), which is absorbed by the body in about half a year, but the main component of Silhouette Soft's biocorn is "poly-L-lactide-co-glycolide (PLGA)", the main thread. The ingredient is "Poly-L-Lactide (PLLA)". Each remains in the body longer than PDO, and the biocorn is absorbed into the body for about 8 to 10 months and the thread is absorbed into the body for about 18 months.
In many cases, 4 to 8 threads are used on the left and right cheeks in one treatment, but the lift-up effect becomes stronger as the number of threads increases and tends to last longer. The treatment effect of Silhouette Soft is said to be 18 months, and it is recommended to insert it once or twice a year to maintain the effect of raising the slack.
Both PLGA, the main component of Silhouette Soft's biocorn, and PLLA, the main component of thread, are said to have high biocompatibility because foreign body reactions do not occur in the body. It is used for screws used. Since it is metabolized in the body to substances such as carbon dioxide, water, glucose, and lactic acid, there is no need to worry about it remaining as a foreign substance .
Silhouette soft yarn has been certified by the FDA (US Food and Drug Administration), which is the Ministry of Health, Labor and Welfare of Japan, and has also obtained the "CE mark" certification, which indicates that it meets the safety standards of the EU (European Union) , and is safe. Sex is recognized.
The shape of the thread used in the thread lift (thread lift) is a cog type with a protrusion like a thorn in addition to the one with a bio cone like the silhouette soft thread, but the bio cone is 360 degrees omnidirectional. It has the characteristic of being caught in the subcutaneous tissue of the corn and pulled up.
In addition, since the biocorn does not come off the thread, there is no risk of losing the pulling force due to the "banana peel phenomenon" in which the cog comes off and the thread tears like the cog type.
With a cog-type thread lift that lifts skin tissue with thorn-like protrusions, the surrounding nerves may be stimulated by the thorns when changing facial expressions, causing tingling pain and unnaturalness.
On the other hand, the bio-cone, which is a cone-shaped protrusion with a soft silhouette, has a smooth surface, so it is said that there is little pain.
In addition, there are three types of silhouette soft depending on the number of biocorns, 8 biocorns have knots at 0.5 cm intervals, 12 and 16 biocorns have knots at 0.8 cm intervals, and biocorns are knots. You can move between the knot and the knot. The movement of the biocorn reduces nerve stimulation even when the facial expression changes .
Insert the silhouette soft thread in the direction with the needle. As a result, multiple biocorns that face each other at the center are caught in the skin tissue in each direction, and the thread tries to return to the center, resulting in a voluminous three-dimensional finish.
Local anesthesia is given by injection before the procedure, so the pain is less likely to be felt, but if you are worried about the pain of the injection needle of the local anesthesia, you can use a gel or sheet-shaped surface anesthesia medical institution Some medical institutions give intravenous injections, which complete the procedure while you sleep, so please consult with the medical institution that will receive the procedure.
If you are not satisfied with the finish, you can restore it by removing the thread.
Two to three days after the procedure, swelling and swelling due to anesthesia may occur, causing dull pain and discomfort. Also, if you open your mouth wide, you may feel a tingling sensation, but it will subside in about a month.
If infected, the thread will be removed. If you experience any other abnormalities, it usually subsides within a few days after the procedure, but if the symptoms persist, please consult your doctor.
|Silhouette Soft is a treatment using medical materials not approved by the Ministry of Health, Labor and Welfare.|
| Drug acquisition route: The acquisition route is individual import from the manufacturer by the doctor of each medical institution.|
Drugs that should be noted in personal imports (Ministry of Health, Labor and Welfare page)
|Approval in Japan: Nothing has been approved in Japan because it has the same ingredients and actions as Silhouette Soft.|
|Information on safety in other countries: The ingredients used in Silhouette Software have been certified by the US / FDA and Europe / CE marks. Reported side effects include swelling, swelling, redness, itchiness, pain and internal bleeding at the site of treatment.|
Decide the number of threads to insert, mark the insertion point, and match the image after treatment. If you have any concerns, consult your doctor and sign a consent form when you are satisfied with the procedure.
Local anesthesia by injection is performed with the makeup removed.
(3) Open an entry hole to insert the thread into the skin
Insert the needle into the skin and make a hole called an entry hole (about 1 mm), which is about the same size as a 5 mm deep pierced hole. The entry hole serves as a fulcrum for inserting the thread into the skin.
(4) Insert the thread in two directions
From the entry hole, insert half of the thread in one direction with a needle. Then insert the other half of the thread from the same entry hole in the opposite direction.
(5) Pull the thread back toward the center
Pull out the needle from both ends with the center of the thread as the fulcrum. The biocorn pulls up the skin tissue and can be expected to improve the three-dimensional sagging.
(6) Shape and finish
When the insertion is complete, the doctor lightly presses the skin with a finger to smooth the contour symmetrically and cut the end of the thread so that the thread is completely contained in the skin. The treatment time is around 30 minutes, depending on the number of threads to be inserted. Even including counseling, it will be completed in about an hour. In order to avoid side effects and realize the ideal lift-up effect quickly, please be careful about the following according to the period after the treatment.
On the day of the procedure, apply an ice pack to the affected area to cool it as much as possible to reduce inflammation. On the day of the procedure, refrain from making up and washing your hair, and if you are concerned about headaches or tingling pain, take painkillers according to the doctor's instructions. Usually, even if there is pain, it will subside in 2 to 3 days.
Shower and face wash are possible from the day.
When washing your face or shaving, please be gentle so as not to irritate your skin. Massage will disturb the thread fixation, which is counterproductive.
Unlike open surgery, there is no need to remove the thread, so basically there is no need to go to the hospital. However, some medical institutions will prompt you to see a doctor after one week to one month to check for any abnormalities, so please follow the doctor's instructions.
Silhouette Soft is a treatment that uses medical materials that have not been approved by the Ministry of Health, Labor and Welfare. The price is about 40,000 to 100,000 yen per bottle. If you want to improve the sagging of your cheeks, it is common to insert 4 to 8 cheeks on each cheek.
There are three types of silhouette soft threads, with 8, 12, and 16 cones, and the larger the number of cones, the stronger the pulling force and the higher the price.
Silhouette Soft can be used in combination with other thread lifts and injection sagging treatments such as fat dissolving injection and hyaluronic acid injection .
For example, if you are concerned about sagging due to fat, you may also use liposuction or lipolytic injection to clear the face line.
In addition, for sagging due to loss of volume such as bone thinning and fat loss due to aging, silhouette soft may be used to create a three-dimensional finish, and hyaluronic acid injection may be used to supplement the volume. There is also a method to improve the overall skin quality by improving the wide range of sagging with silhouette soft and injecting hyaluronic acid into the area with fine wrinkles.
Thread lifts are not the only way to improve slack. In addition, a synergistic effect can be expected by combining treatments with multiple thread lifts.
When receiving treatment, there is a treatment menu that can be used in combination with silhouette software, and it is safe to choose a medical institution that has a doctor with abundant treatment experience, such as a large number of cases of sagging treatment .
Mr. Yoshiro Suzuki, who supervised the article, taught me about silhouette software.
Introduction of supervising doctor
Dr. Yoshiro Suzuki, the director of Doctor Spa Clinic, is attracting attention as the first doctor in Japan to perform the cable suture method, which is a rejuvenation operation for the middle face. We specialize in rejuvenation surgery such as face lift, pursue total anti-aging, and have abundant achievements and experience in eye plastic surgery and nasal plastic surgery. Leading aesthetic medicine.