Silhouette Soft® procedure is an in-office procedure performed under local anaesthesia, that requires a high training level and strict aseptic conditions. These pages will guide you through all the key steps when performing Silhouette Soft® procedure.
Minimum length between the entry and each exit points for all patterns
8 cones device / 6cm
12 cones device / 9cm
16 cones device / 11cm
• Local anesthesia procedures are always the same regardless of the pattern.
• Inject 0.5 cc in each point of Lidocaine 1% with adrenaline 1:200.000.
• Wait 15 minutes for the local anesthetic to act.
• Prepare the material
The anaesthesia of the mid face treatment is realised at the entry and exit points where the pre-op marking was previously drawn.
It is not advised to inject along pre-marking path to avoid depth placement issues.
The anaesthesia of the eyebrow/neck treatment is realised at the entry and exit points where the pre-op marking was previously drawn.
To help cones going through the tissue and limit the pain, local anaesthesia could be also administered along the pre-marking path.
For the procedure it is advised to prepare the following material:
Cover the patient’s head with a sterile field
Disinfect the area for a third time
Prepare the suspension suture
Remove Silhouette Soft device from the tray, and with slight traction pull on each end of the suspension suture, to tighten the knots and check the device conditions.
Entry hole creation
Create an entry hole with a 18G needle. Before inserting the SS needle, create the entry hole with an 18G needle and enter perpendicular to the skin. While entering the tissues maintain the skin flat until you’ve reached the hypodermis. When reaching the subcutaneous fat pinch the skin, to avoid lesions of underlying tissues.
Enter perpendicularly to the skin to a depth of 5mm
Insert the first suture needle perpendicularly to the skin through the entry point to a depth of 5mm into the subcutaneous tissue until the black line disappears.
Insert the suture parallel to the skin
Guide the needle paralleled to the skin through the subcutaneous tissues until the exit point.
Once the needle has reached the exit point, gently exit the needle and pull it to allow the first series of cones to enter in the adipose tissue.
Before exiting check the regularity of the insertion depth by slightly lifting the needle. Extract the needle through the exit point helped with the cap of the 18G needle.
The needle may be cut off leaving the free ends long.
Insertion of the other half of the suture
Then start with the insertion of the second half of the suture. Introduce the needle perpendicularly to the skin in the same entry hole, respecting the depth of 5mm into the adipose tissue. And proceed the same way then for the first needle.
Repeat these actions with each suture
The entire suture has now been implanted and is positioned in the superficial layers of the hypodermis. Repeat these actions with each suture, then on the other side.
Tissues positioning over the cones
With all the fingers of one hand, pinch the tissue, while applying gentle pressure. At the same time, pull the exposed ends of the sutures with the other hand, so that the cones connect with the tissue to maintain the compression.
Once adipose tissue compression has been completed, trim the free ends of the sutures at the exit points.
Use the tips of the scissors to gently pull back the skin in order to trim the suture at a deeper level. It is desirable to bury the end of the sutures under the skin to avoid possible erosion of the device through it. This last step is crucial to prevent extrusion of the device that could cause irritations of the skin for the patient.
Provide patients with the Post Treatment recommendations leaflet. After the treatment, a slight oedema or bruising may occur. Sometimes, a slight depression or skin irregularity may appear at the entry points. These inconveniences disappear a few days after treatment.
Please select the option which best describes you.