Silhouette InstaLift Overview

San Diego Non-Surgical Facelift

Are you suffering from early signs of jowls and skin laxity, but don’t want to commit to a full surgical facelift? Cosmetic Laser Dermatology has a solution for you. We are one of the very first practices in the United States to offer the recently FDA approved Silhouette InstaLift, a non-invasive, non-surgical facelift that takes only 45 minutes to perform and reveals instant, long-lasting results that only improve over time.

All five of our expert doctors are trained in this procedure, and we are excited to offer it to our patients who want comprehensive lift and rejuvenation without the anesthesia, incisions, scarring, and recovery time of full surgery.

Silhouette InstaLift is a non-invasive alternative to a traditional surgical facelift. It helps to address volume loss as well as skin laxity through not only instant lift of the skin but also long-term collagen production. silhouette instalift demonstration by dr. butterwick in san diego, caSpecially formulated dissolvable sutures with bidirectional cones are used to mechanically fix deep tissue until collagen production ensures tissue fixation biologically. The entire procedure takes only 45 minutes and requires no incisions or anesthesia. Instead, lidocaine is injected locally to ensure patient comfort during the treatment.

While cosmetic dermatologists have performed thread lifts previously, InstaLift provides a vast improvement thanks to the use of dissolvable threads and cones made up of a synthetic material called polylactic acid, which is also used in Sculptra. This material slowly disintegrates as the body creates scar tissues, which provides a natural lift for the face in their place. Through the use of bidirectional cones, the lifting caused by InstaLift can be more finely controlled. Combined, these advantages result in the long-lasting effects of InstaLift while avoiding the potential side effects once felt by patients who chose previous versions of thread lifting.

What to Expect

Non-Surgical Facelift San Diego

Silhouette InstaLift’s double action of lift and regeneration helps smooth the skin and contour the face, allowing you to look your absolute best. First, the tissue is lifted from within by the sutures, providing instant lift and contour. Next, the sutures stimulate collagen production, allowing for a regenerative effect that means the skin will continue to look better, firmer, plumper, and more youthful over time. also explains the skin rejuvenation process. The Silhouette Lift is the facelift that keeps on working long past the initial treatment!

During a traditional surgical facelift, volume loss is not addressed. A facelift ONLY tightens the skin, thus reducing jowls and drooping but not addressing underlying volume loss. Before InstaLift, at least two procedures would have been necessary to address both of these concerns, whether a surgical facelift plus fillers or a non-surgical skin tightening procedure plus fillers. Now, however, skin tightening and volume restoration can both be addressed in the same quick procedure with minimal downtime!

Read our pre/post-treatment guidelines for Silhouette InstaLift.

Recovery Time After Silhouette InstaLift

Another major benefit of the Silhouette non-surgical facelift is the lack of any major downtime. Following the procedure, you may be slightly swollen, red, or bruised. These side effects are common and should resolve on their own within a few days, or up to a few weeks in rare cases. Bruising can always occur following trauma to the skin, but there are steps you can take to help minimize the risk, including:

  • Patients taking blood-thinning medications such as aspirin should confirm with their primary care physicians whether they should halt medication before the procedure
  • Stop taking blood thinning supplements such as fish oil for at least two weeks beforehand
  • Visit a skilled, experienced, board-certified dermatologic surgeon for your treatment
  • Avoid alcohol for a week or so before the procedure
  • Use arnica supplements before and after the procedure

These are by no means a guarantee that you will not bruise, but they will help to minimize your chances of severe bruising. If you do bruise following the procedure, it can be easily managed with arnica and over the counter medication and can be covered with makeup. Redness can also be covered with makeup. Swelling can be managed by keeping the head elevated at all times, including when sleeping, and by icing the affected area regularly.

Professional skincare products you can use daily at home will also help to promote healing, as well as extend the results of your InstaLift. We offer top lines right in our office and can help you design a personalized treatment program to keep your skin in top condition. Products are available anytime – no appointment necessary!

Treatment Guidelines

After treatment, slight edema (swelling) or bruising may occur. Sometimes a slight
depression or skin irregularity may appear at the insertion points. These typically
disappear a few days after treatment but may show slightly for 1 – 2 weeks.

After your procedure:
  • Apply cold packs immediately after the procedure with only gentle pressure for 5 – 10
    minutes. Be sure to wrap the cold pack with a handkerchief or washcloth to avoid direct
    contact with the skin and insertion points. These ice packs may be applied 2 – 3 times
    per day during the 1st 48 hours.
  • Acetaminophen (Tylenol 325 mg or 500 mg) may be taken for pain if needed.
  • Refrain from applying make-up for as long as possible. Make-up may be gently applied
    after a minimum of 24 hours.
  • Sleep face up, elevated on pillows for 3 – 5 nights.
  • Do not rub the face aggressively when washing, shaving, and drying face for 5 days;
    be gentle.
  • Buy a children’s toothbrush and gently brush teeth the 1st week.
  • Avoid excessive neck and facial movements for 2 weeks; especially wide-open mouth
  • Avoid participating in high impact sports (for example: running/golf/tennis) for 2 weeks.
  • Avoid exposure to direct sunlight and UV light for 2 weeks. Do not use saunas for 3
  • Avoid dental surgery for 4 weeks.
  • Avoid facial or face-down massages and facial aesthetic treatments for 4 weeks.

Please contact our office if you have any questions or concerns at (858) 657-1002



Silhouette InstaLift to rejuvenate the face by Dr. Butterwick. Disclaimer: Results may vary from patient to patient. Results are not guaranteed. Silhouette InstaLift to rejuvenate the face by Dr. Butterwick
Silhouette Instalift threadlift to rejuvenate the skin and reverse aging symptoms by Dr. Wu. Disclaimer: Results may vary from patient to patient. Results are not guaranteed. Silhouette InstaLift Threadlift for Anti-Aging by Dr. Wu
Silhouette Instalift threadlift to rejuvenate the skin and reverse aging symptoms by Dr. Wu. Disclaimer: Results may vary from patient to patient. Results are not guaranteed. Silhouette InstaLift Threadlift for Rejuvenation and Anti-Aging by Dr. Wu
Silhouette Instalift threadlift to rejuvenate the skin and reverse aging symptoms by Dr. Wu. Disclaimer: Results may vary from patient to patient. Results are not guaranteed. Silhouette InstaLift Threadlift for Skin Rejuvenation by Dr. Wu


Get Instant Results With A Non-Surgical Silhouette InstaLift in San Diego
Award Winning Dermatologist's 45-minute Facelift Alternative - The Silhouette Instalift
Silhouette Instalift Patient Testimonial With Dr. Butterwick
Silhouette InstaLift Procedure with Dr. Butterwick (2:32)
Silhouette InstaLift with Dr. Butterwick (0:53)
45-minute Facelift (3:33)


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The information available on this website is provided for informational purposes only. This information is not intended to replace a medical consultation where a physician’s judgment may advise you about specific disorders, conditions and/or treatment options. We hope the information will be useful for you to become more educated about your health care decisions.

*Please note: Free in-person consultations are available with Dr. Angra, Leysin Fletcher, PA-C, and medical aesthetician Farzaneh Momeni-Salami, while all consultations with Drs. Goldman, Butterwick, Groff, Fabi, Wu, and Boen are subject to a $250 fee that will be applied towards your treatment. All virtual consultations are also subject to a fee that will be applied towards treatment. Promotions are not available with Dr. Goldman. We do not accept insurance for any of our procedures. Any questions – feel free to call us at 858.943.2113.