Treatment of the Month - SILHOUETTE INSTALIFT

JANUARY 2021 NEWSLETTER |

Treatment of the Month - SILHOUETTE INSTALIFT

WHAT IS THE SILHOUETTE INSTALIFT?

The Silhouette Instalift procedure is a relatively new breakthrough technology that uses clear threads with
tiny clear cones on them placed precisely under the skin to lift up the skin of the mid face including
cheeks, nasolabial folds, marionette lines, jowls, and jawlines without surgery or incisions, and with far
less downtime.
These threads are made out of the same substance that is used in the product Sculptra. That substance
known as PLLA (poly-L-lactic acid) is famous for building collagen in the skin like almost nothing else.
The substance was first used in medical patients with conditions such as AIDS and cancer where their
faces had hollowed out and left these patients looking gaunt. This substance became famous when safely
injected into those hollow areas, it was able to stimulate the body’s own collagen production and build back
up the skin allowing their faces to look full and healthy again.
Using this PLLA (poly-L-lactic acid) in lifting threads is really a completely different concept from the
thread lifts of old. Instead of permanent threads lifting the skin, these threads slowly dissolve but leave a
collagen matrix in their place that continues to lift the skin as well as rejuvenate the skins texture and
appearance giving a twofold effect.

JANUARY 2021 NEWSLETTER | PAGE 2

HOW LONG DOES IT LAST?

In general, the collagen created by PLLA is thought to last for 18 to 24 months. That said, some have
found that the lift effect lasts much longer. The reason thought to be behind this longer duration of lift is
the fact that when your skin is held in a lifted position for a long period of time, other dermal attachments
to the skin will often form holding that skin in that lifted position indefinitely. That said, to manage
expectations properly we generally like to say the Silhouette Instalift procedure lasts anywhere from 1 1/2
to 2 years.

HOW LONG DOES THE PROCEDURE TAKE TO PERFORM?

The procedure generally takes approximately 45 minutes to perform. It is performed under simple local
anesthesia without the need for general anesthesia. A two hour appointment is booked for you and the
remainder of time is often not entirely needed, but generally used to take before and after pictures, go over
the procedure a final time, carefully mark where the threads are going to be placed, clean and sterile drape
the facial areas, and go over your aftercare instructions.

WHAT IS THE DOWNTIME FOR THE PROCEDURE?

The downtime after the Silhouette Instalift procedure is generally 5 to 6 days if you want no one to know
that you had it done. Generally, people will look most noticeably done for the first one to two days after
which the lifting effect will settle in nicely and very naturally.

For 1-2 weeks we ask that you rest your face and go into what we call our ‘Resting B. Face mode’ where
you avoid as much facial expression as possible while your results settle in and collagen builds to optimize
the amount of lifting that occurs. For this reason, we discourage heavy exercising and grimacing at the
gym, and ask patients to try and use a donut pillow and sleep off of their faces as much as possible.

HOW UNCOMFORTABLE IS THE PROCEDURE?

Again, the procedure is performed under local anesthesia. Most patients rate the procedure as a 3 to 4 out
of 10 on a 10-point pain scale. Most of the discomfort patients say is the discomfort of the local anesthetic
being administered itself which again is rated on that pain scale as a 3 to 4 out of 10. After the anesthetic
has been injected, the patients generally find the procedure reasonably comfortable and tolerable.

WHAT ARE THE COMMON SIDE EFFECTS FROM THIS PROCEDURE?

Most common side effects include bruising, and for the first 2 days puckering, and draping of the skin
that has almost always completely resolved by DAY 3. These side effects always resolve and having
performed the second highest number of this procedure in New England, I have yet to ever see anything
but an incredibly soft and natural result which has made this procedure so satisfying to perform.
 Approximately 10-15% of patients get a significant bruise usually up in the hairline region which can last
longer than the usual 5 to 6 day recovery time but is generally easily covered up with makeup.

JANUARY 2021 NEWSLETTER | PAGE 3

WHAT IS THE DOWNTIME AFTER THE INSTALIFT PROCEDURE?

The downtime after the Silhouette Instalift procedure is generally 5 to 6 days if you want no one to know
that you had it done. Generally, people will look most noticeably done for the first one to two days after
which the lifting effect will settle in nicely and very naturally.
For 1-2 weeks we ask that you rest your face and go into what we call our ‘Resting B. Face mode’ where
you avoid as much facial expression as possible while your results settle in and collagen builds to
optimize the amount of lifting that occurs. For this reason, we discourage heavy exercising and grimacing
at the gym, and ask patients to try and use a donut pillow and sleep off of their faces as much as possible.

WHAT SORT OF LIFT CAN I EXPECT FROM THIS PROCEDURE?

The Silhouette Instalift procedure gives a beautiful and always natural lifting effect. It is not a surgical
face lift and cannot give as extreme a lifting result. That said, where a facelift in some can appear overly
taut and unnatural for a period of time or longer, the Silhouette Instalift always looks natural and
rejuvenating. This procedure fills the void for patients that have some mid to moderate facial drooping,
heavy smile lines, jowls, and loose skin but are not ready or far enough along to need a facelift. Or for
patients that really prefers to stay away from going under the knife all together, the Silhouette Instalift
procedure can be repeated in more heavily problemed areas of the face months later to achieve more
profound results. The other advantage of the Silhouette Instalift procedure is the beautiful collagen
building skin effect the threads have on the face that one does not get with a surgical face lift alone.

This technology is also being used in relatively young patients to correct early, often inherited problem
areas to stave off the signs of early aging. There are many who believe that used in this way along with
other aesthetic technologies, many in the future may never need to go under the knife at all.

HOW MUCH DOES THE PROCEDURE COST?

Unless we are just correcting a simple
problem area in a younger patient where
only a few threads may need to be used, we
are generally using 3 to 4 threads on each
side of the face, or 6 to 8 threads for a
face in total. The cost of this generally
ranges between $2250 and $2800 at our
facility, but at other facilities can range as
high as $500 per thread or $4000.
If this is something you are interested in
and want to learn more about, book your
free consultation today to see if you are a
good candidate and if the Silhouette
Instalift procedure is right for you.

JANUARY 2021 NEWSLETTER | PAGE 4

Product of the Month - ENVIRON SKIN CARE
Youth Essentia C-Quence Step-Up System
VITAMIN-Amazing!!

Experience the future of youthfulness with our new premium Vitamin STEP UP
SYSTEM™ range. It contains a highly effective combination of powerful vitamins,
antioxidants and peptides that help create healthier looking skin that glows with
youthful radiance.

HYDRA-INTENSE CLEANSING LOTION
This luxurious conditioning cream cleanser is formulated to help remove make-up and surface impurities
while maintaining the effects of the natural pH balance levels of the skin.

VITA-PEPTIDE TONER
This product is formulated to work in collaboration with the Youth EssentiA range. A concentrated toner
containing a combination of peptides that are known to act in synergy to help promote the appearance of
wrinkle smoothing and improve the look of skin tone and elasticity.

VITA-PEPTIDE EYE GEL
A new scientifically advanced formulation which intelligently combines a highly specialized system of
essential vitamins (A, C & E), antioxidants, potent triple-peptide complex and a new hyaluronic acid
regeneration technology, Optim-Hayal™. This lightweight eye gel assists in restoring the benefits of
optimal levels of HA in the skin, hydrating the appearance and fell of the eye area for the benefit of
enhanced firming, plumping a line smoothing effects. The skin is more youthful-looking and appears
beautifully luminous from within.

JANUARY 2021 NEWSLETTER | PAGE 5

VITA-PEPTIDE
                                                         ANTIOXIDANT DEFENSE CREME
C-QUENCE SERUMS 1-4                                      This powerful moisturizing creme is enriched with several antioxidants that
                                                         help to combat the effects of free radical damage. It also contains a dynamic
The Vita-Peptide C-Quence Serum 1 the introductory       combination of moisturizers that assist in improving the appearance of the
serum in the premium Environ Vitamin STEP-UP             skin, allowing it to feel soft, smooth and looking youthfully radiant. This
                                                         cream is designed to be used in conjunction with the Vita-Peptide C-Quence
SYSTEM™ and contains the lowest concentrations of        Serums 1-4.
vitamin A and C in the Youth EssentiA™ range. The
technologically advance serums in the range contain a
powerful combination of ingredients that work in
                                                         VITA-PEPTIDE INTENSIVE SERUM 4 PLUS
synergy to assist in: Combating the visible signs of
aging; creating the appearance of even, smoother and     Vita-Peptide Intensive Serum 4 Plus combined with the Vita-Antioxidant
                                                         Defence Crème Plus is the fifth and final step in the Vitamin STEP-UP
healthier looking skin; supporting and maintaining a     SYSTEM™. It contains the highest concentration of vitamin A, with a
radiantly youthful appearance.                           combination of highly stable, skin friendly forms, as well as vitamin C,
                                                         antioxidants, peptides and other scientifically researched ingredients. This
                                                         advanced combination of ingredients targets the visible signs of aging,
One would gradually climb the vitamin step-up ladder     taking the look of youthfulness to the next level.
in the range to reach the highest concentrations
available. This unique step-up system is designed to
minimize skin reactions to vitamin A while providing
                                                         ANTIOXIDANT DEFENCE CREAM PLUS
increased levels of vitamins with each step. These
formulations help to provide skin protection while       Together with Vita-Peptide Intensive Serum 4 Plus, Vita-Antioxidant
                                                         Defence Cream Plus is the fifth and final step in the Vitamin STEP-UP
restoring the vitamin deficiencies caused by the UV      SYSTEM™. It contains the highest concentration of vitamin A, in a safe,
exposure we are subjected to on a daily basis.           skin-friendly lipid form, as well as highly stable form of vitamin C along
                                                         with antioxidants, peptides plus other scientifically researched ingredients.
                                                         This advanced combination of ingredients targets the visible signs of aging,
Each level, is designed to be used in conjunction with   taking the look of youthfulness to the next level.
the Antioxidant Defence Cream as the Dynamic Duo to
provide ultimate anti-aging benefits.

JANUARY 2021 NEWSLETTER | PAGE 6

    BENEFITS OF THE VITA-PEPTIDE SERUMS AND CREAMS
         Contains the signature Environ complex of vitamins A, C E and antioxidants that help
         combat the effect of free radicals and improve the overall appearance of your skin.
         Contains peptides which assist in reducing the visible signs of aging by firming the look of
         the ski, giving it a smoother appearance.
         Helps rehydrate and moisturize skin leaving a softer, smoother feel

    Helps restore the effects of the vitamin A reserves required to assist in a number
    of anti-aging processes. Each product in the Youth EssentiA™ range has specific
    benefits and key ingredients.
       Pushes the boundaries of youthful beauty
       Counteracts the effects of vitamin A deficiency
       Normalizes the appearance of skin abnormalities
       Targets the visible signs of agingLook younger for longer.

  GOOD FOR THE SOUL
  Heart Healthy
  Herbed Chicken Marsala
  RECIPE COURTESY OF FOOD NETWORK KITCHEN

INGREDIENTS:                                 DIRECTIONS:
  Four 4-ounce boneless, skinless            1.) Place the chicken cutlets between 2 pieces of plastic wrap
  chicken breast cutlets                     and pound with a meat mallet (or the flat side of a chef's knife)
  Kosher salt and freshly ground black       until about 1/3-inch thick. Sprinkle with 1/4 teaspoon salt and
  pepper                                     1/4 teaspoon pepper.
  1/3 cup whole wheat flour
                                             2.) Put the flour on a medium plate. Heat the oil in a large
  1 1/2 tablespoons extra-virgin olive oil   nonstick skillet over medium-high heat. Dredge the chicken in
  3/4 cup low-sodium chicken broth           the flour to fully coat, shaking off any excess. Add the chicken
  1/3 cup sun-dried tomatoes (not            to the skillet and fry until fully cooked and golden brown, about
  packed in oil; not rehydrated), finely     4 minutes per side. Transfer to a platter and tent with foil to
  chopped or very thinly sliced              keep warm.
  1/2 teaspoon finely chopped rosemary
  10 ounces white button or cremini          3.) Add 1/2 cup of the broth, the sun-dried tomatoes and
  (baby bella) mushrooms, sliced
                                             rosemary to any remaining drippings in the skillet and cook,
                                             stirring frequently, for 1 minute to plump the tomatoes. Add the
  1/3 cup sweet marsala wine                 mushrooms, 1/4 teaspoon salt and 1/2 teaspoon pepper and cook
  2 teaspoons unsalted butter                until the mushrooms are soft, about 5 minutes. Add the marsala
  1 to 2 tablespoons roughly chopped         and bring to a boil. Add the remaining 1/4 cup broth and the
  flat-leaf parsley                          butter and simmer until the butter is fully melted, about 30
                                             seconds.
                                             4.) Spoon the mushroom mixture and sauce over the chicken,
                                             sprinkle with the parsley and serve.

                                                                               FOOD FOR THE SOUL

JANUARY 2021 NEWSLETTER | PAGE 7

 WARMEST REGARDS,

 "DR. S." (CRAIG SCHACHER, MD)
 BELLA MEDSPA BY DR. CRAIG SCHACHER, PLLC
 53 COURT STREET
 WESTFIELD, MA 01085
 413-562-3552