As facial tissues naturally lose firmness with age, you may start to notice changes in the mid and lower face. The cheeks can gradually descend, and the jawline may appear softer or less clearly defined than before. Many people also begin to see early jowling, flattening of the cheeks, or a reduction in natural facial contour long before they think about surgical options. This is why minimally invasive treatments like Silhouette Soft have become increasingly popular for facial rejuvenation.
Silhouette Soft is designed to gently lift and reposition the facial tissues while also encouraging collagen production beneath the skin. You may notice that it is commonly used in the cheek and jawline areas because these regions often show some of the earliest visible signs of ageing. The aim of the treatment is not to create a dramatic change, but rather to restore subtle lift and improve overall definition. It works in a way that supports your natural features rather than altering them completely.
In this article, you will gain a clearer understanding of how Silhouette Soft works specifically around the cheeks and jawline. You will also learn what kind of results you can realistically expect from the treatment and how these improvements typically develop over time. It will help you set practical expectations before deciding whether this option is suitable for your needs.
What Is Silhouette Soft?
Silhouette Soft is a minimally invasive thread lift procedure designed to improve mild to moderate facial sagging. It uses special absorbable threads that are placed just beneath the skin to gently reposition the underlying tissue. Over time, it also encourages your body to produce new collagen, which helps improve skin firmness and structure.
Unlike a surgical facelift, Silhouette Soft does not require major incisions or extensive recovery time. You may find this makes it a more appealing option if you are looking for subtle facial rejuvenation without the downtime of surgery. Most people are able to return to normal daily activities much sooner compared to more invasive procedures. This is one of the main reasons it has become a popular choice.
The treatment is focused on restoring support to the face rather than significantly changing your natural features. You can expect a more refreshed and lifted appearance rather than a dramatically altered look. The goal is usually natural-looking enhancement that works with your existing facial structure. Proper patient selection is important to ensure the results match your expectations.
Why the Jawline Changes with Age
The jawline gradually loses definition as the skin, fat, and connective tissues change with age. As you get older, collagen production naturally declines, which affects the skin’s firmness and support. At the same time, facial fat begins to shift downward and skin elasticity reduces, all of which contribute to softer facial contours.
You may start to notice early jowling forming along the lower part of the face. The once sharp and well-defined jawline can become less distinct over time. Gravity also plays a role, as it gradually pulls tissues downward, adding to this overall change in facial shape.
Understanding why these changes happen helps you see how treatments like thread lifting are designed to work. Rather than replacing lost structure completely, the aim is to gently reposition existing tissue for a more lifted appearance. It is important to keep expectations realistic so you can appreciate subtle but natural improvements.
Why the Cheeks Begin to Sag
The cheek tissues naturally begin to descend as the supporting structures of the face weaken with age. You may notice that facial volume shifts downward, which can create a flatter appearance in the mid-face area. This change often contributes to a look that appears more tired or slightly heavier than before.
A key reason for this is the gradual loss of collagen and reduced skin elasticity over time. As these support systems weaken, the cheeks may no longer sit as high or feel as lifted as they once did. This slowly alters the natural balance and proportions of your face.
Silhouette Soft is designed to gently reposition these tissues to a slightly higher position. This can help restore a fresher and more lifted appearance without changing your natural features. Even subtle support in this area can make a noticeable difference to overall facial contour and expression.
How Silhouette Soft Works
The treatment involves placing dissolvable threads just beneath the skin using fine needles or cannulas. These threads have small cones along them that help to gently anchor and reposition the facial tissue. You may notice a subtle lifting effect immediately after the procedure, although it is not designed to look dramatic.
Over time, the threads also stimulate your body’s natural collagen production around the treated area. This helps improve skin firmness and provides better structural support from within. As a result, the skin gradually becomes stronger and more resilient in the months following treatment.
Silhouette Soft works in two ways, combining an immediate lifting effect with longer-term collagen stimulation. Both of these processes contribute to the final result you see over time. Improvements continue gradually after the procedure, so patience is important as your results develop naturally.
Jawline Definition Improvements
One of the most common reasons you may choose Silhouette Soft is to improve the definition of the jawline. The threads are used to gently lift tissues that have started to descend in the lower face area. This can help soften the appearance of early jowls and create a more lifted outline.
You may notice that your jawline looks cleaner and more defined after the treatment. However, the improvement is usually subtle rather than dramatic, as the aim is refinement rather than major transformation. The focus is on enhancing your natural facial structure in a balanced way.
Results can vary depending on how much skin laxity and tissue heaviness is present. You are likely to see the best response if you have mild to moderate sagging. A proper assessment before treatment is important to ensure it is suitable for your specific needs.
Cheek Lift Results
Silhouette Soft can help improve the position of the cheeks by gently lifting the mid-face tissues that may have started to descend over time. This creates a subtle improvement in facial contour and helps restore better balance between the cheeks and the lower part of the face. The overall result is designed to look natural rather than exaggerated or artificial. You may notice a gradual enhancement in facial harmony rather than a dramatic change.
1. Natural Lift in Mid-Face Positioning: Silhouette Soft works by gently elevating the cheek area to a slightly higher position. This helps counteract mild sagging that can occur with age or loss of skin elasticity. The result is a more lifted and supported appearance without looking overdone.
2. Fresher and Less Tired Appearance: Many patients notice that they look more refreshed after treatment. Instead of appearing dramatically different, the face often looks more awake and rested. This subtle improvement is what makes the result particularly appealing for those wanting a natural enhancement.
3. Softening of Facial Lines: Lifting the cheeks can also have a secondary benefit of softening nearby folds, such as early nasolabial lines. As the mid-face is gently repositioned, surrounding areas can appear smoother and less heavy. This contributes to an overall more youthful balance.
4. Repositioning Rather Than Adding Volume: Unlike dermal fillers, Silhouette Soft does not add extra volume to the face. Instead, it repositions existing tissue to improve structure and support. This makes it a different type of treatment, focused more on lift and contour rather than fullness.
Cheek lift results with Silhouette Soft are generally subtle but noticeable in a natural way. The treatment focuses on improving facial structure by gently lifting and repositioning tissues rather than changing facial volume. This allows you to maintain your natural features while achieving a more balanced appearance. Over time, the overall effect is a fresher, more supported look that enhances facial harmony without appearing obvious.
Natural-Looking Enhancement
One of the main reasons you may prefer Silhouette Soft is that it typically delivers very natural-looking results. The treatment is not designed to over-tighten or dramatically change your facial appearance. Instead, it focuses on gently repositioning the tissues to create a softer and more refreshed look.
You may find that friends or family notice you look better or more rested, without being able to pinpoint exactly what has changed. This subtle improvement is often what makes the treatment appealing. Many people want visible enhancement without it looking obvious or artificial.
Natural results depend greatly on correct technique and realistic expectations. Balance is key when lifting the face, as too much correction can look unnatural. A conservative approach to lifting usually gives the most harmonious and long-lasting outcome.
Immediate vs Gradual Results
Some lifting may be visible immediately after the procedure because the threads mechanically reposition the tissue under your skin. However, you may also notice some swelling in the early recovery period, which can temporarily affect how the results look. As this settle, the initial outcome becomes clearer and more refined.
The collagen stimulation process happens more gradually over several weeks and months. During this time, your skin continues to improve in firmness and support as new collagen forms around the threads. This means the overall result can keep evolving even after the first visible lift.
Understanding this timeline is important so you know what to expect from the treatment. The final outcome is not immediate, as it develops in stages rather than all at once. Being patient allows the results to settle properly and gives you a more satisfying long-term improvement.
Collagen Stimulation Benefits
Silhouette Soft helps stimulate collagen production around the threads placed beneath your skin. Collagen plays an important role in maintaining skin firmness, elasticity, and overall structural support. This natural response contributes to improvements that can last beyond the immediate lifting effect.
Even as the threads gradually dissolve over time, the collagen-building process continues in the treated areas. You may notice that your skin texture and tightness improve slowly and steadily as new collagen forms. This ongoing response is one of the reasons results can last longer than the physical presence of the threads.
Although collagen stimulation is subtle, it is a valuable part of the treatment’s effect. It helps support overall skin quality and not just surface-level lifting. This long-term improvement is important if you are looking for more sustained and natural-looking rejuvenation.
Mild to Moderate Laxity Works Best
Patients with mild to moderate skin laxity are usually the best candidates for thread lift treatments like Silhouette Soft. Early signs of facial sagging tend to respond more effectively because the tissues are still relatively supportive. When the skin and underlying structures are not too heavily descended, the lifting effect is generally more noticeable and balanced.
You may find that people with early jowls or slight cheek descent often achieve the most satisfying outcomes. In contrast, more severe sagging or very heavy tissues may not respond as well to this type of treatment. In such cases, surgical options may sometimes be recommended for a more significant correction.
Understanding these limitations is important so you can set realistic expectations from the start. Suitability for treatment can vary from person to person depending on skin condition and facial structure. A consultation helps guide the right decision and ensures the approach matches your individual needs.
Age and Treatment Suitability
There is no strict age limit for Silhouette Soft treatment. However, you may find that many suitable patients are in their late thirties to fifties, as this is often when early structural signs of ageing begin to appear. During this stage, changes in facial support and contour tend to become more noticeable.
Younger patients may sometimes choose the treatment for preventive support or to enhance facial definition. On the other hand, older patients can still benefit as long as their skin quality and elasticity are still reasonably good. This means suitability is not defined by age alone.
Individual assessment is the most important factor when deciding if the treatment is right for you. Skin elasticity, facial structure, and the degree of laxity all play a key role in expected results. A personalised evaluation helps ensure better and more predictable outcomes.
The Importance of Skin Quality
Skin quality plays a major role in how effective a thread lifting treatment can be. When your skin is firm, healthy, and has good elasticity, it tends to respond more positively to repositioning and collagen stimulation. On the other hand, skin that is heavily sun-damaged or very thin may not hold results in the same predictable way. This is why assessing skin condition is an important part of planning treatment outcomes.
1. Better Response in Firmer, Healthier Skin: When your skin is in good condition, it adapts more effectively to lifting techniques. Firmer skin supports the threads more efficiently and allows a more even lift. This typically results in a smoother and more natural-looking improvement.
2. Role of Skin Elasticity in Long-Term Results: Elasticity helps your skin maintain its lifted position after treatment. If your skin has good bounce and resilience, the results are usually more stable over time. Poor elasticity may lead to quicker settling or reduced longevity of the effect.
3. Impact of Sun Damage and Thinning: Sun-damaged or very thin skin may not respond as consistently to thread lifting. Reduced collagen and weakened structure can make results less predictable. In such cases, additional care or alternative treatments may be considered.
4. Importance of Pre-Treatment Skin Preparation: Improving skin health before the procedure can enhance overall results. Treatments that support hydration, collagen production, or texture improvement may be recommended. Preparing the skin helps create a stronger foundation for lifting.
Skin quality is a key factor in determining how successful a thread lifting treatment will be. Healthier, more elastic skin generally delivers smoother and longer-lasting results, while compromised skin may need additional support. Taking time to improve skin condition before treatment can make a noticeable difference in outcomes. Overall, good preparation and realistic assessment of skin health help ensure more consistent and satisfying results.
Jawline Slimming Expectations
Some patients may expect Silhouette Soft to create a dramatic slimming effect along the jawline. However, you should understand that this treatment mainly works by repositioning tissue rather than removing fat. It is designed to improve contour and definition rather than completely reshape the face.
You may notice that subtle jawline definition is achievable, especially when mild jowling is present. If you have a heavier lower face, the results may be less pronounced, and additional treatments might sometimes be needed for more noticeable slimming. This helps ensure the outcome matches your facial structure more effectively.
Having realistic expectations is important when considering this procedure. The focus is on gentle refinement rather than major transformation. When you understand what the treatment can and cannot do, it often leads to greater satisfaction with the final result.
Cheek Volume vs Cheek Lift
Silhouette Soft works by lifting your existing cheek tissue, rather than adding significant volume. This is different from dermal fillers, which are specifically designed to restore or replace lost fullness in the face. Because of this, the two treatments achieve different types of results.
You may find that some patients benefit from combining thread lifting with volume restoration treatments. A lift can improve position and contour, while volume can help restore softness and fullness. When used together appropriately, these approaches can complement each other and create a more balanced outcome.
Understanding this difference is important when deciding on the right treatment for your needs. You should think of structural support and volume as two separate aspects of facial ageing. A personalised treatment plan helps ensure these elements are addressed in the most suitable way for your facial goals.
Longevity of Results
The results from Silhouette Soft are not permanent, but they can last for many months or even longer depending on the individual. A key factor in how long the results last is collagen stimulation, which helps to gradually strengthen and support the skin over time. Lifestyle factors such as sun exposure, skincare habits, and overall health can also influence the duration of the outcome.
You may find that patients with better skin quality tend to maintain their results for a longer period. However, natural ageing continues even after treatment, so changes will gradually progress over time. For this reason, some people choose maintenance procedures to help prolong the effects.
Understanding the longevity of results helps you plan your treatment more realistically. It is important to see aesthetic procedures as part of ongoing care rather than a one-time solution. Keeping expectations balanced will help you feel more satisfied with the long-term outcome.
Recovery and Downtime
Recovery after Silhouette Soft is generally quite quick compared to surgical options. You may experience mild swelling, bruising, or tenderness in the treated areas during the first few days. These effects are temporary and usually improve gradually as your skin begins to settle.
Most patients are able to return to their normal daily activities fairly soon after the procedure. However, you may be advised to avoid strenuous exercise and limit excessive facial movements for a short period to allow the threads to stabilise properly. Following your aftercare instructions carefully is important during this stage.
Understanding the recovery process helps you prepare in advance and manage expectations. Proper healing plays a key role in achieving the best possible outcome from the treatment. When you follow the recommended guidance, it supports smoother recovery and more consistent results.
Possible Temporary Side Effects
Temporary side effects can include swelling, bruising, tenderness, or mild asymmetry during the early healing phase. You may find these effects are a normal part of the recovery process as your body adjusts to the treatment. In most cases, they improve gradually within a few days or weeks.
You might also notice a slight tightness beneath the skin at first. This sensation is generally temporary and tends to settle as the tissues adapt to the repositioning. Following proper aftercare advice can help reduce the risk of complications and support smoother healing.
Understanding these possible effects can help you feel more prepared after treatment. These short-term changes are common and usually not a cause for concern. Staying in contact with your practitioner is important if you have any questions during recovery.
Combination Treatments
Silhouette Soft is often used alongside other aesthetic treatments to achieve a more complete rejuvenation. You may find it is commonly combined with dermal fillers, skin boosters, radiofrequency treatments, or laser therapies. These combination approaches are becoming more popular because they can address different aspects of facial ageing at the same time.
The threads are designed to reposition and lift the facial tissue, while other treatments can focus on improving skin texture or restoring lost volume. When used together, this creates a more comprehensive and balanced improvement in overall facial appearance. Each treatment plays a different role in enhancing the final result.
Personalization is very important when planning combination treatments. You may benefit from addressing multiple concerns in a single treatment plan rather than focusing on one issue alone. A tailored approach often leads to more natural and satisfying outcomes that suit your individual facial needs.
Importance of Realistic Expectations
Having realistic expectations is one of the most important parts of any aesthetic treatment journey. With Silhouette Soft, the results are designed to be subtle, focusing on gentle lifting and contour refinement rather than dramatic surgical transformation. When you clearly understand what the treatment can and cannot achieve, it becomes easier to feel satisfied with the outcome. This clarity also helps you approach the procedure with confidence and trust in the process.
1. Subtle and Natural Enhancement: Silhouette Soft is intended to create a mild lifting effect rather than a major change in facial structure. You can expect your features to look more refreshed and slightly more defined. The goal is enhancement, not transformation.
2. Higher Satisfaction with Realistic Goals: When you expect a softer, fresher appearance instead of a dramatic difference, you are more likely to feel satisfied with the results. Unrealistic expectations can lead to disappointment even when the treatment has worked well. Understanding the natural limits of the procedure helps set a positive mindset.
3. Improvement Rather Than Transformation: The treatment works by improving your existing facial structure rather than completely changing it. It enhances contours and provides gentle support to sagging areas. This approach helps maintain your natural look while giving a subtle rejuvenation.
4. Importance of Consultation and Clear Communication: Open discussion during consultation ensures your expectations are properly aligned with what the treatment can achieve. A clear explanation of outcomes helps avoids misunderstandings. Honest planning builds trust and supports a more confident treatment experience.
Realistic expectations are essential for achieving satisfaction with Silhouette Soft treatment. When you understand that the results are subtle and natural rather than dramatic, it becomes easier to appreciate the improvements. Clear communication and proper consultation help align your goals with achievable outcomes. Ultimately, this leads to a more positive experience and greater confidence in the final result.
Who May Not Be Suitable?
Patients with severe skin laxity or very heavy facial tissues may not achieve enough improvement from thread lifting alone. In such cases, you may find that surgical procedures offer a more effective and longer-lasting correction. This is why a proper assessment is essential before deciding on treatment.
You should also be aware that if you are expecting a dramatic tightening effect, this treatment may not meet your expectations. Silhouette Soft is designed for subtle enhancement rather than major transformation. Understanding this limitation helps you make a more informed decision.
Knowing when Silhouette Soft may not be suitable is important for maintaining realistic expectations and protecting overall satisfaction. An honest evaluation from a qualified practitioner helps ensure the most appropriate treatment choice. Suitability can vary from person to person depending on individual facial structure and skin condition.
Why Practitioner Skill Matters
The success of Silhouette Soft largely depends on the skill and experience of the practitioner performing the treatment. Proper placement of the threads, along with an accurate assessment of your facial structure, is essential for achieving natural-looking results. The technique used plays a key role in both the safety and the overall aesthetic outcome.
An experienced practitioner understands how facial tissues naturally move and age over time. This knowledge helps reduce the risk of issues such as overcorrection or uneven results. Precision is especially important when working with delicate facial areas to ensure balanced and harmonious lifting.
Choosing a qualified and experienced professional can make a significant difference to your final result. Higher skill levels not only improve safety but also enhance your overall satisfaction with the treatment. In aesthetic procedures like this, expertise is a major factor in achieving the best possible outcome.
Emotional Impact of Subtle Rejuvenation
Many patients choose aesthetic treatments because they want to feel more confident and refreshed, rather than looking completely different. Even a subtle lifting effect can have a positive impact on how you see yourself. Emotional reasons often play a significant role in deciding to have treatment.
You may notice that patients often feel more comfortable with their appearance after the procedure. When the face looks less tired or slightly less heavy, it can naturally improve confidence in day-to-day life. These small but visible improvements can feel meaningful, even if the change is not dramatic.
Having healthy and realistic expectations is important for achieving good emotional outcomes. Subtle improvements can still feel significant when they align with how you want to look and feel. Confidence is often just as important as the physical results themselves.
Advances in Thread Lift Technology
Thread lift technology has developed significantly over the years. Modern Silhouette Soft threads are designed to provide improved support to the facial tissues while also encouraging collagen production. At the same time, advances in design and application have helped improve both safety and precision.
These improvements have made minimally invasive facial rejuvenation more predictable and consistent. You may benefit from more refined techniques and higher-quality materials compared to earlier versions of thread lifts. Ongoing innovation in this field continues to enhance treatment outcomes for patients.
Understanding these technological advances can help you feel more confident about modern procedures. Today’s treatments are far more sophisticated and carefully developed than older methods. This continued progress supports better safety, comfort, and overall results.
Why Consultation Is Essential
A detailed consultation is essential before you decide on Silhouette Soft treatment. During this process, the practitioner carefully evaluates your facial anatomy, skin quality, and overall treatment goals. This helps determine whether the procedure is suitable for your specific needs.
You may find that photographs and facial analysis are used to better understand your facial structure and plan the treatment effectively. Honest discussion about what results you can realistically expect is also a very important part of this stage. This ensures that your expectations are aligned with what the treatment can actually achieve.
A proper consultation helps protect both your safety and the quality of your results. Careful planning leads to more informed decisions and better overall outcomes. Individual assessment is key because every face age differently and requires a tailored approach.
Making the Right Decision
Choosing whether to undergo Silhouette Soft treatment requires careful thought about your personal goals and expectations. You should consider what kind of improvement you are hoping to achieve and whether you are looking for subtle, natural-looking rejuvenation. The procedure is best suited for individuals who want gentle enhancement rather than a dramatic change.
A professional consultation is important because it helps determine whether the treatment matches your facial structure and specific concerns. You may find that understanding both the benefits and the limitations of the procedure allows you to make a more informed and confident decision. Clear information plays a key role in setting realistic expectations.
Taking time to fully understand the procedure often leads to greater satisfaction with the results. When you are well-informed, you are more likely to feel comfortable and confident in your choice. Good preparation supports a smoother experience and a more positive overall outcome.
FAQs:
1. What is Silhouette Soft used for in the cheeks and jawline?
Silhouette Soft is used to gently lift sagging skin in the cheeks and jawline. It helps reposition facial tissues to improve definition and contour. The treatment is designed for subtle, natural-looking rejuvenation rather than dramatic change. It is commonly chosen for early signs of facial ageing.
2. How long do Silhouette Soft results last?
Results usually last several months to around two years, depending on your skin condition and lifestyle. Collagen production continues after treatment, which helps extend the effects. However, natural ageing still progresses over time. Maintenance treatments may be considered for longer-lasting results.
3. Is the jawline improvement from Silhouette Soft dramatic?
No, the improvement is generally subtle and natural-looking. It enhances the jawline by lifting sagging tissue rather than creating a sharp or sculpted effect. The aim is refinement, not transformation. Most people notice a softer, more defined outline.
4. Can Silhouette Soft lift sagging cheeks effectively?
Yes, it can lift mildly to moderately sagging cheeks by repositioning mid-face tissues. This helps restore balance and a fresher facial appearance. The lift is subtle but can make a noticeable difference in overall facial harmony. Results look natural and gradual.
5. Does Silhouette Soft add volume to the face?
No, Silhouette Soft does not add volume like dermal fillers. Instead, it lifts and supports existing facial structures. This creates a more defined and lifted appearance without fullness. It focuses on contour rather than volume enhancement.
6. When will I see results after Silhouette Soft treatment?
You may see an immediate lifting effect after the procedure. However, final results develop over several weeks as swelling settles and collagen builds. The improvement becomes more refined and natural over time. Results continue to enhance gradually.
7. Is there any downtime after the procedure?
Downtime is minimal, and most people return to normal activities within a few days. Mild swelling, bruising, or tenderness may occur initially. These side effects are temporary and usually settle quickly. Following aftercare advice helps recovery.
8. Who is the ideal candidate for Silhouette Soft?
It is suitable for individuals with mild to moderate facial laxity. You should have reasonably good skin quality and realistic expectations. It is ideal for those wanting subtle lifting without surgery. A consultation confirms suitability.
9. Are the results of Silhouette Soft natural-looking?
Yes, results are designed to look subtle and natural. You will appear more lifted and refreshed rather than significantly changed. Most people notice improvement without obvious signs of treatment. The goal is natural enhancement.
10. Can Silhouette Soft be combined with other treatments?
Yes, it is often combined with fillers, skin boosters, or laser treatments. These helps improve volume, texture, and skin quality alongside lifting. Combination treatments provide a more comprehensive facial rejuvenation. A tailored plan ensures balanced results.
Final Thoughts: Silhouette Soft for Jawline & Cheeks
Silhouette Soft can be a suitable option if you are starting to notice mild sagging in the cheeks or a loss of definition along the jawline. It works by gently lifting and repositioning facial tissue while also supporting natural collagen production, helping your features appear more lifted and refreshed in a subtle way.
The treatment is not designed to create dramatic change, but rather to enhance your existing facial structure. You may notice a fresher, more balanced appearance over time as both the immediate lift and gradual collagen improvement develop. Because the results are subtle, they tend to look natural rather than obvious.
Overall, this treatment is best for you if you want gentle rejuvenation without surgery. With realistic expectations and proper assessment, it can help improve facial contour while still maintaining your natural look. If you’re considering a Silhouette Soft Thread Lift in London, you can contact us at the London Medical & Aesthetic Clinic.
References:
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2. Chae, W.S., Lee, H.S. and Kim, J.H. (2025) ‘Thread lifting: Classification, techniques, and current clinical applications’, Archives of Plastic Surgery, 52(1), pp. 12–21. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12594578/
3. Bertossi, D., Botti, G., Gualdi, A., Zaccaria, G. and Nocini, P.F. (2019) ‘Effectiveness, longevity, and complications of facelift by barbed suture insertion’, Aesthetic Surgery Journal, 39(3), pp. 241–247. Available at: https://pubmed.ncbi.nlm.nih.gov/31280848/
4. Atiyeh, B.S., Chahine, F. and Abou Ghanem, O. (2021) ‘Percutaneous thread lift facial rejuvenation: History, technical advancements, and outcomes’, Aesthetic Plastic Surgery, 45(4), pp. 1310–1323. Available at: https://pubmed.ncbi.nlm.nih.gov/33961884/
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