The Silhouette lift evolved from the Contour Thread lift which utilized barbed threads.  Although the Contour Thread lift was effective, the improvement was often not sustained and the improvement lost over time. The Silhouette Lift is an innovative long lasting improvement of the Contour Lift.

The Silhouette Lift is performed as an outpatient procedure under local anesthesia. Light sedation is available as desired.  The Silhouette Threads are introduced in the hair line so there is no visible scar. The recovery takes approximately five to seven days.

Ask Dr Bernstein if you are interested in this remarkable procedure.

Patient treated with Contour Threads similar but longer lasting results expected from Sihlouette Threads.

It is well known that one of causes of facial aging is the loss of facial structure or volume; our cheeks and lower lids become hollow, nasolabial folds and Marionette lines appear and deepen. We lose the “full face” of youth. Fortunately, for many years these areas have been easily treated and greatly improved with fillers such as Radiesse, Restylane, Fat Transfer and Juvederm and others.

However, our temples also lose volume and become concave as we age. This loss of volume further contributes to the aged appearance of the upper face. Similarly, there is thinning of the forehead, especially over the eyebrows, which appears to contribute to lowering of the eyebrows.

Unfortunately, the aging of our temples and foreheads is usually overlooked and rarely treated,

Now, the temple and forehead can be easily restored to a more normal appearance with fillers such as Radiesse, Fat transfer (transplanting one’s own fat) and other fillers.  Adding local anesthetic usually makes the entire procedure quite comfortable.

We have been successfully restoring volume to the temples and forehead with fat transfer and Radiesse for years. Together with fillers to other areas of the face it can be a very subtle.

Call for an appointment to see Dr. Bernstein (206 267 2100) to see if this treatment can help you.

Enhancement of the lips is one of the most requested treatments by cosmetic patients today. For two reasons virtually all people requesting this treatment are women.  First, as we age, our lips thin as a result of the loss of fat and some muscle in the lips and the skin between the nose and upper lip.

The second reason is that full proportionate lips are a sign of youth-especially in women.  Aging men with enhanced lips may have a feminine appearance so men rarely request this procedure.

One of the unusual fads is the tendency for some women, especially movie stars, to over-correct their lips. This practice results in a disproportionate and often very unnatural appearance. Dr Bernstein strongly believes in recreating a younger but natural appearing lip. No one should ever have lips which are unnaturally full or disproportionate.

The “perfect” lip varies from person to person and there are racial and ethnic variations. In general there are some guidelines, in an ideal situation the upper lip is thinner (See #1) and should project beyond the lower. However, the lower lip is fuller than the upper (See #2). We also have a slight slope from the base of the nose to the lip. Finally the “white roll” (See #3) is the junction between the lip and the adjacent skin. All of these characteristics change with aging.

Enhancement or rejuvenation of the lips is accomplished with fillers. My preference is hyaluronic acid derivatives such Restylane, Juvederm and Perlane. They are preferable  to some of the denser fillers because they are softer and less likely to form lumps or nodules in the thin skin of the lips.

In our practice, all lip enhancement injections are performed by Dr Bernstein personally. We always use local anesthesia to eliminate painful lip injections. Hyaluronic acid derived fillers are natural and no prior testing is necessary. The chief “complication” is temporary bruising. Also, there is an antidote which will dissolve the material in a day or so if there is a need to remove the material.

Dr. Bernstein has been successfully treating thinning, aging lips for decades. Call for an appointment if you are interested in this treatment.