EYEBROW MID FACE JAW LINE PATIENT SELECTION NECK

SILHOUETTE SOFT INDICATIONS Eyebrow ptosis Mid face skin ptosis Loss of malar volume Jaw line ptosis Neck laxity Patient selection is one of the key factors to guarantee the success of Silhouette Soft treatment. The aim of this document is to aid physicians in selecting the most suitable patients for this treatment. An overall analysis of the skin type and facial type and structure should be performed.

CRITERIA FOR PATIENT SELECTION Assess the severity of sagging : suitable patients should present mild to moderate sagging in the lower face (equal to levels 1 to 3 in the scale below). 0 1 2 3 4 5 No sagging Mild sagging Moderate sagging Severe sagging SILHOUETTE SOFT

CRITERIA FOR PATIENT SELECTION Assess the severity of nasolabial wrinkling: Nasolabial and mid face folds should be considered as reflecting the slipping of the various fat compartments. Suitable patient should present wrinkling equal to levels 1,5 to 2,5 in the Modified Fitzpatrick Wrinkle Scale below. 0 No Wrinkle No visible wrinkle continuous skin line. 1 Fine Wrinkle Visible wrinkle and slight indentation. 2 Moderate Wrinkle Clearly visible wrinkle; 1-2 mm wrinkle depth. 3 Deep Wrinkle Deep and furrow wrinkle; more than 3 mm wrinkle depth 0,5 1,5 2,5 Very shallow yet visible wrinkle. Visible wrinkle and clear indentation; less than 1 mm wrinkle depht. Prominent and visible wrinkle; more than 2 and up to 3 mm wrinkle depth. SILHOUETTE SOFT The Modified Fitzpatrick Wrinkle Scale : A Clinical Validated Measurement Tool for Nasolabial Wrinkle Severity Assessment.

CRITERIA FOR PATIENT SELECTION Assessment of the type of skin: patient should have good skin quality. Very thick skin Good adipose tissue Very thin skin If the subdermal fat layer in heavy faces or in overweight people is too thick, this risks compromising the proper anchorage of the cones and constitutes a factor of recurrence to the original state due to the strong tension applied to the threads. Tip: Being able to lift the patient's tissue with the fingers up to one cm more or less is a guarantee of good results with Silhouette Soft threads. Very wrinkled, or excessively marked skin cannot be tightened except through surgical lift. If the subdermal fat layer is too thin, this may be an obstacle to appropriately inserting the threads (too deep or too superficial).

COMPLEMENTARY TREATMENTS TO CONSIDER PRIOR TO SILHOUETTE SOFT TREATMENT VOLUME RESTORATION Collagen inducer and/or hyaluronic acid before Silhouette Soft. SKIN QUALITY IMPROVEMENT Thanks to bio stimulation and/or stimulation of collagen synthesis. TREATMENT OPTIMISATION Botulinum toxin before Silhouette Soft to treat the eyebrow ptosis. Complimentary treatments should not be performed at the same time and in the same area as Silhouette Soft treatment. A suitable recovery period from the first treatment should be respected before using Silhouette Soft.

MIDFACE, JAW LINE, BROW AND NECK MODERATE SAGGING, VISIBLE MARIONETTE LINES AND NASOLABIAL FOLDS. Photos courtesy of Dr Rosalba Russo and Dr JL Cohen IDEAL PATIENT FOR SILHOUETTE SOFT TREATMENT

NON IDEAL PATIENT FOR SILHOUETTE SOFT TREATMENT Excessive skin in the mandibular area associated with thick skin. Excessive skin in the mandibular area in hypertrophic skin. Excessive skin due to advanced ageing and thin skin. Excessively thin skin with lack of fat tissue. Photos courtesy of Dr Rosalba Russo

SINCLAIR PHARMA Office Village, Chester Business Park Chester, CH4 9QZ United Kingdom www.silhouette-soft.com share.silhouette-soft.com MSL-051 Rev A MSL-051 Rev A SINCLAIR PHARMA Office Village, Chester Business Park Chester, CH4 9QZ United Kingdom www.silhouette-soft.com share.silhouette-soft.com