This procedure is for patients that wish to have a rejuvenated, freshened look to the cheek and puppet mouth areas and are not quite ready or need a surgical procedure. While wrinkles, brown spots and loss of volume can be treated with existing procedures, until now there was no minimally invasive way to lift the deeper layers of facial skin. Introducing Silhouette Insta Lift. This in-office procedure is comfortable and typically takes less than 45 minutes to complete. Dr. Marsh will create a treatment plan to ensure you achieve the natural- looking result you desire. During the procedure Dr. Marsh will use absorbable sutures with bidirectional cones to reposition and elevate your cheek skin. Over time, the sutures will naturally be absorbed and stimulate collagen production to aid lasting results. Down time is typically less than 2 days. Call the office for an evaluation.