Dr. Abraham Wagner is the only physician in South Florida to offer this new minimally-invasive technique to lift sagging knee skin without the need for surgery or general anesthesia.

Sagging skin and skin laxity are part of the aging process. It’s only natural that gravity, stress, weight fluctuations, hormonal changes, and our own genetics take their toll on our skin over time.

However, we can prevent and slow down the signs of aging with progressive, non-surgical procedures that work to build collagen over time, lift the tissue, and produce instantaneous results.

Board-certified podiatrist, Dr. Abraham Wagner improves mild skin laxity and the early signs of sagging by performing the Silhouette Insta-Knee Lift, a state-of-the-art suturing technique that provides immediate lifting, tightening and natural-looking contours with minimal downtime, without any scarring and without surgical intervention.


Silhouette Insta-Knee Lift meets an unmet anti-aging need. Until now, no minimally-invasive method for lifting and adding volume to the knee has been available. The procedure is a minimally invasive solution that delivers a great option for patients who don’t want to undergo surgery.

Silhouette InstaLift’s dissolvable sutures latch onto and lift the skin in areas of mild sagging, tightening loose skin while also stimulating long-term collagen production. While Silhouette InstaLift is specifically FDA-Cleared for lifting in the face — Dr.Wagner uses thread lifting OFF-LABEL to achieve remarkable results for ‘Saggy Knees.’

Who is a good candidate for the procedure?

Silhouette Insta-Knee lift is the ideal minimally-invasive solution for many men and women who are interested in refreshing their appearance without major surgery. It offers a new and unique technology to lift sagging knee skin.

What Exactly Is Thread Lifting?

Silhouette InstaLift uses threads made from absorbable sutures and bidirectional cones, which upon entering the skin provide immediate, subtle suspension to sagging tissue. InstaLift’s sugar-based cones are made from a material called poly-L-lactic / glycolic acid (PLLA and PLGA); as they dissolve into the tissue over weeks to months, the cones have a bio-stimulatory effect on the skin, producing long-term natural collagen production and gradual skin tightening benefits.

How Does Dr. Wagner Perform The Procedure?

Dr. Wagner begins each Insta-knee lift thread lifting procedure by identifying, marking, and numbing (local anesthesia) the desired treatment areas. The absorbable InstaLift threads are attached to microscopic needles, which allows Dr. Wagner to direct precisely where he wants the lifting and tightening to occur.

Once the threads are inserted beneath the skin, he uses his fingers to activate the cones, which elevates and repositions the skin and provides a visible, “instant” lift to the underlying tissue. Over the course of the next few months, the sutures and cones are absorbed by the body as new collagen forms, further lifting the skin.

If needed, additional threads can be added after 3 to 6 months if further improvement is desired. Depending on your unique needs, Dr. Wagner will often combine Silhouette InstaLift thread lifting with Platelet Rich Plasma (PRP) or Sculptra, an injectable filler for enhanced volume.

Silhouette InstaLift must be performed by an experienced provider like Dr. Abraham Wagner, who knows how to use thread lifting techniques to obtain both lateral and vertical lift. Expertise, meticulous skill, and an artistic vision are essential to ensure proper placement of the threads at the right depths to achieve the desired outcome.

How Long Do The Improvements Last?

The results generally peak at 6 months and can last up to 12 to 24 months. However, the collagen-building benefits of a thread lifting procedure provide long-term improvement. Individual results may vary and often more than one treatment may be needed to obtain the best outcome.

Is It Safe For Everyone?

Yes, thread lifting is a safe treatment for all individuals pending a formal evaluation by Dr. Wagner.

Am I a Good Candidate For Thread Lifting?

A formal evaluation by Dr. Abraham Wagner is needed to determine if you are a good candidate for thread lifting. Silhouette Instalift are minimally invasive procedures, ideal for patients with early signs of aging who are looking for preventive maintenance that will slow the aging process. Patients with significant skin sagging and/or thin skin are not ideal candidates for thread lifting and may require surgical lifting to see their desired results. In those instances, Dr. Wagner refers these patients to his team of expert plastic surgeons.

Is Thread Lifting Painful?

Dr. Wagner injects a local numbing solution into the area prior to treatment, so patients experience minimal to no pain. For the duration of this non-invasive procedure, patients are awake and able to see immediate results in real time.

What Is The Downtime?

While recovery varies depending on each patient’s unique conditions and the areas treated, the downtime after a Silhouette Insta-Knee Lift treatment is typically minimal. In some cases, patients may experience up to 2 to 4 weeks of bruising and swelling. Often a small amount of “dimpling” and/or “bunching” can occur for up to 2 to 4 weeks as the skin begins to tighten around and anchor with the newly inserted threads.

How is Silhouette InstaLift different from thread lifts?

Silhouette InstaLift is an entirely new technology. Rather than just repositioning skin, Silhouette InstaLift now focuses on the underlying layers of the skin, because that is what really causes sagging. Another importance advance is that the sutures are not permanent; they are absorbed by the body over time. As they are absorbed, they stimulate collagen renewal, which helps achieve a younger, natural look.

How much does Silhouette Insta-Knee Lift cost?

The procedure fee varies according to each patient’s needs and the number of sutures required. Contact our teams to schedule a consultation to find out if the Silhouette Insta-Knee Lift is right for you.


It is not self evident that all feet and all foot surgeons are created equally. The cosmetic and functional procedures we perform require mastery over an extensive set of skills that take years to develop. 

So when you need to keep your best foot forward, make sure that it goes in that direction only and contact our caring, experienced and thoroughly prepared staff at Jaws Podiatry.

Final thought about feet: The human foot  is a masterpiece of engineering and a work of art- Leonardo Da Vinci