Short-scar is a term used to describe this specific type of facelift, where the incision sites are shorter and the scar reduced because of the technique used. MACS, which stands for Minimal Access Cranial Suspension, is ideally suited to younger facial surgery candidates, 30’s to 50’s with mild looseness of their jawline and neck areas. This facelift would likely be done for a patient having their first “facelift”. In later years, a different technique may be needed to address advanced looseness of skin.
- Best Candidates for MACS Lift
- What to Expect at Your Consultation
- How the MACS Lift is Performed
- Recovery from the MACS Lift
Best Candidates for MACS Lift
Younger men and women with mildly loose skin on the neck and a mild degree of facial jowls; Non-smokers with good to excellent health, good skin elasticity and strong bone structure will have the best possibility for a satisfactory surgical outcome.
What to Expect at Your Consultation
Dr. James Matas, a board certified plastic surgeon in Orlando, Florida, has extensive experience performing facelift surgery, and has been performing the MACS Lift technique for the past 6 years. During consultation, he will discuss your goals and motivations for surgery, assess your physical and emotional health and review information you provide about previous surgeries, past and current medical conditions, nutritional supplements, herbal remedies and pharmaceutical medications you take.
He will examine the structures of your face and neck, assessing the quality of your skin tone and bone structure. He will recommend the exact procedure, or procedures, needed to bring about the desired result, outlining the techniques and incisions needed, the type of anesthesia, where the surgery will be performed and the risks and possibility of complications. He may also recommend complementary procedures, such as eyelid lift and others, to enhance the overall surgical outcome.
He will advise you to avoid taking aspirin, ibuprofen products, Vitamin E and certain herbal medications before surgery, as these can cause increased bleeding or have undesirable effects with anesthesia. He will also insist that you discontinue smoking for at least one month prior to ensure proper healing.
You will also be provided with the financial details, along with a suggested plan of action should you decide to take the next step towards facelift surgery.
How the MACS Lift is Performed
The procedure begins with liposuction of the neck and chin, where a tiny incision is placed under the chin. Incisions are made in front of the ears extending upwards inside the hairline to the level of the eyebrow. No incisions are made behind the ears. A small area of skin is lifted off the cheek and the underlying SMAS (fibrous layer that sags with aging) is gathered upwards with two to three looped sutures that are firmly attached to strong tissue at the base of the temple. This further tightens the neck, redefines the jawline and elevates the cheek to a more youthful position. The excess skin, which has now been moved upward, is trimmed at the incision line and closed with fine sutures.
Surgery is performed outpatient, usually under general anesthesia, and takes 2 to 3 hours or longer if additional procedures are performed at the same time. This is commonly performed with eyelid surgery, brow lift and facial fillers to enhance the overall outcome.
Recovery from the MACS Lift
You will be discharged wearing a supportive garment over your head and neck. There is mild pain associated with a facelift, but any discomfort can be lessened with prescribed medication. Some bruising, swelling and change in skin sensation will be noticed, and should resolve over the next 2 to 3 weeks. Some mild puckering of the skin may be seen in front of the ears with this procedure, but this resolves on its own in a short time.
You will be given guidelines to get plenty of rest, and to avoid strenuous activity, alcohol, steam baths, saunas and sun exposure. After a few days, your neck garment will be removed, and your face may appear puffy and slightly distorted. Treatment with our massage therapist will begin in about 5 days, and this will reduce swelling and inflammation and help you feel more comfortable.
You’ll be back to work within 7 to 10 days, but it is suggested that you lessen your professional and personal commitments as much as possible around this time. If you need it, special camouflage makeup can be applied to cover any bruising that remains. Your scars will be minimal, are hidden in your hairline and, with time, they should be scarcely visible.
Your New Look
We expect that you’ll be extremely happy with the MACS Lift and the youthful appearance you will regain with having a tighter neck and jawline. Friends, family and associates may comment that you look different, but they may think you’ve been on vacation or have a new hairstyle. Expect many years of satisfaction from this procedure, especially if you care for your investment with professional skin care and lead a healthy lifestyle.