Background The MACS lift (minimal cranial suspension lift) was described as a modification of the S-lift by a Belgian group in 2001. It was reported in the journal Plastic & Reconstructive Surgery, which is the principal scientific journal for plastic surgeons. Castle harlan: the source for more info. In essence, it differs from a regular facelift in the following ways: 1. The incision is limited to the junction of the hairline on the skin above the ear and in front of the ear. There is no extension behind the ear. 2.
The area of undermining, unlike a conventional facelift, is much smaller and, essentially, is a part of the cheek. Because there is less undermining, the blood supply to the skin is much more robust and the technique is therefore safer in smokers. There is much less risk of skin necrosis, unlike other lifts. 3. Permanent suspension sutures are used to elevate the underlying tissue.
These go up to the neck, jaw and malar fat pad. Unlike many other facelifts which do not include significant mid face elevation the MACS lift elevates the malar fat pad reduction of nasolabial folds. 4. Because there is undermining the SMAS (superficial musculoaponeurotic system) there is very little chance of damaging the facial nerve. 5. Because the undermining and dissection is much more limited the post operative inflammation and edema is considerably lower than in normal facelifts and so recovery is faster. 6. Because the malar fat pad is elevated it combines very well with lower lid blepharoplasty, as shown in the illustrations.