The MACS lift

(Minimal Access Cranial Suspension Lift)

A Belgian group described the MACs Lift as a modification of the S-lift in 2001. It was reported in the Plastic & Reconstructive Surgery journal, which is the main scientific journal for plastic surgeons.

How does it differ from a traditional face lift?

How is the operation done?

The operation is performed under a general anaesthetic and most patients stay in hospital for two days following surgery. The operation generally takes about three hours and in nearly all cases should be combined with lower lid blepharoplasty, as lifting up the malar fat pad also lifts up the lower eyelids and it is relatively simple to remove the excess skin. Usually no additional work needs to be done to the fat pads because of the suspension of the malar area.

How long is the recovery period?

During the first post operative night, the patient is placed in a firm bulky woollen bandage and two small non-suction drains are inserted behind the ear. The bandage is removed the following day, along with the drains.
Following this, a light chin-up bandage is worn for one week. Following this, there may be some residual bruising, particularly around the eyes. This is treated with Arnica cream and massage on a twice-daily basis.
When will the stitches be taken out? Stitches in the lower blepharoplasty incision are removed at three days, those in front of the ears and alternate stitches in the hairline are removed at five days and the remaining sutures in the hairline at ten days.

Why should I have this procedure over a traditional facelift?

The MACS lift is a significant advancement in facial rejuvenation surgery as it involves relatively little undermining and consequently the recovery is quicker. It also has the significant advantage of improving the mid face and malar area which other facelift techniques do not tend to affect.

How long will it last?

The positive effects of a MACS facelift last for about 10 years, but are dependent upon the elasticity of your skin as well as other considerations such as diet and exposure to UV sunlight rays.

Procedure information is copyright Department of Health ( Reproduced under the terms of the Click-Use Licence.