In this video, Dr. Lee Edstrom narrates a demonstration of the MACS-lift, a technique that was created by Drs. Patrick Tonnard and Alex Verpaele of Belgium. It is an innovative type of face lift which Dr. Edstrom has made a large part of his practice since 2004.
The term MACS-lift – or Minimal Access Cranial Suspension lift – allows for the correction of sagging facial features through a short, minimal incision, elevating them vertically by suspending them from above. (This image shows what the patient looks like before the surgery. The red arrows represent the areas that will be corrected.)
There are many advantages to having a MACS facelift versus a traditional facelift. For starters, the MACS-lift uses a shorter scar that is in front of the ear, instead of behind, which is much easier to hide. Overall, the MACS-lift surgery is safer because less skin is raised. This means that there is less risk of bleeding and nerve damage. The operation also takes less time, lasting 2.5 hours instead of the 3.5 hours that the traditional facelift requires. There is also a shorter recovery period, 2-3 weeks instead of 3-4 weeks. Finally, the results of the MACS-lift are very natural while the traditional facelift will often result in a "windswept" look.
The incision is limited to the skin fold in front of the ear and follows the hairline under the sideburn. The zig-zag pattern incision makes the scar blend with the hairline, and it becomes virtually invisible. The skin is lifted to gain access to the deep tissues only in the area marked in light blue.
After making the incision, the skin is lifted from the working area underneath. Depending on the patients’ needs, two or three sutures are woven into the deep facial tissues in order to obtain suspension of the facial features from the very firm points indicated here in red.
Here the first suture is woven into the deep facial tissue. Its action is mainly to restore the skin tightness of the upper and middle neck and to correct the fullness of the angle between the jaw and the neck.
The second suture mainly corrects the jowl deformity and the fold between the cheek and the nose, the so-called nasolabial fold.
The third suture, which is not indicated in every case, acts mainly on the descended cheek and also improves the support of the lower eyelid.
As the facial tissues have been repositioned in a vertical direction, some skin excess appears on the lower eyelid and around the sideburn. It is removed and the earlobe is replaced into its original position. The skin is now meticulously closed.
Let’s observe the total effect of the sutures at the end of the operation: the sagging facial features have regained their youthful position in the center of the face. This view allows you to appreciate the difference the MACS-lift will have on the face.
Dr. Edstrom finds this procedure is safer, recovery time is less, and patients really appreciate the shorter scar and the very natural look.
Once again, Dr. Edstrom would like to thank the originators of this technique for providing this very informative video. For more information on the MACS-lift, please call Dr. Edstrom’s office at 401-331-2303 and our knowledgeable staff will be happy to assist you.