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  • Will You Add? - The MACS Lift... how it differs from Conventional Facelifts

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    SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.

    5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker.<

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    Background

    The MACS lift (minimal access cranial suspension lift) was described as a modification of the S-lift by a Belgian group in 2001. It was reported in the Plastic & Reconstructive Surgery journal, which is the main scientific journal for plastic surgeons.

    Essentially, it differs from a regular facelift in the following ways:

    1. The incision is limited to the skin hairline junction above the ear and anterior to the ear. There is no extension behind the ear.

    2. The area of undermining, unlike a conventional facelift, is much smaller and essentially involves a portion 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 any skin necrosis, unlike other lifts.

    3. Permanent suspension sutures are used to elevate the underlying tissue. These pass down to the neck, jowls and malar fat pad. Unlike many other facelifts which do not include significant mid face elevation the MACS lift elevates the malar fat pad reducing the naso labial folds.

    4. Because there is no undermining under the SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.

    5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker. Nokia Cell Phone News This Summer
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    t differs from a regular facelift in the following ways:

    1. The incision is limited to the skin hairline junction above the ear and anterior to the ear. There is no extension behind the ear.

    2. The area of undermining, unlike a conventional facelift, is much smaller and essentially involves a portion 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 any skin necrosis, unlike other lifts.

    3. Permanent suspension sutures are used to elevate the underlying tissue. These pass down to the neck, jowls and malar fat pad. Unlike many other facelifts which do not include significant mid face elevation the MACS lift elevates the malar fat pad reducing the naso labial folds.

    4. Because there is no undermining under the SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.

    5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker.<

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    tially involves a portion 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 any skin necrosis, unlike other lifts.

    3. Permanent suspension sutures are used to elevate the underlying tissue. These pass down to the neck, jowls and malar fat pad. Unlike many other facelifts which do not include significant mid face elevation the MACS lift elevates the malar fat pad reducing the naso labial folds.

    4. Because there is no undermining under the SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.

    5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker.<

    Battle of the Blubber-The Fight Continues LVL
    LVL large volume liposuctionA French surgeon, Dr. Illouv is the creator of the procedure known today as Liposuction. The earliest liposuctions were performed in a dry manner, with no added fluids. This was found to be unsatisfactory as there was heavy blood loss during surgery when removing the fat. Nowadays liposuction is performed using a wet technique (Tumescent or super humid), which means the introduction of a solution with adrenalin, prior to suction, sufficient to reduce the bleeding during the procedu
    elevate the underlying tissue. These pass down to the neck, jowls and malar fat pad. Unlike many other facelifts which do not include significant mid face elevation the MACS lift elevates the malar fat pad reducing the naso labial folds.

    4. Because there is no undermining under the SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.

    5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker.<

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    SMAS (superficial musculoaponeurotic system) there is very little likelihood of damage to the facial nerve.

    5. Because the undermining and dissection is much more limited the post operative swelling and oedema is much less than in normal facelifts and recovery is therefore quicker.

    6. Because the malar fat pad is elevated it combines very well with lower lid blepharoplasty, as can be seen in the illustrations. It essentially reduces the height of the lower eyelid giving a more youthful, smooth appearance.

    7. In nearly all cases liposuction is performed to the neck area below the angle of the mandible, both to remove excess fat here and also to free up the skin to allow it to be re-draped by the suspension sutures.

    8. In my opinion the MACS lift produces results at least equivalent, or in most cases, better than a conventional facelift. It is ideally suited to the younger patient with a sagging mid face. In patients with really excess skin facility in the neck region, it may be necessary in some cases to make an incision posterior to the ear to take up this slack, but in most cases this is not necessary.

    DETAILS OF PROCEDURE

    The operation is performed under a general anaesthetic and most patients stay in hospital for two days post operatively. 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

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