Before and after redo MACS neck lift in a 55 year old woman. She had a history of a “facelift” some time ago and had the expected scars, but did not seem to have the expected results of a lower face lift or neck lift. (You cannot lift the neck simply by making incisions and pulling the skin tight).
She felt her neck had started to jowl again immediately after and that she looked aged in this region. She remembered her grandmother’s neck and wanted “to nip this in the bud early”. She had extra folds of skin and loss of tone of her neck, with a loose contour.
A MACS lift (lower face lift, or neck lift) resuspended the deep tissues of the face, called the SMAS (“submusculoaponeurotic system”, or connective tissue framework of fat and the muscles of facial expression that fall downwards with age).
This tissue was permanently resuspended to a fixed point higher, on her deep temporal fascial. The incision is short and hidden in front of her hair and just below her side burn. MACS stands for minimal access (short scar), cranial suspension (suspending the SMAS to the deep temporal fascia).
Her neck skin was gently draped upwards. Follow up photos are shown 6 months after surgery. The last set of images shows a close up of her scar, which is just barely discernible!
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
