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Before and after MACS lift in a 62-year-old woman. She had lost twenty pounds and noticed that her neck looked much older than before her weight loss. This is quite common, particularly with so many patients losing weight on semaglutide medications.

She also had more sun-damage related aging on the left side of her face, which is the norm in most patients due to years of increased UV energy exposure from commuting – the sun blasts through car windows and causes more sun damage, wrinkles, loss of volume, loss of collagen and sagging on the left side of the face.

A lower face lift, also called a neck lift, used the MACS lift technique (minimal access cranial suspension) to restore a more youthful looking jawline. Her jowls were repositioned higher up on her cheek, her lower face and neck skin were lifted in an upward vertical vector, and her previously sculpted angle of the jaw was recreated.

She understood going into surgery that her skin would still have stigmata of past sun damage. This can be treated with a CO2-type laser. This did not bother her specifically, so it was not addressed. She can have laser treatments to her skin any time in the future. We recommend waiting 3-6 months after a facelift/neck lift before having intense pulsed light or other laser treatments to the skin.

Follow up photos are shown 8 months after surgery. she feels like she looks “like herself,” just refreshed. Our patients do not want to look pulled too tight or have their results be obvious to others. We all want to be our best self, and the MACS lift can certainly help when it comes to the neck!

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton