Minimal-access cranial suspension

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Minimal-access cranial suspension (MACS) is a surgical procedure that has been developed as a less invasive form of facelift. This technique is designed to lift the lower two-thirds of the face in a more subtle manner compared to traditional facelift methods. The MACS-lift technique is particularly noted for its use of smaller incisions, resulting in reduced scarring and a shorter recovery period for the patient.

Overview[edit | edit source]

The minimal-access cranial suspension lift is a cosmetic surgery procedure that addresses sagging facial tissues through the use of sutures placed in strategic locations. These sutures are anchored to the tissue close to the hairline above the ears. The procedure primarily targets the jowls, neck, and the lower face, offering a rejuvenated appearance. Unlike the more extensive traditional facelifts, the MACS lift does not require a wide undermining of the skin, which significantly reduces the risk of nerve damage and other complications.

Procedure[edit | edit source]

The MACS lift is performed under local anesthesia with sedation or under general anesthesia, depending on the patient's preference and the surgeon's recommendation. The surgeon makes short incisions along the temporal hairline and in front of the ears. Through these incisions, the surgeon is able to access the underlying facial tissues that need to be lifted. Special sutures are then used to lift and reposition these tissues. The sutures are anchored securely to the deep temporal fascia, a layer of tissue near the hairline, which provides a strong support for the lifted tissues. The incisions are then closed, and the area is bandaged.

Benefits[edit | edit source]

The MACS lift offers several benefits over traditional facelift techniques, including:

  • Reduced scarring due to smaller incisions
  • Shorter recovery time, allowing patients to return to their normal activities more quickly
  • Lower risk of complications such as nerve damage or hematoma
  • Can be performed under local anesthesia with sedation, reducing the risks associated with general anesthesia

Risks and Complications[edit | edit source]

As with any surgical procedure, the MACS lift carries certain risks and potential complications. These may include:

  • Hematoma (a collection of blood under the skin)
  • Infection
  • Nerve injury, although less common compared to traditional facelifts
  • Scarring, although typically less significant
  • Asymmetry or unsatisfactory aesthetic results

Recovery[edit | edit source]

Recovery from a MACS lift is generally quicker than from traditional facelift procedures. Patients can often return to work and other normal activities within two weeks. Swelling and bruising are common but usually subside within a few weeks. It is important for patients to follow their surgeon's post-operative care instructions to ensure a smooth recovery and optimal results.

Conclusion[edit | edit source]

Minimal-access cranial suspension is a valuable option for individuals seeking facial rejuvenation with less downtime and risk than traditional facelift procedures. As with any cosmetic procedure, potential candidates should consult with a qualified plastic surgeon to discuss their goals, expectations, and whether the MACS lift is the right choice for their specific needs.

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Contributors: Prab R. Tumpati, MD