|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
|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"
|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
|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.