Retightening Revision of a Previous MACS-Lift Meloplasty

Tonnard, Patrick; Verpaele, Alexis

doi:10.1007/s00266-009-9464-3

Cited by 2 publications

(3 citation statements)

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“…Another study comparing deep plane rhytidectomy with SMAS plication demonstrated better results with simple SMAS plication, although in patients older than 70 years, deep plane SMAS manipulation may yield slightly better results. 9 Interestingly, despite intraoperative observation of greater softtissue movement with the sub-SMAS technique, comparing SMAS imbrication on one side and sub-SMAS technique on the other in the same patient did not demonstrate any difference between the 2 sides at 6 and 12 months after surgery. 6 At present, there is a strong trend in facial rejuvenation surgery toward less-dramatic facial rejuvenation procedures consisting of volume displacement and/or replacement instead of producing tension in the face 3,10 triggered by patients' desire to minimize scars and shorten downtime by limiting undermining and tissue manipulation to reduce edema and ecchymosis during the postoperative period.…”

mentioning

confidence: 73%

“…14 Certainly, good correction of the cervicomental angle can be produced with a strong vertical pull on the lateral part of the platysma. 9 For better neck lifting results, extension of the supraplatysmal plane of dissection below the mandibular angle caudally is indicated, 16,25,26 but exposure of the neck with the shortscar technique is limited, making the operation technically more difficult. 22 Attention to both the selection criteria and operative modifications in the execution of short-scar techniques is critical to optimizing outcomes in cervical rejuvenation.…”

Section: Discussionmentioning

confidence: 99%

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Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

Atiyeh¹,

Dibo

Papazian

et al. 2015

Journal of Craniofacial Surgery

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The minimal access cranial suspension lift, a short-scar facelift, has been described to correct sagging and laxity of the lower and middle third of the face. It does not, however, fully address the neck or the lateral periorbital area frequently needing rejuvenation in most patients. Another shortcoming of the minimal access cranial suspension lift technique is visible scarring anterior to the temporal hairline that usually occurs despite the suggested surgical maneuvers consisting in zigzag beveled incisions. We describe modifications of the standard subcutaneous musculoaponeurotic system lift technique, increasing its indications for full-face and neck rejuvenation (excluding the forehead) and improving final aesthetic outcome.

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mentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

Atiyeh¹,

Dibo

Papazian

et al. 2015

Journal of Craniofacial Surgery

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“…rection of the cervicomental angle can be achieved with a strong vertical pull on the lateral platysma. 17 However, for better results on the neck, extension of the supraplatysmal plane of dissection is indicated (below the mandibular angle), but exposure of the neck with the short-scar technique is limited making the operation technically more difficult. 18 Other limitations of the MACS lift are suture palpability, lack of long-term efficacy and the vertical skin lift which is not aesthetically appropriate for all patients.…”

Section: Discussionmentioning

confidence: 99%

The minimal access cranial suspension (MACS) lift: A systematic review of literature 18 years after its introduction

Hijkoop

Stevens²,

Lei

2022

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Background: One of the most popular short-scar rhytidectomy techniques used nowadays is the minimal access cranial suspension (MACS) lift developed by Tonnard and Vaerpele. The technique uses purse-string sutures in combination with limited skin undermining to obtain a clear vertical tissue repositioning. Since its introduction, the technique has extensively been described and used around the world by facial plastic surgeons. Now, 18 years after its introduction, a systematic review concerning the results and complications of the MACS lift is presented to establish its current position in facial rejuvenation. Methods: The MEDLINE, Embase, Cochrane Central, and Google Scholar databases were searched for studies evaluating the MACS lift (June 10, 2020). Outcomes of interest were longterm effect, satisfaction, and complications of the MACS lifting as determined by the patient and/or surgeon. Results: Six studies were included, with 739 patients treated with the MACS lift in total. No major complications were reported, four studies did report on the occurrence of minor complications. All of the six studies reported relatively high levels of satisfaction. Three studies reported a shorter procedural duration for the MACS lift compared with the conventional facelift. In three of the six included studies, the level of evidence was low. The effect on neck rejuvenation is limited. Conclusion:The MACS lift can be considered a minimally invasive facelift procedure with a relatively low complication rate. The procedure, often combined with additional procedures,

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Retightening Revision of a Previous MACS-Lift Meloplasty

Cited by 2 publications

References 1 publication

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

The minimal access cranial suspension (MACS) lift: A systematic review of literature 18 years after its introduction

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