Hello Susie,
First it should be noted that these two procedures have many things in common and that the differences are primarily technical in nature. They are a little more extensive in nature than my definition of what a "mini-lift" is but they are not as extensive as a Composite / Deep Plane facelift.
MACS: this stands for Minimal Access Cranial Suspension
PSP: this stands for Platysma SMAS Plication
Similarities:
1. Both are facelift procedures meant to tighten and elevate the SMAS and to remove extra / loose skin
2. Both are meant to improve the appearance of the lower third of the face (ie. jowls)
3. Both can be done with local anesthesia or IV Sedation
4. Both have similar risks associated with all facelift surgery
Differences:
1. The MACS elevates the SMAS using a "purse string" suture that is deeply anchored to tissues overlying the cranium (the part of the skull in front of the ear)
2. The PSP elevates the SMAS by folding it onto itself and suturing it - much like sewing on a cuff onto the bottom of a pant leg (this technique is called Plication). The PSP also plicates the platysma muscle which is an extension of the SMAS that goes along the jawline onto the neck.
3. The PSP may have more impact on the neck due to this extended plication of the platysma in the neck
4. The MACS has an incision that is limited to the front of the ear and is best for people with mild to moderate signs of aging
In my personal experience, I feel that Cranial Suspension is a superior way of elevating and anchoring the SMAS. It has been my experience that with Cranial Suspension I am seeing longer lasting results than in Patents that I have performed Plications on in the past. In Patients in whom I perform MACS that also have a "turkey neck", I will also perform a Platsmaplasty or Neck Lift.
It is good to see you asking questions - please continue to do so with your Surgeon and ask for as many details as possible about each technique and why they feel one would be more suitable for you than the other.
Also speak with former Patients who have had either procedure over a year ago so you can get an idea from them of their satisfaction level.
All the Best,
Dr. Jafri
