Congratulations on your decision to undergoe a MACS lift - based on the photo here - you appear to have the type of facial anatomy that can benefit from this effective facelift approach.
Let's be very clear about your lower eyes though - the MACS lift as performed and designed by Drs. Tonnard and Verpaele does NOT affect the lower eyes. The Extended-MACS lift does (in this version the skin flap is extended to the area close to the lower eye muscles and the lower eye can indeed look pulled).
Please be sure to sit down with your Surgeon again and ask what form of MACS lift he/she is doing and what you can expect based on your anatomy. Also ask why he/she is not doing anything for your lower eyes. Does he/she feel it is not necessary? Is there an anatomical risk of a poor result if they do a blepharoplasty surgery (lower lid surgery)? Do they feel you might be better off with a chemical peel or laser? Are they indeed doing an Extended-MACS lift where your midface and lower eyes will get some benefit?
One more point I would recommend (again based on this one photo) is to ask if they plan on doing anything for the area under your chin (open or closed liposuction). While the MACS can be very effective for the jowls / jawline, patients with fat under the chin end up not happy with how it looks after the procedure if nothing was done to address the area.
Ciao and Best of Luck,
Dr. Kamran Jafri