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After macs face lift can anything be done to remove matriarchal lines and improve a not so firm jaw line?

Macs face lift 14 months ago. From three months I felt the jaw line wasn't as firm as I had hoped and now matriarch lines appear as bad as before lift. I feel as if one side if my jaw looks puffy and the other sagging. I am 60 years old, perhaps the macs lift was the wrong procedure for my age!

Doctor Answers (6)

Unhappy with MACS lift result

Thank you for your question about your face lift.

I am sorry things didn't turn out as your hoped.
  • My experience is that the MACS lift does not give the improvement that a standard face lift does.
  • And it more easily causes distortion.
  • I suggest you discuss your concerns with your plastic surgeon  or get a second opinion.
  • You may need a revision or re-do of the surgery.

Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.

Atlanta Plastic Surgeon
4.5 out of 5 stars 23 reviews

Minimal incision facelifts you'll compromise results.

The desire to minimize the length of the incision is Admirable but limits the capabilities of the facelift. Facelift incisions are almost invisible and the results of a properly executed facelift are predictable and long-lasting.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 10 reviews


It can be frustrating to have something not turn out exactly as you hoped.  A MACS lift is limited in treating the neck, but without pictures it is hard to tell.  I can tell you if you were my patient I would want you to come to me and tell me how you feel so we could review your pictures and talk about options to get the very best result.  I would encourage you to talk to your surgeon, at one year revisions can typically be done if indicated and you could have the look you wanted.

Melanie L. Petro, MD
Alabama Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

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Limited procedures often bring limited results

MACS lifts are minimally invasive but often fall short when tightening the neck and treating marionette lines are a priority. I suggest first trying Ultherapy to see if  this nonsurgical alternative would sufficiently tighten your skin. If not I recommend a Secondary Facelift using a different technique. Good Luck.

Seth A. Yellin, MD
Marietta Facial Plastic Surgeon
4.0 out of 5 stars 1 review

Revision facelift after MACs lift

Without seeing photos or you in person, it is difficult to say what would be best for you, but if you feel that you have sagging around the jaw, then perhaps this can be revised using a different technique.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Limited facelift result

In my opinion limited surgical facelifts gives somewhat limited results. For someone over 55 ,and who may have looked older than her age , a more extensive facelift could give better long-term results. However many of these limited type lifts , such as the MACS lift  ,can give long-term improvement. Further work might be needed to give you the results you're looking for. Sometimes injectable fillers can work for what you describe.

Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.