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Lasting Results for MACS & PSP, is SMAS Included to Secure Muscle? (photo)

16 years since I had facelift and so far 5 doctor's responded to my question as to alternative to fillers and botex all seem to agree that a lower facelift is in order. Susie49 asked about longevity of MACS & PSP; not sure what these terms mean but I clearly don't want want anything like the "lifestyle lift" where they just pull the skin and don't secure underlying muscle. Will a MACS/PSP resolve the puffiness and nasialfolds as well as loose neck or will lipo resolve neck looseness?

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9 Doctor Answers | Asked by chellamia in St. Petersburg, FL

Doctor Answers (9)
Community Comments (1)

Loose neck skin

After looking at your photos you have bands of platysmal muscle that need correction and also loose skin so at the very least a necklift but I would recommend the face/cheek areas as well.

MACS Facelift gives Long Lasting Results

I have basically used a MACS technique with some modifications (Lite Lift) for the majority of Facelifts performed over a 12 year period.I perform about 100 facelifts per year. The MACS procedure involves significant SMAS elevation of the neck and cheek tissues. Because the lift is purely vertical, it gives you a natural appearance without the need for major incisions behind the near and into the scalp (about 40% less scarring than a traditional facelift). At first, I told my patients... more

Lasting Results for MACS & PSP, is SMAS Included to Secure Muscle?

I have performed Face Lifts for over 25 years and Aesthetically, your face shows signs of aging with laxity in the mid face and neck as well as flat cheeks. The MACS (SMAS suspension type lift) or any type of Face Lift, large or small, must IMHO include dissection/trimming and re-suturing of the SMAS (called Imbrication) as part of the lift and can't simply use some (any) form of SMAS plication or fixation. The non-imbrication types of SMAS manipulations that... more

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Mini facelift

Mini face lift deals with the mid face and jowles, mild effect on the neck. The pictures posted , need a SMAS Facelift for optimal results.

MACS

I'm not sure I know what a PSP is but the term MACS lift refers to a type of minilift that definitely includes lifting and tightening of the SMAS, not just skin. You appear to be an excellent candidate for this type of lift and should do well with it.

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

SMAS Lift

Hi, A mini-facelift with tightening of the SMAS should fix the jowls and the submental skin you have under your chin. The naso-labial folds are NOT corrected with a facelift and can be injected with fillers. Best, Dr.S. see video

Platysmaplasty and Facelift

There are many options here, but a facelift with SMAS plication with platysmaplasty will produce excellent results. Kenneth Hughes, MD Los Angeles, CA

Suture Elevation vs Facelift

Suture elevation is an easier way to lift sagging facial skin, but the extent of the improvement and the duration of the results do not justify a lesser procedure for most patients. A neck lift will address the bands under your chin but you also have relaxation of the jowls and sides of your face in front of your ears. After reviewing the pictures submitted and examination over the internet I recommend a full face lift so you can achieve another 16 year result.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Limitations of MACS Lift

My personal opinion is that the MACS lift provides a result of limited duration when compared to a properly performed SMAS imbrication technique. Although a MACS lift is presented as a minimal incision procedure, the extent of skin undermining necessary to gain the desired result is fairly aggressive. Although the incision is shorter, the sacrifice made is that all of the facial skin removed is done so in a vertical plane, and removal of lax neck skin is limited. Neither a... more

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Comments (1)

chellamia
19 Jan 2013

Your video was very helpful that that slup tx was impressive; however, it does look like it helped people with small amount of jowls like myself even though I agree AFTER, might need some fillers. In the last year I got a series first with a Laser skin tightening procedure and then 10 microcurrent (with some facials included) but I still have the same marionette and turkey neck you see in the side views. I went to a seminar by a local dermatologist who on quick look recommending I try thermage and/or pelleve and botox and THEN see if I would need any surgery. Besides the extra cost for something may or may not work, my impression is that these are all temporary and most of all, how will the surgeon know what I really need if my face if full of fillers and botox? Doesn't that make sense?

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