These are just technical nuances described by surgeons and should not affect the patient’s choices. What matters is that a patient finds a facial plastic surgeon that they can trust. It would be wise to review 15 to 20 before-and after-photos of the surgeon’s work to measure consistency in results.







11 posts
4 Dec 2008
I found this very informative,and helful,as i am seeing a surgeon tommorow,and needed a quick reply,as he wants to go ahead with the psp.(macs and psp are all he performs)..Just one last thing i need to ask you..Is a smas facelift more extensive than a psp lift?..and how long does the psp lift,last in your opinion?
4 posts
23 Dec 2008
I was considering LSL and have made an appointment for next month. I am now considering staying in the louisville, KY area even thought I cant find LSL surgeon specifically. Have come to understand there are many names out there, and all the marketing 'stuff', etc. I am so thankful for the info I have been getting thru this site. This is a very serious procedure. My biggest concern, after the success of the surgery of course, is the time of healing. That is what first drew me to the LSL procedure. I only want minimal work done on the lower half of my face, namely tightening of jaw line and around mouth and small amount on neck. the MACS procedure sounds right. need to find a louisville surgeon now.
6 posts
9 Dec 2008
Dear Susie, The crucial question about MACS vs PSP depends on your face/neck contour and quality/excess of skin as both can be performed via minimal access incisions. If you need a redefintion of neck contour and have a lot of skin access especially in the neck then a minimal access incision may not be possible and you may need an incision that extends behind the ear. A "cranial suspension" or a psp can also be performed with the larger incision so you need to focus on what result you are trying to achieve while bearing in mind the limitations of minimal access incisions. This should be established during your consultation. A MACS lift is not a true cranial suspension as it is not fixed on the cranium but rather a soft tissue suspension which is similar to a PSP. Traditionally the MACS lift has thought to provide a greater vertical lift than the PSP lift but this is theoretical and has not been proven in practice and also depends on the placement of the PSP sutures. Not every patient should have the same type of face lift and you should consult with a plastic surgeon offering a wide range of facelifting techniques to advise you on the advantages/disadvantages/risks/limitations of each type of procedure. You may find the following publication useful: Volumetric short scar rhytidectomy--indications, technique and outcomes. Jones BM, Marucci DD, Ross GL. J Plast Reconstr Aesthet Surg. 2008 Jul;61(7):736-43. Epub 2008 May 15.