Will a MACS Operation Plus Pinch Make my Eyes Too Tight?

2 years ago I had upper eyelid op. The outside corners of my eyes have scars and are very tight even after all this time. I did not have lower eye surgery. My surgeon (not the same one obviously) wants to give me an Extended Macs operation which includes lower eye pinch. Would this lower eye pinch make my eyes tighter (cat-like or other). Would appreciate any advice - thanks

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4 Doctor Answers | Asked by BELGA in Brussels, Belgium

Doctor Answers (4)
Community Comments (0)

This very much depends on what your doctor does with your surgery

A MACS lift is a limited access facelift with a great deal of vertical lift. The effect is generally a superolateral sweep of cheek soft tissues. While many site illustrate nice results from this procedure, it is possible for these type of procedures to create a bit of a sweep result. A lot depends on precisely what the surgeon does and also what is going on in your face. It is possible to have a pulled up effect at the eyes with more aggressive dissection with an... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

MACS Lift and Lower Eyelid Pinch

The MACS lift and pinch excision of excess lower eyeld skin should not adversely effect eyelid shape. However, what will be done to improve the appearance of the upper eyelid scars you describe?

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

MACS Facift with lower eyelid Pinch

As you may know Belgium is where the MACS procedure was popularized and I am sure there many good Plastic surgeons there who know when and on whom to best use it. The direction of pull is vertically upward which while correction jowls and neck skin looseness it uncovers the excess skin of the lower lid (associated with the gradual sagging of the cheeks). When the MACS depositions facial structures where they need to be the excess lower lid laxity can be removed with a skin only "skin pinch"... more

A lower eyelid skin-pinch is commonly performed with a MACS-Lift, short-scar face lift.

MACS-lifting results in a vertical redrapment of your skin, and this tends to lead to bunching of excess skin in your lower eyelids. So this lower lid skin is typically excised after the MACS-lift has been performed, so this skin excess may be evaluated. This is not meant to change the shape of your eye or produce a "cat-like" appearance. Since you're from Belgium, you should go for a consultation with Dr. Tonnard or Dr. Verpaele. These surgeons are excellent (I... more