A MACS Lift elevates and sutures the deep tissue of the cheeks. Because the deep tissue of the neck (the Platysma Muscle) extends and blends into the deep tissue of the lower cheeks, as the deep tissue of the cheeks is elevated it also elevates the neck tissue. The sutures of the cheek do not go to the midline and therefore the mid\anterior of the neck is not elevated with a MACS Lift. If there is laxity of the middle anterior neck then this has to be addressed separately ie with a Neck Lift
The MACS facelift is an excellent choice for improving the neck. The first purse string suture elevates the platysma superiorly which is the correct direction for optimal neck improvement. This has been proven in cadavers by a french plastic surgeon, Daniel Labbe. The MACS avoids neck incisions and the risks, such as hematoma. The second purses trings suture improves the jowls and cheeks. There is a quick 1 week recovery and no need for drains.