How Long Do PSP or MACS Facelift Results Last?

Doctor Answers 32

Longevity of a Facelift

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A facelift is for many like turning back the clock and getting a fresh start.
The quality of your skin before your facial rejuvenation procedure will definitely have an effect on the lasting results of a facelift.
For example, a person who has previously been a heavy smoker, a serious sun worshipper, or a person who has been morbidly obese may have skin laxity issues that can contribute to results that don't last as long as a person who starts with great skin before suegery.
Taking care of your skin following surgery can also help maintain results. It is not uncommon for people to have minor touch ups years after their initial surgery. Sometimes very minimal maintence can keep the face looking fresh and youthful.
Be very careful about selecting a plastic surgeon to perform facial rejuvenation surgery. We all have seen people with obvious looking facelifts, ears that are no longer in a natural position, necks that seem unnatural, hollowed eyes. obvious scars etc. These changes can be permanent and full correction can be difficult even with revisional surgery. 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

The best facelifts

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The best facelifts do not do minimal work. They do a lot of work. They lift, readjust volume, add volume to deficient regions, and are often combined with many ancillary procedures such as skin resurfacing.

If you are limiting your results by selecting a procedure that is "less invasive", you may save yourself 48-72 hours of healing time, but be troubled with the sub-par rejuvenation or excessive scarring for the rest of your life. Most surgeons would agree that a well performed facelift will give rejuvenation which will last a lifetime. The older the patient, the more sun damaged, the more favorable the anatomy, the more ancillary procedures etc. the longer (in years) the facelift will appear to have turned back the clock.

The best facelifts are not defined by whether the deep plane, the composite, the PSP, the MACS or a minilift is performed. In varying forms, an experienced facelift surgeon may use all of these techniques at some point. They are defined by the reputation and the ability of the facelift surgeon performing your work.

One of the biggest misconceptions of facelift surgery is that there is a universal way the procedure is performed. Every PSP facelift is the same. Every MACS facelift is the same. I suspect this belief is based on consumer items, where any two items with the same Model Number are basically the same, no matter where they are purchased.

Nothing could be further from the truth with respect to facelift surgery. You are purchasing art. That art cannot be defined by a Model Number or name.

The one unifying feature of the best facelift results is that they are comprehensive but they are not cheap. Long after the cost of the procedure has been forgotten, the results will be there for all to see.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 195 reviews

Good facelifts last longer than poorly performed facelifts.

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I receive questions like this often from patients trying not to make a mistake. Forget about what technique the doctor says he uses, since you'll be asleep and won't know what he does anyway! My son can show you pictures and diagrams of facelifts or noses---he knows nothing about these, but is very good with a computer.
Instead, find a surgeon you trust, shows you one year photographs or longer of his results, and lets you see real patients who have had a facelift by him or her. That's what really counts. Good surgeons know when do do various types of facelifts, depending on the individual aging factors of each patient.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Longevity of the facelift

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I hear this question every day and every day I give a very long answer to this seemingly simple question. I am always surprised when somebody can guarantee their facelift, or mini facelift for 8-15 years. I cannot.

First of all, I do not know what the terms “longevity”, or “how long it lasts” truly mean.

Once the facelift surgery has been performed and deep muscle, also known as SMAS, had been lifted and properly secured, it is not going to just relax and drop down one day. From the standpoint, if you had any facelift surgery, SMAS excision, SMAS plication, SMAS flap, MACS lift and any others, you will never look the same as you would if you never had any surgery done. In this content, the improvement will last forever.

However, it does not mean that the face will stay frozen in time. We continue to get older and age. The aging process is determined by genetics, nutrition, activity level, hormones, skin care regimens, stress levels and many other factors. The older we are, the weaker the deep tissues become and less durable the facelift result is going to be. I would not expect facial rejuvenation surgery to last as long in 75-year-old patient, as in 45-year-old one.

The main person who determines how long the facelift lasts is the patient herself or himself. In my book, whenever the patient is ready for another surgery, that is when the results of previous surgery have exhausted themselves. Obviously, the more critical we are of our appearance, the less we maintain our skin, the more stress we impose on ourselves, the less we pay attention to our nutrition and vitamin supplementation, the shorter the effect of the facelift surgery is going to be.

Overall, the facelift procedures that lift deeper tissues, will last longer than the one that lift skin only. Otherwise, if deep muscle is secured with any of the documented techniques, the durability of the left is mostly dependent on the patient and quality of their tissues.


Boris Volshteyn M.D., M.S.

Boris Volshteyn, MD, MS
East Brunswick Plastic Surgeon

Longevity of facelift

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If the underlying tissues are addressed properly, a facelift will last 10-15 years depending on the quality of the skin. With skin only facelifts, expect a redo in year or two. Make sure you ask those questions of your surgeon.

Susan Kaweski, MD
San Diego Plastic Surgeon

MACS facelift

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A MACS facelift is a suture suspension facelift. Recent literature has shown that the quick lift, MACS lift, and other suture lifts don't hold up like expected. We have studied patients over 2 - 5 years and found that a deep plane facelift lasts many years after the surgery.

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Longevity of PSP or MACS

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These techniques usually last well; generally at least 7-12 years, but so much depends on how a person ages, skin elasticity, weight fluctuations, general heath.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.7 out of 5 stars 46 reviews

Its all in the details

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The variation of the mini lift known as the MACS lift is a good tool. What I have found is that by making certain modifications of the technique (such as adding a SMAS excision and a mid face lift) I can get at solid lift that will last 5-7 years. At the end of the day its nit the particular technique used but the surgeon who is doing it!

Benjamin C. Marcus, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 46 reviews

MACS lift long term results

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There are many different types of facelifts, the MACS being popular of late.  The MACS lift is essentially a suture plication of the face to help lift up the tissues of the face and neck.  It is popular in part because knowledge of facial anatomy is not as important and does not require as much technical talent as other facelifts.

My belief in facial aging is based on anatomy of the face and repositioning it to a more natural position.  (see article attached).  Repositioning of the platysma muscle will allow for a more rejuvenated face, a firmer neck, and a longer lasting result in my hands.  Typically surgeons who perform more sophisticated lifts well, will not use a simple lift.

I do use the suspension point of the MACS lift in suspension.  (This is one of several points the face and neck are suspended to.)  Myself and some of my colleagues studied several suspension anchoring points in the face and found this to be the most sturdy.  

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 181 reviews

Depends on the patient

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The long term outcome of every surgery, whether it be a face lift, brow lift, tummy tuck or breast lift depends on many factors. The patients genetics, skin health (sun damage and overall tone), systemic health, weight, use of tobacco and alcohol and post operative care all play a role in the long term outcome.

Every surgery has it's place and time. In an attempt to decrease down time but with the same results, several techniques have been developed. The PSP or platysmal SMAS plication technique simply refers to the handling of the deeper tissues. The MCAS or minimal access cranial suspension refers to a technique where one or two sutures are basically run through the deeper tissues in the loop and tied in the temporal area. The excess skin is then remove.

To give a reference, a standard face lift involves elevation of the skin and subcutaneous fat from each ear to the nasolabial fold and the entire neck. The deeper tissues or SMAS (superficial muscular aponeurotic system) is then plicated or elevated and excised then the excess skin is excised.

Mini surgeries do mini things. And most of these don't fully address the entire face and neck. If done properly they will provide some lasting result but you will continue to age, especially the area of the face not addressed.

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.