How Long Do PSP or MACS Facelift Results Last?

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.

On average the surgical #results last between 4 and 7 years. However, people vary so much from one another, an exact time is difficult to provide. If you wish, you may repeat the procedure at that time. There is always an improvement compared to not having the procedure as the #aging process continues to progress throughout the future. Patients, with very loose skin will occasionally experience sagging earlier and it may be seen as soon as one  year later. Such may require a secondary procedure to tighten the loose skin. 

The results of a facelift may be considered permanent in that you will continue to look younger years later than you would have without undergoing the facelift. However, a facelift cannot stop the aging process and the face will continue to age. You will, however, always look younger and better than a twin, if you undergo the facelift and your twin does not.The results will vary from person-to-person. Most patients can expect their results to last between 8 and 12 years. The length of time that patients enjoy a satisfactory improvement after a facelift depends on many factors including the quality of their skin, which is influenced by the degree of sun damage or loss of elasticity. Smokers typically have poorer quality skin. Older patients will see an earlier return of laxity, while younger patients will see a more long-lasting improvement.Heredity is important. If your parents aged slowly, you probably will, too. Your diet, general health, time spent in the sun, smoking, weight gains and losses, emotional traumas, and type of skin will all play a role in determining how long the improvement will last.Smaller procedures including PSP and MACS Facelifts may have slightly shorter recoveries, but also have significantly shorter lasting results. The exact technique is far less important than having the procedure performed by an experienced, excellentartistic plastic surgeon who individualizes the procedure based on your anatomyand desired outcome.Robert Singer, MD FACSLa Jolla, California