MACS lift is an abbreviation for ‘Minimal Access Cranial Suspension-lift’: which means a “Minilift with vertical suspension of the sagging tissue, through a small incision’. The MACS lift was a revolutionary new procedure. This technique added a number of advantages of a full SMAS facelift to the traditional Minilift.
The MACS lift is therefore an improved Minilift: ideal for men and women with advanced signs of aging.

The advantages of the MACS lift are:

– Short procedure: 1.5 – 2 hours
– The procedure can be performed on an outpatient basis
– Local anaesthetic or intravenous sedation
– Corrects muscle and connective tissue using vertical lifting
– Permanent thread for Cranial Suspension
– Natural-looking effect
– Long-lasting results
– Fast recovery: 7 to 14 days
– Small scar: in the fold in front of the ear
– Safe, with very few complications


– Two weeks before the surgery, you should not take any medications containing aspirin (acetyl salicylic acid), since these products affect the bloods clotting mechanism and therefore may lead to excessive bleeding during and after surgery, hence resulting increased bruising. Taking high doses of vitamin E, fish oil, eating large amounts of garlic and consuming alcohol can also produce the same result and should be avoided. If pain medication is necessary, we recommend you take voltaren/paracetamol.

– It is in your own best interests to quit smoking, at least two weeks before and until 2 weeks after surgery. It is well known that smoking causes narrowing of the blood vessels, which leads to a decreased blood supply to the skin, thus slowing and interfering with the healing process.
– Do not eat or drink anything for 6 hours before your operation.
– Make certain you have someone to collect you and stay with you overnight after the surgery. You are not allowed to drive a car for 48 hours after the surgery, due to the effects of the anesthetic.

Your MACS Lift Procedure

1. The incision is made in the crease in front of the ear. The incision follows the natural crease in the skin so that after a few months the scar is barely noticeable.
2. Through this incision the surgeon detaches the skin from the cheeks up to the corner of the jaw near the neck.
3. The underlying muscles are tightened and lifted vertically.
4. Excess fat under the chin can be sucked away if necessary via a small hole the size of a pin-prick.
5. When all the subcutaneous skin structures have been corrected the skin is tightened so that it looks natural.
6. Excess skin is removed and the small incision in front of the ear is stitched up.

The MACS lift procedure is carried out under intravenous sedation so there will be no pain and you will sleep through the operation.
MACS lift procedure usually takes between two to two and a half hours.

After Surgery

After the surgery, when you have returned home, you should try to remain as quiet and relaxed as possible. Regularly apply ice to your neck and ear area for the first 12 hours to reduce swelling and bruising. When you lie down, keep your head elevated, because lying flat or bending down will increase the swelling.
You may also want to bring a scarf to cover the bandages on your way home.

You will be given pain medication and antibiotics to take, it is important to follow instructions given by the nurse on how to take these, continue not to take aspirin. If you have any questions about this please contact the clinic.

You will be able to move and walk around as normal immediately after the surgery, but you should count on not being socially active for about one week. You will have to wear the facial band for 4 days, after which just the facial band will be removed, leaving just the small dressings covering the sutures (stitches). You will return to the clinic in 10 days for the removal of your sutures.

The secret of the MACS Lift

This method achieves a long-lasting lift. This is also the secret of the invisible scars: all the tension is subcutaneous: there is barely any traction on the skin itself. Your sagging neck, lower chin and cheeks are corrected subcutaneously and only a very small amount of skin is removed.
The tension on the skin and the subcutaneous tissues is applied in a vertical and not a horizontal direction. This prevents the face from looking as though it has been ‘pulled taut’ and the rejuvenating corrective procedure produces a completely natural look.
Comprehensive approach
The MACS facelift is often combined with another rejuvenating treatment: eyelid correction, liposculpture of the lower chin, filling the wrinkles around the corners of the mouth. Botox or an eyebrow lift can help to correct wrinkles on the forehead.

How long will the effects last?

You must realize that no cosmetic surgery procedure can stop time. A face-lift can, however, turn back the clock and be effective for a number of years. How long the effects last will also depend on your lifestyle and possible genetic factors.