Minimal Access Cranial Suspension
What is a Minimal Access Cranial Suspension?
A facelift, also known as a rhytidectomy, is a surgical procedure that aims to address signs of ageing by tightening facial tissues and improving skin contours. A Minimal Access Cranial Suspension (MACS), is a variation of this procedure that involves smaller incisions compared to a traditional facelift.
When is this procedure considered?
This technique may be considered by individuals with mild to moderate sagging, particularly around the cheeks and jawline. The MACS is designed to reposition facial tissues to create a refreshed appearance, but it will not stop the natural ageing process.
About the procedure
The procedure generally takes around three hours and may be performed under local or general anaesthesia, depending on individual circumstances and practitioner recommendation.
During the procedure:
- A small incision is made in front of the ear.
- The underlying facial tissues are adjusted and secured using permanent stitches to help lift the cheeks, jawline, and neck area.
- In some cases, liposuction may be used to remove excess fatty tissue from the neck.
- A bandage is applied to support the area, and a small surgical drain may be placed behind the ears to collect fluid during the initial healing period.
- Your practitioner will discuss all details, including anaesthesia options, during your consultation.
Recovery and aftercare
- The initial bandage and drains are usually removed the day after surgery.
- A lighter supportive bandage is typically worn for about one week.
- Some bruising and swelling, especially around the eyes, can be expected and should gradually improve over time.
- Recovery times vary depending on individual factors, and your practitioner will provide personalised aftercare instructions.
Risks and complications
All surgical procedures carry risks. Possible complications of a MACS may
include, but are not limited to:
- Bleeding or haematoma (collection of blood under the skin)
- Infection
- Scarring
- Nerve injury, which may cause temporary or permanent changes in movement or sensation
- Asymmetry or dissatisfaction with the outcome
- Delayed healing
Dr Xu will explain these risks in detail before the procedure and discuss ways to reduce them.
Important considerations
The results of a MACS vary between individuals and depend on factors such as skin type, age, genetics, lifestyle, and sun exposure.
While the procedure can reposition tissues for a refreshed appearance, the skin will continue to age naturally over time.
No specific or guaranteed result can be promised.