I would like to briefly introduce the procedure and explain how we deal with it and what we consider it an option for our patients.
In most patients the sagging of skin and fat tissue loss happens in the same time on the face and on the neck. Neck shows the obvious excessive tissue (skin), the angle between the chin and neck becomes more obtuse and vertical neck folds (platysmal bands) become more visible, which could be unpleasant for many women, so they try to hide it with scarves, shawls and other garments.
Previous facelift methods did not consider a simple fact that with age, skin sags vertically and the right way to deal with it should be a vertical back lift. Saging face skin has been corrected with unnatural sidewise pull, the neck as well. To correct the neck, the incision had to be extended to the earlobe behind the ear and to the hairline at the back of the head. The skin was prepared through the incision, it was expanded and the excessive skin cut out (posterior cervicoplasty). In case we could not correct all the neck vertical folds, we had to open the front of the neck and get rid of the folds in different ways (anterior cervicoplasty).
MACS facelift
The procedure takes all the above regarding aging, subcutaneous tissues and skin itself into consideration, and moves in its physiological, upward direction for a good and stable result.
In the same time, without opening on the neck, MACS lift corrects the angle between the chin and the neck as well as the vertical lines located at the front of the neck. Each of you can make a simple test by placing your fingertips on the jaw and pull the skin and lower laying structures upward. In 95% the test will show the correction of the chin-neck angle as well as the vertical neck folds (platysmal bands).
In other cases, after a MACS lift we can do frontal, anterior cervicoplasty by cutting some of the inner muscle rims (platysma) which are responsible for vertical skin folds (platysma bands). If after the MACS facelift procedure there still are vertical lines or folds behind the ear because of excessive skin or folds or very thin skin, posterior cervicoplasty is made by short incision at the back of the head and surplus skin cut away.
All in all, MACS facelift can solve most of neck problems thus leaving opening of the neck more of an exemption procedure.
NOTE
Whether the patient is eligible for the procedure or if there are any risks could be assessed only after a check-up. Lesser complications which are of no consequence on the result, are rare. Serious complications are unusual.