The fourth suture in MACS facelifting – adressing the neck
Objective: The MACS facelift alone shows poor results on the medial neck in cases of pronounced, rigid platysmabands (McKinney III–IV°). The original MACS (“Minimal Access Cranial Suspension”) facelift delirs excellent results on the midface and leads to sustainably improved outcome on the neck by a...
| Main Authors: | , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2014-12-01
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| Series: | GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/gpras/2014-4/gpras000028.shtml |
| _version_ | 1818205114227228672 |
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| author | Kaye, Kai O. Sattler, Daniel R. |
| author_facet | Kaye, Kai O. Sattler, Daniel R. |
| author_sort | Kaye, Kai O. |
| collection | DOAJ |
| description | Objective: The MACS facelift alone shows poor results on the medial neck in cases of pronounced, rigid platysmabands (McKinney III–IV°). The original MACS (“Minimal Access Cranial Suspension”) facelift delirs excellent results on the midface and leads to sustainably improved outcome on the neck by adding a fourth suture on the platysma. McKinney type I–II platysmabands can be treated only by lateral approach of the ‘fourth suture’, type III–IV should be treated with closed platysma myotomy before.Methods: Between October 2007 and November 2013 a number of 219 patients were treated with the MACS facelift technique accomplished by a fourth suture on the platysma and liposuction or optional lipectomy on the neck. On 47 patients closed transcutaneous platysma myotomy was performed.Results: Surgery time lasted on average 2.5 hours and was performed under sedation with local anesthesia in 85%. Recovery time ranged between 14 to 16 days until the patients were back to work. Due to their health status 54% of our patients had an inpatient arrangement for one night and 46% an outpatient arrangement.Conclusion: The modification of the MACS lift with the ‘fourth suture’ on the platysma keeps the benefits of the original technique but improves the aesthetic outcome on the neck. |
| first_indexed | 2024-12-12T03:51:59Z |
| format | Article |
| id | doaj.art-c3e420410b9f4f00a0565e178f3cc45a |
| institution | Directory Open Access Journal |
| issn | 2193-7052 |
| language | deu |
| last_indexed | 2024-12-12T03:51:59Z |
| publishDate | 2014-12-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery |
| spelling | doaj.art-c3e420410b9f4f00a0565e178f3cc45a2022-12-22T00:39:22ZdeuGerman Medical Science GMS Publishing HouseGMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery2193-70522014-12-014Doc0910.3205/gpras000028The fourth suture in MACS facelifting – adressing the neckKaye, Kai O.0Sattler, Daniel R.1Oceanclinic, Plastic and Aesthetic Surgery, Marbella, SpainUniversity Hospital Magdeburg, Department of Plastic, Aesthetic and Handsurgery, Magdeburg, GermanyObjective: The MACS facelift alone shows poor results on the medial neck in cases of pronounced, rigid platysmabands (McKinney III–IV°). The original MACS (“Minimal Access Cranial Suspension”) facelift delirs excellent results on the midface and leads to sustainably improved outcome on the neck by adding a fourth suture on the platysma. McKinney type I–II platysmabands can be treated only by lateral approach of the ‘fourth suture’, type III–IV should be treated with closed platysma myotomy before.Methods: Between October 2007 and November 2013 a number of 219 patients were treated with the MACS facelift technique accomplished by a fourth suture on the platysma and liposuction or optional lipectomy on the neck. On 47 patients closed transcutaneous platysma myotomy was performed.Results: Surgery time lasted on average 2.5 hours and was performed under sedation with local anesthesia in 85%. Recovery time ranged between 14 to 16 days until the patients were back to work. Due to their health status 54% of our patients had an inpatient arrangement for one night and 46% an outpatient arrangement.Conclusion: The modification of the MACS lift with the ‘fourth suture’ on the platysma keeps the benefits of the original technique but improves the aesthetic outcome on the neck.http://www.egms.de/static/en/journals/gpras/2014-4/gpras000028.shtmlMACS liftface liftneck liftfourth sutureplatysma myotomy |
| spellingShingle | Kaye, Kai O. Sattler, Daniel R. The fourth suture in MACS facelifting – adressing the neck GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery MACS lift face lift neck lift fourth suture platysma myotomy |
| title | The fourth suture in MACS facelifting – adressing the neck |
| title_full | The fourth suture in MACS facelifting – adressing the neck |
| title_fullStr | The fourth suture in MACS facelifting – adressing the neck |
| title_full_unstemmed | The fourth suture in MACS facelifting – adressing the neck |
| title_short | The fourth suture in MACS facelifting – adressing the neck |
| title_sort | fourth suture in macs facelifting adressing the neck |
| topic | MACS lift face lift neck lift fourth suture platysma myotomy |
| url | http://www.egms.de/static/en/journals/gpras/2014-4/gpras000028.shtml |
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