2026-05-25
Incisional Facelift (MACS) & Lower Blepharoplasty
A case study of a female patient in her 60s who achieved significant rejuvenation through a MACS facelift and lower blepharoplasty after thread lifts failed to provide results.
* Basic Information
# Female in her 60s
# Concerned about sagging jowls on both sides and marionette lines around the mouth.
# Visited our clinic because previous thread lifts provided limited results.
* Consultation
# While thread or mini-lifts can yield satisfactory results when skin sagging is mild, they have limitations for middle-aged patients over 60 who have significant skin laxity and fine wrinkles.
# In such cases, a more definitive lifting effect can be achieved by firmly lifting the SMAS (the skin’s support layer) while simultaneously removing excess sagging skin.
* Surgical Plan
Incisional Facelift (MACS)
Lower Blepharoplasty + Midface Lift
* Post-operative Progress
# For patients with significant skin sagging like this individual, threads alone have their limits.
# A satisfactory lifting effect is achieved by removing sagging skin through a minimal incision that runs from the temple, along the sideburns, and around the ear toward the neck.
# Scars are minimized by following the natural curves of the hairline and the front of the ear.
# To feel a definitive lifting effect, the most sagged parts of the SMAS layer must be firmly pulled and anchored. This is the MACS lifting!
Always seek consultation and surgery from a board-certified plastic surgeon!
Wishing you health and beauty today :)
Right Mind, Right Plastic Surgery – Dr. Yu Young-moon
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur depending on the individual, and caution is required.
Frequently Asked Questions
Can I still see improvement even if thread lifting wasn't effective?
Yes, it is possible. If skin sagging is very severe, thread lifting alone may have limited effects. In such cases, a more satisfying lifting effect can be achieved through incisional facelift (MACS) which firmly pulls the SMAS layer and removes excess skin.
In what cases is incisional facelift (MACS) suitable?
Incisional facelift (MACS) is suitable for middle-aged individuals, typically over 60, who have many fine wrinkles and severe sagging, making it difficult to achieve satisfactory results with thread or mini-lifting alone. It is considered when a firm lift of the SMAS layer and removal of excess skin are necessary.
How are scars managed during incisional facelift?
Scars can be minimized. The incision uses a minimal cut extending from the temple to the sideburn, around the ear, and down towards the neck. Scars can be hidden by utilizing the hairline and the natural contours in front of the ear, making them less noticeable.
How does MACS lifting improve sagging?
MACS lifting improves sagging by firmly pulling and fixing not only the loose skin but also the most sagged part of the SMAS layer, which is the skin's supporting layer. This provides a more definite and satisfying lifting effect.
Can lower blepharoplasty and mid-facelift be performed together?
Yes, they can be performed together. In the case example, a comprehensive approach combining incisional facelift with lower blepharoplasty and mid-facelift was planned to improve overall facial sagging and wrinkles, resulting in more effective outcomes.