What to expect from facelift surgery?

By Dr Pieter Vermeulen on Wednesday, December 27, 2017

When we talk about having a ‘facelift’ we might think of the whole face being rejuvenated - from the hairline down to the chin – or maybe even further: including the neck.

In fact ‘facelift’ is a medical word that refers to a specific type of surgical technique that changes the lower third of the face.

The medical name for this part of the face is the ‘malar region’ - when you say someone has nice cheekbones then you’re referring to the ‘malar region’.

This is the region that a facelift changes – the lower third of the face including the cheeks or ‘jowls’.

It’s easy to get confused because there are so many different names for facelifts (concept lift, weekend lift, biltmore lift, short scar facelift, minilift, etc.)

To make things even more complicated, there are also surgeons who use older techniques such as the SMAS lift and the deep plane facelift which can be risky.

There are pros and cons to each of these methods and, by and large, every surgeon believes that their method is the best but one thing that all facelift surgeries have in common is that they mostly affect only the lower third of the face.


What the MACS lift does


The MACS lift also addresses the lower third of the face however the more advanced version that we do at our clinic also affects the mid-face.

The MACS lift was invented at our clinic to create a balance between the risks of an old-fashioned SMAS lift and the temporary effect of fillers.

The MACS lift on its own does not include the mid-face, the ‘orbital area’ (the eyes) or the brow (forehead).

This is the same for all ‘facelift’ operations.


Why our clinic is the best place for the MACS lift


The MACS lift has become extremely popular worldwide because it is both safe and long-lasting but not all doctors perform the MACS lift the way we do.

One critical part of the MACS lift that we do is that we always use three ‘purse-string’ sutures. These are the stiches that are used to physically ‘lift’ the underlying structures of the face.


By always using three ‘purse-strings’ we can also lift a part of the mid-face (unlike most other facelift types).

This is a technique that our surgeons invented and you can read about in a scientific journal here:



The third suture in a MACS lift requires great skill from the surgeon.

It’s not something that every surgeon does when they offer a MACS lift.

Our surgeons always perform the ‘three-string MACS’ and not the the easier but less effective ‘two-string MACS’.


How we combine the MACS lift to create the best possible result for you


If we go back to what we first thought of at the beginning of this article when we thought of the word, ‘facelift’ then we were thinking about a total rejuventation of the whole face.

Now we know that surgeons use ‘facelift’ as a name for a specific surgical technique but actually a ‘total rejuventation’ of the whole face is still possible when a ‘facelift’ is combined with other surgical techniques.

Alongside the MACS lift itself, we offer the full range of other types of facial cosmetic surgery including eyelifts (blepharoplasty), Fogli brow lifts and neck liposuction. All of this is alongside our own proprietary fat transfer technique called ‘nanofat’ which was also created by our clinic.

Facial surgery is not a , "one size fits all' affair: every face is unique and perceptions of beauty can differ.

It’s important to know what to expect when you’re looking to have a facelift and before you do anything, we encourage you to do your research.

Read up on the procedures and plastic surgeons you are interested in.

If you have any questions about how any of these techniques work then you can always send your questions in to us at: info@facelift-doctor.com.


Please click here to view a gallery of our case studies