06. Elastic MACS lift and Adipofilling
Elastic MACS lift is one of the face-lifting procedures of Elastic Plastic Surgery. This ambulatory procedure yields excellent aesthetic results and involves minimal blunt dissection of the tissues. The operation can be performed in an ordinary surgical ambulatory. An incision is made which loops around the sideburn and continues to the tragus. Depending on the amount of excess skin, the incision may end at the tragus or, as in the case described, extend to the earlobe. In the temporal region, subcutaneous dissection is carried out immediately below the hair bulbs, above the superficial temporal fascia. The elastic thread (Elasticum, Korpo SRL), equipped with a two-tipped atraumatic needle (Jano Needle®), enables skin dissection and its associated complications to be kept to a minimum. If neck lifting is to be carried out at the same time, the peri-auricular incision is extended to the lobe and, in patients with severe drooping of the skin, to the posterior portion of the ear. Dissection of the skin around the inferior portion of the ear is directly proportional to the amount of skin that needs to be removed (see Elastic Neck Lift).