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Our resident dancer! We met Patience in 2013, while Dr. Durkin was in training for Dancing with Vero Stars. Patience had previously undergone a facelift, but was very displeased with her results.
She still had significant jowling present, as well as a wrinked appearing neck. After she taught Dr. Durkin how to dance, Dr. Durkin undertook a MACS facelift approach with an extended SMAS flap. This was in combination with fat grafting to her brows, lower eyelids and cheeks, nasolabial folds, and marionette lines. Platelet rich plasma was aerosolized into her skin flap during surgery to minimize bruising and promote tissue integration.
This specific technique is very useful in revision facelift. It tends to focus more upon the midface and lower jawline than the neck, and as such it is useful in patients with previous neck tightening. The placement of incision is a little higher into the hairline, but there is next to zero incision behind the ear. Some refer to this technique as an “S-lift”, but we use the acronym MACS to describe this approach. MACS is an acronym that stands for “Minimally Invasive Cranial Suspension”, aka MACS.
With this beautiful young at heart dancer, we provided a natural appearance by hybridizing the MACS approach with an extended SMAS flap instead of a suture technique, and then undertook fat grafting to remove the signs of age-related facial volume loss. Results from this procedure are long lasting, and recovery is less than 12 days.
