MACS Face Lift Revolutionizes Maryland Plastic Surgery Results

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A new technique for plastic surgery developed by European surgeons is gaining popularity among Maryland face lift surgeons for its "natural" results, smaller incisions, and minimal downtime.

A recently developed procedure is literally changing the "face" of cosmetic surgery in Maryland. The MACS face lift, which was developed by European plastic surgeons, is gaining a reputation in the US as a faster, more effective face lift procedure. Maryland plastic surgeon Dr. Donald Kress (, who performs a range of procedures from his plastic surgery offices in Maryland, calls the minimal-access cranial suspension (MACS) lift a "slow revolution" in plastic surgery because it cuts down procedure and recovery times while offering distinct aesthetic advantages over many "traditional" approaches.

"Recovery times and risks of scarring are two of the top concerns for any cosmetic surgery, especially for facial surgery," Dr. Kress explains. "The MACS lift was developed to address those concerns, and it has done so very successfully. Surgeons are adopting this approach slowly and cautiously, but inevitably. Over 95% of the face lifts I perform now integrate these techniques, and we certainly can expect to see more surgeons transitioning to this approach in the next few years."

Both traditional face lift and the Maryland MACS lift address the most problematic signs of aging - loose facial tissues that sag and wrinkle due to age and gravity. However, the traditional approach requires a surgeon to create a large incision in order to manipulate the deeper tissues of the face, pulling them in an angle away from mouth and toward the ear in a motion Dr. Kress describes as "aggressive, invasive, and often unnecessary."

"The fundamental flaw with the conventional approach is that aging is caused by gravity and time, and pulling obliquely is not reversing these effects - only replacing them with a new angle of tension that is very unnatural."

Designed by two Belgian surgeons, the MACS face lift was developed to address this problem by creating significant changes through a single, small incision and just one simple suture technique. Instead of an extensive incision and deep-tissue manipulation, the MACS lifts uses suspension sutures to reposition deeper tissues gently and minimize scarring and discomfort.

Because the incision and sutures are designed to restore tissues vertically, many surgeons find that the MACS results look softer and more natural than the "pulled" appearance associated with some older face lift approaches. Dr. Kress first came into contact with the MACS approach at an international surgical conference, where he was impressed with its results and sensible approach to reversing signs of facial aging.

"Older approaches to face lift were problematic and time-consuming for both the surgeon and the patient," notes Dr. Kress. "In some instances those techniques are necessary, but they often posed additional problems because they can compromise the integrity and shape of the face. You only have to look at celebrity photos in the checkout lane of the supermarket to see the kind of unnatural results associated with some of these older techniques."

Surprisingly, the MACS lift results also last just as long as the more invasive procedure, although the recovery is generally much faster because this approach helps surgeons prevent much of the bruising and bleeding that occur with traditional approaches to facial plastic surgery. Many Maryland surgeons like Dr. Kress are so impressed by the technique and results of this approach that they are incorporating elements of the MACS techniques to improve the results of procedures where a relatively invasive approach is necessary.

"Many of the old guard of plastic surgeons have built their reputations and careers on variations of the Maryland face lift," he notes. "While those approaches are still important, new techniques may be much more effective and yield much better results. Yes, there are unreliable fads out there, offering fast results that disappear quickly. But it is also important for surgeons to recognize when a new approach is changing our surgical outcomes for the better."

Dr. Donald Kress ( is a board-certified plastic surgeon focusing on breast and body plastic surgery and face lift for Maryland patients. Dr. Kress earned his medical doctorate from the University of Maryland and received thorough plastic surgery training. He is board-certified by the American Board of Plastic Surgery and has over 25 years of experience performing procedures such as face lift and liposuction. He also participates actively in the plastic surgery community through seminars and research presentations in both the US and Europe.


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