MACS Lift (Minimally Access Cranial Suspension)


When looking at the mirror you notice that your cheekbone soft tissues look droopy.

When looking at the mirror you notice that your eyebrows look droopy.

When looking at the mirror you notice that your neck looks droopy.

When looking at the mirror you notice that you have a "tired face appearance".




RESULTS Very natural, the face doesn't look "operated" due to the vertical lifting vectors.


TRIDIMENSIONAL MATRIX Beautification and rejuvenation is attained through a tridimensional approach of facial architecture. Cheekbones soft tissues are lifted and suspended and forehead and perioral contours area are enhanced with lipostructural fat grafting.

SCARS Very shorts and strategically located under the sideburns. There are no scars behind the ear, that's why this technique is considered "pony tail friendly". It's hard to do a pony tail after a tradicional face due to the conspicuous scar behind the ear.

UNDER THE SIDEBURNS Under the sideburns and in the upper side of the ear.


BEHIND THE NECK Only in exceptional cases when there some redundant skin after soft tissue lifting.


CHEEKBONE SOFT TISSUES are lifted and suspended. Traditional liftings usually cant correct this problem. Lifting and suspension of cheekbone soft tissue naturally beautifcates the face in aesthetic harmony with facial anatomy. Complementary procedure is lipostructural fat grafting.


VECTORS Three lifting vectors the first on the mandible angle, the second to lift the malar complex and improve the nasolabial fold and the third one to lift the cheekbone soft tissues and improve the facial ogee contour naturally rejuvenate the face.


MINI-LIFTING This is a type of mini-lifting due to the short scar compared with traditional facelifts. 

LOCAL ANESTHESIA MACS lift could be done with local anesthesia or eventually add a slight sedation. Even with local anesthesia the patient is monitored by the anesthesiologist.


FACIAL ANALYSIS For this we use current pictures, old pictures and clinical assessment of your face. Assessment of proportions of your face. Clinical assessment and assessment of patient expectations. 

Assessment of your forehead volume and frowns wrinkles

Assessment of your cheekbones shape and the skin of your upper and lower eyelids, as well as, depressions around the eyes ---sunken eyes---.

Assessment of neck wrinkles and your neck loosen skin and mandible line.

Assessment of your face loosen soft tissue, contour, volume and malar complex position, volume of forehead, nose, around the mouth and chin.



PRE-OP PICTURES State a baseline on the original state of your face and will be compared with post-op pictures after swelling is gone.


ASSESSMENT FORM We will email you an assessment form with questions about your health status. Please answer the questions and return the form ASAP. Your surgeon will assess your answers and will do additional test if necessary.

BLOOD THINNERS In case you're taking aspirin, Vitamin E or other blood thinner, you will have to suspend the intake three weeks before the surgery. You must inform your surgeon about any blood thinner you may be taking.

PRE-SURGICAL EXERCISES Walking and physical exercise is a healthy habit weeks before surgery to improve blood circulation.

BLOOD WORK Used  to  assess to health status according to the  "standard of care".

ADDITIONAL BLOOD WORK After your first assessment, your surgeon may consider ordering more blood work in order to perform a more accurate assessment of your health status.

TREATMENT PLAN Based on facial analysis and the reason for consultation. Treatment plan could be surgeries and/or aesthetic medicine treatments in a number of sessions.



This procedure will be performed under local anesthesia. Dr. Montalván will make an incision in front of your ear and temporal region. Soft tissues will be released and fixed with sutures to lift and suspend the internal tissues of your face to create a very natural gracious youthful effect.



MACS Lift recovery will take a few weeks since the soft tissues of your face will swell up easily. Supportive measures will be taken to reduce swelling, such as, anti-inflammatory medication, ice packs and lymphatic drainage to help speed up the recovery process. The first result will be seen after three months. A final result can be seen after eight months.



Patient specific risks can be explained only upon consultation. For this, an individual evaluation of your case to explain the risks will be conducted  Complications that do not affect the final result may occur. Major complications are rare.