P.L. Tonnard, A.M. Verpaele: The MACS-Lift: Short Scar Thytidectomy

P.L. Tonnard, A.M. Verpaele: The MACS-Lift: Short Scar Thytidectomy Eur J Plast Surg (2004) 27:311 DOI 10.1007/s00238-004-0674-2 BOOK REVIEW I. Jackson Quality Medical Publishing, St. Louis, 2004, 300 pp (ISBN 1-57626-191-3), $320 US Published online: 22 September 2004 Springer-Verlag 2004 Patrick Tonnard and Alexis Verpaele are to be congrat- thors point out that smoking is not a contraindication to ulated on developing a concept which has simplified fa- this procedure. In this section an excellent information cial rejuvenation and, perhaps more important than that, brochure for patients is reproduced. they have increased safety in face lifting. They, together In the third chapter, the procedure is comprehensively with some of their colleagues and with K. Berger of described, including sedation and administration of local Quality Medical Publishing, have produced a beautiful anesthesia. Markings and raising of the facial flap are well and well-organized book on the minimal access cranial illustrated. The most important part of the procedure is suspension lift (MACS) lift. The first chapter provides a well explained, that is how and where to place the sus- concise but comprehensive history of face lifting from pension sutures. Finally, their technique of excess skin superficial methods to complex—and in some hands resection is carefully explained. Many useful tips are dangerous—methods. They then present their method discussed and shown in a series of illustrations. The au- based on safer and more logical principles. thors postoperative management is then well illustrated The MACS lift is such a procedure. The basic concept and described. is that sufficient exposure can be obtained through a short The fourth chapter provides a series of cases which scar to allow the non-undermined SMAS to be plicated have consistently good results. The important aspect of and suspended with permanent purse-string sutures; the these patients is that they are greatly improved and still latter are anchored to the temporal fascia. remain within the range of normality. From personal experience of a significant number of Chapter five consists of a selection of cases presenting patients treated in this way, this is a technique that fulfills for secondary surgery. These cases are well presented, many of both surgeon and patient requirements. It is analyzed, the treatment is proposed and illustrated, and quick, secure, and has a short recovery time. Perhaps even the end result is shown. This is a very useful chapter and more importantly is that it can be very easily modified at bears careful reading. a later date. The final chapter is that all-important one of “Prob- The concepts of volume shift and vertical skin tight- lems and Complications.” This is honestly presented and ening are emphasized—very important in all face-lifting is “required reading.” procedures. The method for placement of sutures and the The bibliography is modest. I enjoyed the quotations at essential positioning in relation to the facial nerve are the beginning of each chapter, and the “surgical pearls” at presented clearly with excellent illustrations. The essen- the end of the book. tial part of the technique is plication of the SMAS, and Even after having used this technique in many cases, I again this is well explained and illustrated. learned a lot of subtle techniques which will improve my The management of the incisions has evolved from results. If you wish to learn a relatively quick, nontrau- straight lines to zigzags. This is well explained with di- matic, and safe method of face lifting which can be re- agrams and illustrations. vised easily, this is the book for you. The chapter on indications for the simple and extended MACS lift has been researched carefully. Here, the au- I. Jackson ( ) Southfield, Michigan, USA e-mail: eurjplastsurg@juno.com http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

P.L. Tonnard, A.M. Verpaele: The MACS-Lift: Short Scar Thytidectomy

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Copyright © 2005 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
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