
4 analyses before surgery
Only by accurately knowing and diagnosing the cause of facial wrinkles can a suitable solution be chosen. A good result requires deciding the surgical method and direction suited to your symptoms and condition.

Aging analysis
We analyze the degree of aging by age group and adjust the surgical method and direction to suit each person's condition.

Facial line and proportion analysis
We analyze changes in the facial line and the golden ratio caused by facial wrinkles and sagging, and draw up a matching surgical plan.

Retaining ligament, muscle and fat analysis
We analyze muscle thickness, retaining ligaments and fat distribution to decide and carry out a suitable lifting surgery method.

Skin elasticity analysis
We decide the type of surgery according to skin sagging and degree of skin elasticity, and adjust the amount of skin resection for customized surgery.
Before & After
These are before-and-after photos of patients who had surgery at Ruby Plastic Surgery. Results and side effects may vary by individual. We recommend a thorough consultation with our medical team.
Minimizing incisions while focusing on the lifting effect.
POINT 01
It improves wrinkles and sagging by pulling up to the SMAS layer.
By pulling not only the skin but also the SMAS fascia layer, wrinkles and sagging can be improved effectively.

POINT 02
Minimal incision, quick return to daily life
With a minimal incision, the surgical area is small and the surgery time short, so there is less swelling and bruising and a quick return to daily life after surgery is possible.

POINT 03
A slim jaw line and V-line
It is effective for correcting cheek and jaw sagging that appears after contouring or two-jaw surgery, and can bring out a slim jaw line to improve toward a firm V-line.

Lifting up to the SMAS layer
Not only the skin but also the fat, muscle and SMAS layer beneath it sag together, so lifting must reach the SMAS layer for a satisfying result.
The SMAS layer is a thin fascial layer between the subcutaneous fat and the muscle. The facial nerve runs beneath it, so anatomical understanding and experience are required.

Face Lift and MACS Lift Compared
This is an effective anti-aging method that improves facial wrinkles and sagging, such as areas that thread lifting, liposuction or laser procedures cannot resolve, sagging and loose cheeks, and deep nasolabial folds.

Face lift
Incision site Incision from in front of the ear to behind the ear
Age group People in their 50s and older with pronounced wrinkles
Lifting effect Overall wrinkle improvement including the midface, lower face and neck wrinkles
Recovery period About 2 weeks

MACS lift
Incision site Minimal incision in front of the ear, the temple area, etc.
Age group Relatively younger people in their 30s-40s
Lifting effect Wrinkle improvement by sagging area, such as nasolabial folds, cheek sagging and mouth-corner lines
Recovery period About 1 week (minimized bruising and swelling)
MACS lift chosen by area
Choose the areas you want to improve among cheek sagging, the mouth area and mouth corners, nasolabial folds, the jaw line and neck wrinkles.

5 Points of Ruby MACS Lift
A minimal-incision lift that reaches the SMAS layer to refine the cheeks and jawline.
POINT 01
Semi-permanent effect by lifting up to the SMAS layer
POINT 02
Minimal incision for less scarring
POINT 03
Addresses the root cause of aging
POINT 04
Improves cheek and jaw sagging for a V-line
POINT 05
Natural expressions and a youthful face
MACS Lift surgical process
A minimal incision at the temple hairline and sideburn lifts the SMAS layer, skin, muscle and fat.

Before surgery
A state with wrinkles and sagging in the cheeks, nasolabial folds, mouth corners, jaw and other areas

Incision after design
We design the incision site according to the degree of wrinkles and incise from the hairline to behind the earlobe.

SMAS dissection, releasing retaining ligaments
The skin and SMAS layer are dissected delicately, and the retaining ligaments are released.

Lifting and excision of excess skin
After removing the excess wrinkled skin, it is pulled up and fixed.

Suturing the incision and dressing
The incision is sutured carefully and delicately to reduce swelling and enhance the lifting effect.

After surgery
Sagging and wrinkles in the areas you wanted improve.

Want to improve facial sagging, wrinkles and firmness efficiently?
Fundamental wrinkle improvement; a smooth, slim contour line A youthful effect; minimized scarring and quick recovery
Who MACS lift suits
At consultation we look at wrinkles, laxity, cheek and jawline, and past treatments.
Less incision burden
When you want less incision burden and effective wrinkle improvement
Wrinkles beyond age
When wrinkles and sagging are severe for your age
Nasolabial folds, cheek sag
When nasolabial folds and cheek sagging have appeared after contouring or two-jaw surgery
Double chin and jowls
When reduced skin firmness has caused a double chin and jowls
Minimal past lifting results
When you had other lifting procedures but the effect was minimal
Sagging mouth corners
When wrinkles around the mouth and sagging mouth corners concern you
Four promises we keep
Beyond beauty, we practice medicine that adds value to your life.

Honest consultation, principled surgery
We consult without exaggeration and operate by principle.

Safety from the basics
Accidents can start from small details, so we follow every safety rule carefully.

One dedicated specialist
Your specialist handles consultation, surgery and aftercare. No shadow doctors.

Results that suit you
We find the beauty that fits your features and personality.
Differences Between MACS Lift and Face Lift
Frequently asked questions about the incision range and candidates of the two surgeries, and the SMAS layer.
How do a face lift and a MACS lift differ?
A face lift involves an incision from in front of the ear to behind the ear, and is used for overall wrinkle improvement, including the midface, lower face and neck wrinkles, in people in their 50s and older with pronounced wrinkles. The recovery period is about 2 weeks.
A MACS lift is performed with a minimal incision in front of the ear, the temple area and so on, and is used in relatively younger people in their 30s-40s to improve wrinkles by sagging area, such as nasolabial folds, cheek sagging and mouth-corner lines. The recovery period is about 1 week (minimized bruising and swelling).
What is the SMAS layer?
It is the thin fibrous fascial layer between the subcutaneous fat layer and the muscle layer. The fascia layer beneath the subcutaneous fat contains structures such as facial expression muscles, connective tissue, fascia and blood vessels, and because the facial nerve lies beneath it, the surgeon needs anatomical knowledge and rich experience.
Post-Surgery Precautions
Side effect information: Complications that can generally occur after surgery, such as bleeding, infection and inflammation, may vary in degree from person to person, so caution is needed.
Related Lifting Procedures
Explore lifting and face lift care by area and method.
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