Cosmetic Question: I had a MACS (mini) lift six months ago. I still have hard, painful areas where the deep stitches were placed. Why?
Your pain and the hardness is probably from the thick sutures used in the MACS face lift.
The MACS face lift is called a mini-face lift because there are no incisions behind the ears. It is a suspension lift – sutures are placed in the tissues, pulled very tight and sutured down to bone. The suture material must be thick and is usually made from a polyester called PDS (p-polydioxanone.)
PDS sutures are absorbable – but it can take 6 – 12 months. Inflammation – hardening and tenderness – occurs while the body dissolves PDS into a creamy gel. This gel may be absorbed or rejected through a small skin opening – it looks like pus but is a sterile polyester byproduct.
The traditional face lift requires more surgical expertise but uses delicate sutures and results are usually better. Doing a MACS lift is easier for your surgeon but harder for you – partly because of the PDS suture absorption problems and partly because it is not a delicate technique and is more likely to cause distortion.
For more information from Dr. Morgan about cosmetic surgery and treatments, call us for an appointment, search our blog or go to www.realself.com – where Dr. Morgan regularly posts answers.
Copyright June 2013 Elizabeth Morgan MD