Meta-Analysis Study between Minimal Access Cranial Suspension (MACS) Lift and Superficial Musculo-Aponeurotic system (SMAS) Plication Techniques in Face Lift

Ali, Ahmed Mohamed; Nasr, Mohamed Ali; Eid Eltawiel, Moustafa Mohamed

doi:10.21608/zumj.2025.366278.3866

Meta-Analysis Study between Minimal Access Cranial Suspension (MACS) Lift and Superficial Musculo-Aponeurotic system (SMAS) Plication Techniques in Face Lift

Document Type : Original Article

Authors

¹ plastic surgery department,faculty of medicine,Zagazig university,sharkia,Egypt.

² Professor of plastic, Reconstructive, Hand and Microsurgery, Faculty of Medicine, Zagazig University, Egypt

³ Department of plastic and reconstructive surgery, Faculty of Medicine, Zagazig University, Egypt

10.21608/zumj.2025.366278.3866

Abstract

Background: Patients seeking plastic surgery frequently want to hide the signs of aging, and every year there is a growing need for a facial rejuvenation technique that is more efficient, quicker, and more durable. The purpose of this meta-analysis was to assess the patient satisfaction and complication rate of the MACS-lift and SMAS plication techniques for face lifting. Methods: Four reviewers independently carried out data extraction with regard to review a facelift technique and report surgical outcomes including complications and/or adverse effects and reported outcomes with a follow-up period of at least six months to ensure sufficient postoperative data. The Oxford Center for Evidence-Based Medicine Criteria were used to evaluate the listed studies' quality. Results: A total of 617 studies, Eight distinct were selected for inclusion in the meta-analysis, found That SMAS plication technique duration is longer than MACS Lift intervention with MDs and 95% CI;56.8[91.1,22.45] (P-value=0.001). That concurrent non-facial procedures had more prevalent significance in MACS Lift group than SMAS group with RR and 95% CI;0.04[0.001,0.6], P-value=0.02. P-value Is significant favoring MACS Lift. no significant difference between SMAS plication technique and MACS Lift intervention regarding follow up time in days with MD and 95% CI;18.8 [147.38,109.78], P-value=0.77. P-value is not significant. Conclusion: MACS technique demonstrated a statistically significant reduction in procedural length when compared to SMAS plication technique. In contrast, the MACS-lift approach significantly reduced the average follow-up time in days and statistically significantly increased the number of concurrent non-facial treatments as compared to the SMAS plication technique.

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