MACS is an abbreviation for 'Minimal Access Cranial Suspension-Lift' which means a mini-lift with vertical suspension of the sagging tissue. An incision is made in the crease in front of the ear that follows the natural crease in the skin. Through this incision, the surgeon detaches the skin from the cheeks up to the corner of the jaw near the neck. The underlying muscles are tightened and lifted vertically. Excess fat under the chin can be sucked away via an opening the size of a pinprick. When all the subcutaneous skin structures have been corrected, the skin is tightened so that it looks natural. Excess skin is removed and the small incision is stitched up.