Composite face lift has been accepted as the best technique for getting satisfactory outcome in surgical rejuvenation. As operations that ensure fast recovery and minimal complication were favored, MACS lift has been regarded as one of the innovative solutions. We experienced that nasolabial fold and neck wrinkle was hardly improved with conventional MACS lift. Therefore, we devised a new modification of composite face lift and MACS lift to achieve both outstanding improvement and fast recovery. From May, 2004 to April, 2008, we operated 49 cases with our technique. They were between 35 and 67 years old. Follow up ranged from 3 to 26 months. Fifteen of 49 patients had longer than 1 year follow up were evaluated with photos and patients interview. Eleven patients were satisfied with the results 12 months after operation. However, two patients complained of unimproved marionette line and remaining two patients had irregularity on the skin. We experienced one hematoma immediately after operation, however most of the patients went to their usual daily lives in one or two weeks after operation. Our operation had several outstanding advantages and long lasting outcome. We, therefore, concluded that this technique is an effective surgery to improve aged face.