Macs is the Creative Director and Founder of MACSIOTTI studio, a full service creative and strategic agency. He has worked over the past ten years with numerous clients including Givenchy, Max Mara Fashion Group, Jil Sander, Trussardi and United Colors of Benetton, and many others. From 2006 to 2008, Macs led the Creative Direction of Vogue Hommes International with Carine Roitfeld as Editor in Chief. Macs was the Art Director and Co-Founder of Boiler magazine, an independent, visually-lead contemporary art publication. He also consistently works with photographers such as, Inez and Vinoodh, David Sims, Craig McDean, Terry Richardson, Mario Sorrenti, Steven Klein and Peter Lindbergh.