- shut down max
- place the file "MeshAK.dlm" from the folder which matches your max version to your 3dsmax\plugins folder
- place the file "mesh AK.chm" into your 3dsmax\help folder
- start max
- The modifiers are available now under "Mesh AK", "Sculpt" and "VertPaint". Press the "?" button for help.

Note: If the plugin fails to initialize, please install the file "vcredist_x86.exe" (on 32bit Windows) or "vcredist_x64.exe" (on 64bit Windows). This is a library by Microsoft required for especially the 2010 Version of MeshAK.