Deep Plane Facelift

"A deep plane facelift is a surgical technique that releases and repositions the deep facial soft tissue, including the skin, fat, and the SMAS layer, as a single, composite flap, ensuring the lift comes from below the surface for a more natural and long-lasting result."

"The deep plane procedure is known for its intricate dissection, which, while demanding for the surgeon, allows for the most complete mobilization and repositioning of the facial tissues."

• Incisions: Discrete incisions are made, typically starting in the hairline at the temples, following the natural crease in front of the ear, wrapping behind the tragus (the small cartilage in front of the ear canal), and then continuing behind the ear into the lower scalp. When performed by a skilled surgeon, these incisions heal to become nearly imperceptible.

• Skin Elevation: A limited amount of skin is carefully separated from the SMAS layer to create access for the next step.

• Deep Plane Dissection and Release: This is the defining and most critical part of a deep plane facelift. The surgeon enters the space under the SMAS layer. Using highly specialized techniques, the surgeon releases the facial retaining ligaments that hold the descended tissues down. The release of these ligaments is what allows the entire cheek, jowl, and neck complex to be moved in a superior and posterior (up and back) vector without any skin tension.

• Tissue Repositioning and Fixation: The entire deep plane flap is gently lifted and secured in its new, youthful position using strong, deep sutures that anchor the tissue to the more stable fascia around the ear. This deep anchoring prevents tension on the final skin closure.

• Skin Trim and Closure: Only the excess skin is carefully trimmed away, ensuring a seamless, tension-free closure along the incision lines. This is why the result appears so natural and avoids a "pulled" look.

"Deep plane facelift recovery is manageable but requires patience, as the initial swelling and bruising take a few weeks to subside before the final, refined result begins to emerge."

"The cost of a deep plane facelift is highly variable, but because it is a complex, advanced procedure requiring specialized skill, it is generally more expensive than traditional facelifts."

Typical Range: $18,000 to over $35,000 USD

• Surgeon's Fee: The fee for the plastic surgeon, which is the largest component.

• Anesthesia Fee: The cost of the anesthesiologist and supplies.

• Operating Facility Fee: The cost of using the certified surgical center or hospital operating room.

• Related Costs: Pre-operative lab work, post-operative garments, and medication.

"The primary benefit of deep plane facelifts is the creation of natural, harmonious, and long-lasting results that restore youthful facial contours rather than simply stretching the skin."

• Natural Appearance: Because the lift is performed on the deeper tissues and the skin is not under tension, the risk of an unnatural, pulled-back, or "mask-like" look is significantly minimized.

• Midface Improvement: It is one of the few techniques that effectively lifts and restores volume to the sagging midface (cheeks), which significantly contributes to aging.

• Superior Jawline and Neck Definition: The deep mobilization allows for comprehensive correction of jowls and improved tightening of the neck that is often difficult to achieve with other methods.

• Longevity: By addressing the deep support structures, the results of a deep plane facelift typically last longer—often 10 to 15 years—compared to less invasive facelifts.

"For those considering this procedure, understanding the core differences from other techniques and the expectations for recovery is essential for informed decision-making."

• What is the difference between a deep plane facelift and a SMAS facelift?

  The key difference is the layer of tissue targeted. The SMAS facelift typically involves tightening or folding the Superficial Musculoaponeurotic System (SMAS) layer. The deep plane facelift involves releasing the retaining ligaments beneath the SMAS layer and lifting the skin, fat, and muscle (SMAS) as one composite unit. This deeper technique addresses the underlying descent of facial tissue, leading to a more comprehensive lift of the midface and a natural, tension-free result, which often lasts longer than a traditional SMAS lift.

• How long does a deep plane facelift last?

  A deep plane facelift offers some of the longest-lasting results of any technique, typically enduring for 10 to 15 years or more. The longevity is superior because the procedure repositions and anchors the foundational support structures of the face, not just the superficial skin. Aging will continue after the surgery, but the initial correction is more durable.

• Am I a good candidate for a deep plane facelift?

  Ideal candidates are generally healthy individuals with moderate to severe signs of facial aging, including significant jowling, prominent nasolabial folds, and sagging in the midface and neck. Unlike less invasive options, it's particularly suited for those seeking a dramatic but natural-looking and long-lasting correction to overall facial laxity.

• Will the scars be noticeable?

  Because the deep plane technique shifts the tension away from the skin and onto the deep, anchored sutures, the incisions heal with minimal visibility. The incisions are meticulously placed in discreet areas, such as within the hairline, in the natural crease in front of the ear, and behind the tragus and earlobe, becoming nearly imperceptible once fully healed.

• Is the recovery more painful than a traditional facelift?

  Despite being a more intricate surgery, many patients report that deep plane facelift recovery is comparable to or even less painful than older techniques. Most discomfort is managed with prescribed medication and subsides within the first week. The extensive bruising and swelling are generally resolved within the first two to three weeks.