Beyond a simple lift, the deep plane facelift is a comprehensive approach to facial aging. Discover how this advanced technique mobilizes the deeper tissues of the face for a naturally refreshed look and learn what sets it apart from other facelift procedures.
Since the first facelift performed in 1901, plastic surgeons have been trying to improve the outcomes of facelift surgery. We all will undergo aging of the face with loss of skin elasticity and loss of facial volume leading to jowls, mid face descent, and excess neck skin- what is the best surgery to correct these problems?
No matter which way they are performed, all facelifts share in common the intent to correct facial aging by lifting the tissue up and back, hiding skin removal in incisions in the hairline and around the ears.
Common Facelift Techniques Explained
Different types of facelifts work on various anatomical layers to achieve rejuvenation. Understanding these differences can help you appreciate why one technique might be better for your specific needs.
Subcutaneous Facelift:
This is the most basic type of facelift, as it primarily involves removing only excess skin. It is less effective at lifting the deeper facial structures, so it doesn’t significantly address jowls or mid-face sagging. However, it can still be a useful and safer option, especially for patients who have had multiple previous facelifts and only need minor skin tightening.
SMAS Facelifts:
This is the most common category of facelift, which elevates and tightens not just the skin but also the SMAS (Superficial Musculoaponeurotic System), a crucial layer of tissue covering the facial muscles.
- SMAS Plication: This technique involves folding and suturing the SMAS layer to tighten it. It’s a less invasive approach to repositioning the deeper tissues.
- SMAS Flap: This method involves carefully elevating and repositioning the SMAS layer as a flap. Both techniques provide excellent, long-lasting results by addressing the underlying tissue that causes sagging.
Deep Plane Facelift:
Considered the most advanced technique, the deep plane facelift mobilizes and lifts a larger block of tissue, including the skin, fat, and the SMAS layer, all as a single unit. The surgeon dissects underneath the SMAS layer, releasing specific ligaments that hold the tissue in place. This allows for a more significant and lasting lift of the cheeks, jowls, and neck without creating a pulled or “wind-swept” appearance.
Why is the Deep Plane Facelift Considered Superior?
The deep plane facelift offers several distinct advantages that contribute to a more natural and enduring result:
- More Natural-Looking Results: By lifting the facial tissue as a single unit, the deep plane facelift avoids tension on the skin itself. This prevents the tight, “overly-pulled” look and produces a very natural rejuvenation that better restores youthful facial volume.
- Effective Mid-Face and Jowl Correction: Because it releases ligaments and lifts a larger volume of tissue, this technique is exceptionally effective at correcting sagging in the mid-face and prominent jowls.
- No Drains: In many cases, the deep plane technique allows surgeons to avoid the use of surgical drains, which can lead to a more comfortable and streamlined recovery.
Safety and Surgeon Expertise
The deep plane facelift is a more complex surgery than other facelift types because the facial nerves are located within the surgical plane. However, in the hands of a board-certified plastic surgeon with a deep and expert understanding of facial anatomy, the procedure is very safe. Your surgeon should choose the technique they are most comfortable and experienced with to ensure the best possible results.
I currently prefer the deep plane facelift for many patients as it gives a very natural result with excellent lifting of facial volume, and also I can avoid the use of drains with this technique. However, I would always tailor my decision based on the individual goals of each patient.
Beyond the Facelift: Full Facial Rejuvenation
It’s important to remember that a facelift alone only addresses the lower face—the cheeks, jawline, and neck. For a harmonious, full facial rejuvenation, many patients choose to combine their facelift with other procedures, such as:
- Brow Lift: To address a sagging or heavy brow.
- Eyelid Surgery (Blepharoplasty): To correct drooping upper eyelids or puffy under-eye bags.
By combining these procedures, a surgeon can create a balanced and naturally rejuvenated appearance across the entire face.
The Importance of an Expert Surgeon
Ultimately, the choice of facelift technique is one you do not need to make alone. Your surgeon should guide you to the best option based on your individual goals and their expertise. You should always choose a surgeon who is board-certified by the American Board of Medical Specialties in plastic surgery or facial plastic surgery (ENT). A surgeon’s credentials, experience, and artistic eye are far more important than the name of the procedure. Be sure to look at examples of their results and feel completely comfortable with your choice.
