All about the deep plane facelift
A deep plane facelift is an advanced form of facial rejuvenation that lifts and repositions deeper tissues of the face rather than focusing only on the skin and the fatty layer below. By fully releasing the facial ligaments anchoring the deeper anatomic layers (beneath the superficial musculoaponeurotic system (SMAS) on which facelifts were previously reliant), this technique allows the surgeon complete control to reposition underlying muscle, fat and connective tissues, thereby restoring volume and contour.
Specifically, the deep plane facelift is the gold-standard procedure for enhancing cheek definition, improving the jawline contour and reducing the appearance of jowls, nasolabial folds and sagging skin. The fresh and harmonious appearance achieved with this technique looks natural because the underlying structures are restored to their position of youth without tension, rather than being pulled into approximately the right position under tension by tightening the SMAS and skin above.
Because deeper tissues are adequately supported, results tend to be durable and long-lasting across both face and neck. As the neck and face are part of a single, continuous aesthetic space in the deep plane, the face and neck are lifted at the same time in most cases.
Recovery is an important aspect of this procedure. Most patients will experience swelling, bruising and some tightness around the face and neck immediately after surgery. The first two weeks are generally the most significant for these symptoms. Many people feel comfortable returning to work and light daily activities after around two to three weeks, although subtle swelling and numbness may persist longer.
Most swelling has diminished by three months, and full internal healing and refinement of contours continue up to six months or more. While some social media accounts give the impression of being fully healed in a couple of weeks, this is seldom the reality!
The deep plane approach is effective for all manifestations of facial aging; from early to late. There is no “typical” age range as everyone is different! However, in general terms, if you think that sagging in the midface, jawline and neck is making you look old, then a deep plane facelift might be for you. Candidates should be in good overall health, (ideally) non-smokers (although I do sometimes operate on smokers) and have realistic expectations about surgery and recovery.
Ultimately, committing to a deep plane facelift is committing to a working partnership with your surgeon. In my practice, at least two consultations are essential to establish that relationship and to ensure that my patients’ aspirations and the surgical plan align. If you’re thinking about a deep plane facelift, or you’d like to discuss any other aesthetic goals, I look forward to welcoming you to 84 Harley St.
