Deep Plane Facelift
The deep plane facelift, while the most invasive facelift technique, offers patients the longest lasting results. This procedure allows for a more successful flattening of the nasolabial fold, resulting in more substantial and longer lasting results. This particular facelift specifically targets the mid-face region and reaches deeper layers of the facial muscle.
Deep Plane Facelift
- avg. recovery
About the Procedure
The deep plane facelift results in the reduction of an aged, drooping appearance in the neck and face regions by removing excess skin while also reshaping and tightening underlying musculature. This is a similar procedure to the SMAS procedure, however, the deep plane facelift reaches deeper into the face, enhancing the lift produced by a regular SMAS procedure. In a deep plane facelift procedure, the tightening process happens at a deeper musculature level than its counterparts resulting in a more dramatic result. However, the deeper nature of the procedure can lead to an increased risk of nerve damage. The procedure ranges in cost from $20,000-$30,000. The deep plane facelift begins in a similar fashion as other facelifts. Once the incision is made into the face, the surgeon will cut and release various ligaments that were tethering the face into its current shape. This allows for internal and deep manipulation of the underlying tissue rather than relying on the pulling of sutures to make the intended effect. This creates a stronger and longer lasting effect. To finish the procedure, the flap is suspended and sutured to the tissue beneath the earlobe.
Facelifts aim at making the candidate rejuvenate their face for a more youthful look. By "lifting" sagging cheeks and jawline skin, facelifts remove excess skin and tightens underlying tissue and muscle. The goal of a deep plane facelift is to correct midface sagging, marionette lines, jowls and double chins.
What to Expect
The deep plane facelift, while the most invasive facelift technique, offers patients the longest lasting results. Here is a quick guide for what to expect before, during, and after a deep plane facelift.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- No alcohol 2 days prior
- Do not eat or drink for at least 6 hours before
- Skin is marked for incision
- Incisions are made
- Various ligaments are cut and released
- Deep manipulation of tissue
- Skin-muscle flap is suspended and sutured to a more youthful position
A deep plane facelift typically has the longest recovery period so it is important to get plenty of rest. After surgery a dressing will be applied to the face and drains will be present to remove accumulated fluid. Extensive bruising and swelling is common around the repositioned areas and can last for several days, subsiding after a couple weeks. Pain medication will be prescribed to ease any discomfort. To help reduce swelling, sleep in an inclined position and apply cold compresses.
The ideal candidate for a deep plane facelift is an older candidate with a great deal of laxity in the jaw and neck region.
Not Recommended For
A deep plane facelift is not recommended for patients who are receiving secondary facelifts unless the original procedure did not involve a sub-SMAS technique, as scarring from the original procedure may obscure the tissue planes during surgery.
Side effects from a deep plane facelift may include infection, bleeding, swelling, bruising, facial nerve damage, and facial asymmetry.