What Is A Deep Plane Facelift?

The term deep plane refers to a specific type of facelift in which the SMAS, a layer of connective tissue underneath the skin and on top of the facial muscles, is lifted to tighten the cheeks, jawline, and neck.

Longevity of the Deep Plane Facelift

In general, most surgeons feel that a facelift with aggressive SMAS tightening, like the deep plane facelift, lasts about 10 years, but there is a lot of variability patient to patient, based on factors like one’s age at the time of the facelift, history of smoking or weight loss, etc.

The deep plane facelift is more effective than SMAS style facelifts because it focuses on the structural elements of the face. It can last 10 or more years.

Understanding the SMAS Facelift

SMAS, an acronym for superficial musculoaponeurotic system, is a layer of connective tissue between the skin and underlying facial muscles that can be lifted and tightened to lift and smooth the cheeks, jawline, and neck. The SMAS facelift addresses sagging skin as well as the face’s underlying structures like the jowls and cheek fat.

The SMAS Facelift Technique

Most modern facelift techniques involve some form of SMAS elevation and tightening. The SMAS is continuous with the platysma muscle in the neck (a thin sheet-like muscle that forms vertical bands in the neck when we clench our lower face). Thus, when the SMAS is lifted, the platysma is as well, producing a youthful, high neck contour and sharper jaw-line.

How Long the SMAS Facelift Lasts

The effects of a facelift are not permanent. Despite the facelift, there will be changes in your face as you age. The length of time the benefits last is determined by many factors, such as overall health, age, smoking, sun exposure, and weight loss. In general, the effects last 10 to 12 years; some changes may last much longer.

Key Differences Between Deep Plane and other SMAS Facelifts

The terminology regarding facelifts can be confusing because different surgeons, websites, and medical publications can use terms differently or interchangeably. This can be frustrating for patients, but, any busy and experienced facelift surgeon who performs SMAS facelifts should be able to describe to you their technique and let you know the official medical terminology that is appropriate for their technique.

The deep plane facelift technique specifically refers to performing most of the facelift dissection underneath the SMAS layer to widely undermine and release this layer giving a powerful lift and tightening effect while minimizing skin undermining, which can reduce the risk of healing problems and irregularities.

Choosing the Facelift Technique That Delivers the Best Results

To a large extent, the best facelift results simply come from the best surgeons, regardless of technique. Surgeons will become adept at the technique they prefer and use commonly, using additional maneuvers and adjunctive procedures (like lasers, eyelid lifts, fat injection) to optimize the results.

However, surgeons who prefer the deep plane technique feel that it is superior to other techniques because of its ability to tighten the neck and jawline and improve the cheeks while preserving a natural, unoperated appearance. It seems to heal faster with less risk of problems, as noted. Nonetheless, this is a question that patients should ask their surgeons as they determine which procedure or procedures are best for them as individuals.

Considering a Facelift?

At Beachwood Plastic Surgery, Dr. Steven Goldman brings years of specialized training and experience with facial surgery as a triple-board-certified plastic surgeon, helping patients achieve results that enhance their natural beauty while preserving facial harmony. If you’re considering facelift surgery, scheduling a consultation is the best way to learn which option is right for you. Schedule your consultation today to take the first step toward a refreshed, youthful appearance.

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FAQs About Facelifts

Is a deep plane facelift worth it?

For patients seeking long-lasting results with natural facial movement, the deep plane facelift is often considered the gold standard. It provides significant improvement to the midface, jawline, and neck and typically lasts 10 years or more.

What is the best age for a facelift?

Most facelift patients are in their late 40s to 60s, though age is not the only factor. Skin elasticity, facial structure, and overall health play a larger role in determining candidacy than age alone.

Does a facelift make you look unnatural?

When performed by a skilled, board-certified facial plastic surgeon Dr. Goldman, modern facelifts are designed to enhance your appearance without looking “pulled” or overdone. The goal is to look like a younger, refreshed version of yourself.

How much does facelift surgery cost?

The cost of a facelift can vary depending on the technique, surgical complexity, and any additional procedures performed at the same time. A personalized consultation is the best way to receive an accurate estimate.

What is recovery like after a facelift?

Most patients experience swelling, bruising, and tightness for the first 2-3 weeks. Recovery time depends on the surgical technique, but patients generally resume normal social activities within 2–3 weeks and are event ready in about 3 months.