Deep plane facelift

Brent Moelleken, MD answers: What are the side effects of deep plane facelift?

I'm considering a deep plane facelift. What is the percentage of patients who experience nerve damage? Is it true that in some areas, it should be banned?


Brent Moelleken, MD
8 months ago

There are many types of facelift.  Your best results will come from an expert facelift surgeon, not from any one technique.

While the deep plane facelift was popular many years ago, many surgeons have changed their technique to multivector facelifts with volume augmentation.  The theory that great tightening produces great results is not necessarily true.  Smart tightening with volume readjustment with hairline and sideburn sparing techniques are now more highly prized.

In our practice, the deep plane facelift still has a place in patients who have smoked and need the extra circulation that this technique inherently gives.  However, we do not use it routinely because of the limitations in the ability to perform a multivector facelift.

Nerve damage is possible with any facelift technique, more with some than others, even in skilled hands (especiallly for patients with underlying disease, previous facelifts, history of Bell's palsy, etc).  However a top facelift expert should have a nerve injury incidence approaching zero with whatever technique they do.

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A: Facelift Expertise

Raffy Karamanoukian, MD
17 days ago

A facelift, or rhytidectomy, has many modifications that depend on the level of dissection, pattern of tightening, and direction of pull.  In most cases, a deep plane facelift can be performed safely if there is strict adherence to established guidelines of anatomic safety.  Discuss your options in depth with the performing surgeon.

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