Is It Possible to Have a Deep Plane Proceedure Performed After a Simple Suspension Type (SMAS) Was Done?

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5 Doctor Answers | Asked by kandersendc

Doctor Answers (5)
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Deep plane facelift after SMAS suspension is possible but difficult

This is a great question. The layers of the face dissected are what determine the efficacy of a facelift. The downward descent of the underlying structures of the face such as the SMAS is what contributes to the aging changes seen. Quite simply, a facelift is an operation of release and resuspension A SMAS suspension tightens the SMAS but it does not usually release the SMAS and resuspend it in a favorable position.. A deep-plane facelift is usually performed by an... more

Deep face lift vs SMAS facelift

A deep plane facelift can be performed after a SMAS plication. Not many people use this technique, and I am not sure why you are specifically interested in this one.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Deep Plane vs. SMAS Facelift

It is possible, but I would not recommend it. Several studies have reviewed facelift results, and skin only facelifts, SMAS plication, SMASectomy facelifts, and deep plane facelifts all produce similar results. The rate of facial nerve injury is much higher in deep plane lifts. Very few people perform the deep plane lift at this point. If you find someone who performs it, make sure that he or she... more

Old Operative Report?

This is often a tough question without reviewing your original FaceLift operative report. May I suggest you attempt to obtain it from your original surgeon or the facility (hospital) where you had the procedure done. FaceLifts today often combine procedures like SMAS or Deep Plane and Fat Grafting. Consider taking this report with you to your cosmetic consult where your concerns could be addressed. Best, Gary R Culbertson, MD, FACS

Secondary facelifts

The issue you will face here is potential damage to the facial nerve branches that make your facial muscles move. Previous surgery can potentially increase that risk especially if the next surgery is one where the nerves are intentionally near the operative field. Staying superfical would be safer and in the right hands works every bit as well or even better than a deep plane lift. All the patients on my web site are SMAS lifts, not deep plane lifts. more