Facelift: Q&A
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What is a Deep Plane Facelift?
How is the deep plane facelift different from other face lift techniques?
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17 Doctor Answers |
Asked by
Eva S
in Seattle, WA
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Face lifting techniques vary. Results often don't
The traditional face lift technique, called a SMAS technique, is one in which predominantly the plane of dissection is directly under the skin. The SMAS, which is the muscular and soft tissue layer just below the skin is then tightened and suspended. Following excess skin excision, the incisions are closed. There is a limit to how far you can lift the skin of the face before you start to increase risk of poor wound healing.
Deep plane face lifting was an attempt to move the dissection more...
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The level of dissection is deeper
There are many techniques in facelifting and the deep plane is one of them. It was very popular as advocated by Dr. Hammra in Dallas who is the master of this technique. It has lost popularity nationally and is only done by a limited number of surgeons anymore because it only moves the tissues in one direction. Most facelift experts believe that a multi-plane technique such as a SMAS lift gives the best results without looking operated upon.
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Deep Plane Facelift
A deep plane face lift is similar to a sub-SMAS face lift with dissection beneath the muscle-fascia layer, however, only limited dissection is performed above the muscle-fascia layer. Proponents claim that the minimal dissection between the skin, fat, and muscle-fascia layer gives the skin an even smoother appearance and faster recovery time while still providing dramatic, longer lasting results than with a standard skin-only face lift.
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Deep Plane Facelift
The deep plane facelift is an advanced surgical technique that achieves a natural looking and long lasting result. This technique represents the state of the art in facelift surgery. Rather than just tightening the skin, this procedure lifts and tightens the underlying muscle while repositioning fat to achieve a three dimensional rejuvenating result. This procedure is best performed by an experienced facial plastic surgeon who performs facelift surgery as a routine part of his...
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Benefits of the Deep Plane Facelift
A deep plane facelift lifts the neck, jowels, and the midface. Aside from being the most effective techniques for lifting the jowel and the neck, it is one of the only facelifts that lifts the mid-face as well as the other structures.
see video
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Deep plane facelift involves a deeper and riskier dissection
The deep plane facelift involves disscting in the tissue layer (the SMAS) that contains the muscles and some of the inelastic tissue of the face. The SMAS is then pulled "up and back," helping restore a more youthful appearance to the face. Although its use has decreased in popularity over the last few years due to the risks of nerve damage and the fact that some of the benefits of the lift can be achieved through other techniques (such as fat grafting), it remains...
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Deep plane facelift
A deep plane facelift usually entails going underneath the SMAS in the face and elevating the SMAS and skin as one layer.
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Deep Plane Facelift
There are many different types of facelifts, each one having a different take by different surgeons. I use a variant of a deep plane facelift and find it provides the most robust changes while still keeping the face looking natural. Some things to consider when discussing deep plane facelifts:
Anatomy- This facelift is not for every surgeon. It requires much more knowledge of facial anatomy. However, an experienced facelift surgeon can perform this lift...
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Deep Plane Facelift
While there are a dizzying number of Facelift techniques described, all are a variation on the way the SMAS layer is effected. Generally, the "deep plane" is that plane of facial tissues below the SMAS layer. In the original description by Sam Hamra, he discussed cutting through the SMAS layer just in front of the ear and elevating the SMAS all the way past the nasolabial fold. The benefits:
You can really smooth out every wrinkle on the face
The...
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Deep plane Facelifts lift the deeper cheek muscles
Deep Plane face lifts lift not only the jowls and neck areas, but also release the cheek ligaments and elevate the cheek fat pads and muscles. This is called the malar fat mound, and when lifted reduces the nasolabial folds and gives the face a youthful heart shape.
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Definition of a "deep plane" or "composite" facelift
I use a particular technique, called the "composite rhytidectomy" for face-lifting. "Rhytidectomy" is the clinical term for facelift. "Composite" refers to a specific technique which will now be discussed. The evolution of the technique began in the mid-1980's and is now a well defined operation with predictable results.
Conventional techniques for face-lifting begin by lifting the skin off the cheek and neck. The deeper layers are accessed by this dissection...
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Deep plane facelift is an excellent procedure
The more important question to ask is, "is the deep plane Facelift the best procedure for me"? The reality is that most surgeons who say that they are doing the deep plane Facelift are not doing it the way Sam Hamra initially described. I also do what I call a hybrid Deep Plane Facelift on people who complain mostly about the neck and jawline and not so much about the jowls.
The 2 main ideas of the deep plane Facelift are that the tension and lift is comes from tightening the...
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Deep plane facelift seldom done.
Hi.
1) Deep plane facelift is riskier, and equal or better results can usually be gotten with other techniques.
2) In Manhattan, we most often use a subcutaneous facelift, with lifting of the fat and fascia under the skin, to correct jowls and cheek flatness.
3) In selected patients, we use a scarless mid facelift, which is done through the mouth, at the level of the bone (subperiosteal facelift).
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Deep Plane Facelift
The original deep plane facelift reported by Dr. Hamra describes elevating only a short area of skin flap around the ear before focus is directed to dissecting and elevating the SMAS flap over the zygomaticus muscle and to a point near the nasolabial folds.
We believe, in order to get the best result, the SMAS flap should be repositioned. However, in our experience and opinion, the small amount of skin flap elevation limits the refinement achievable. The extended SMAS-plasty technique...
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Deep-plane facelift procedure is riskier to facial nerves
A deep-plane facelift is a more risky procedure to the facial nerves since the dissection and tightening is located deep to the facial nerve branches. It is a technique that is used to tighten the facial area and muscles rather than a traditional facelift which is where the tightening occurs above the facial nerves.
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Face Lifts
Dear Victoria
There are many techniques for face lifting and even more names for procedures!!!!! A deep plane lift means that the tissues are lifted together- the skin, the deep layer- called the SMAS and shifted to move the whole face as a unit. The theory is that it is a good technique for removing the Nasolabial fold.
It is important that the surgeon/technique you choose - will acheive the result you want and the best way is a word of mouth referral. There are a lot of qualified...
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Long recovery but long-lasting results for deep plane facelift
Hello Victoria,
I think Dr. Rand very clearly and definitively answered your question.
I would only add that since the planes of dissection are deeper in a deep plane facelift (in some areas it is right done to the facial bones) the recovery period is longer than the various SMAS procedures but it does provide for very long lasting results.
Also the potential complication rate for facial nerve injury or hematoma formation can be higher with deep plane facelifts again due to the deeper plane...
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