Which is best, the Deep plane midface lift or the suture suspension?

What would you recommend?

1) suture suspension midface lift

2) the deep plane mid face lift?

Is the deep plane mid face lift really better? I have to make a decision soon between the two procedures and don't know which one to chose.

I am a 53, female. I have strong nasal folds and my lip corners now go downwards. I didn't have that when I was younger. My lower face looks fine as I had a good mini lower face lift last year. Please inform me about your experiences and I thank in advance.

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6 answers to “Which is best, the Deep plane...”

A: Filler Is Best Answer for Sagging Cheeks

Tanveer Janjua, MD

Deep plane facelift is quite invasive and after a few years the nasal folds will return. Suture suspension can cause streaking or track marks under the skin or irregularities. Your best bet is to restore the youthful look of your cheeks and hence the nasal folds by plumping up the cheeks with a filler like... more

A: Deep planes have traditionally been found to last the longest among facelifts

Philip Young, MD

The suture suspension lift most likely refers to a midface lift, and there are many ways to do this. You can do it in a minimally invasive way through incisions in the scalp by the temple area.  All is needed are very tiny incision near your nasolabial folds to allow the sutures to pull up the middle part... more

A: Deep plane vs suture suspension

Steven Wallach, MD

The midface lift works best for cheek descent the upper nasolabial fold and depressions of the infraorbital rim. The symptoms you describe can actually be imrpoved by an extended high SMAS facelift which works on the areas of concern that you have.

A: It's all about the timing...

Marshall T. Partington, MD

It is my theory that the right procedure at the right time will give the best possible outcome with the optimal lasting power.  For example. If you are young and have just experienced a drastic weight loss then a treatment to tighten up the jaw line may be reasonable; however, that same technique will not... more

A: You have a good doctor!

Richard P. Rand, MD

Your doctor has taken good care of you based on my reading of your letter to Dr. Gross. Please understand that NO surgical procedure will eradicate the nasolabial folds and that improving your jawline and neck was a safe and effective rejuvenation for you. The problem with midface lifting is that the results... more

A: they may be both appropriate

John E. Gross, MD

Unfortunatley it is difficult to give a general answer for all patients for this question. The surgical plan is developed uniquely for each patient and depends on their unique anatomy, skin, volume, underlying bony support, as well as each patients goals and time for recovery. That said i am not a fan of... more

Comments

GabrielleCo
3 posts
16 Oct 2008

Dear Dr. Gross, Thank you very much for your response.There is so much information out there, and it is easy to become confused as a lay person. My plastic surgeon didn't made me look ugly but he wasn't that good in communicating. He told me about different procedures but he didn't tell me what the right procedure for ME is. So, *I* made a decision for a lower mini face lift and fat grafting under the eyes. I told him what to do. But he should have told me what to do, and then let me make a decision. Back then, I thought I have enough information to make a decision but it turns out now that it was not the case. I have now a rather young looking face but an older looking midsection in the middle of my face. That older spot in my face is weird. It doesn't fit in my rejuvenated face. I wish my PS would have told me that this should be lifted too with the fat grafting under the eyes, as now I have to start this all over... Please understand me right, he did a nice lift job in the area he operated. I still think he is skilled, but I was thinking that it would take care of the mid area too. Which it did not. I still have these nasal folds, and kind of baggy skin hanging over them but it seems more just skin and a bit fat and the muscle underneath does not seem to be sagging. And the mouth corners go slightly down. Just with the help of my finger I can smooth that up and it looks really great when that little bit of flabby skin is pushed out of my mid face. I don't think that any fillers will handle that, right? I think the only way to get rid of it is to cut it out. Lasers don't help with flabby skin either, correct? I wonder if a mini surgical procedure would take care of the midsection and the mouth corners and perhaps in 10 years I do a deep plane face lift and not do the proceedings step by step, little by little. My mini face lift was done with sutures. My neck and jowls looks really nice just as I was in my 20s. But the big question is of course: how long does it last? But as I have already one mini procedure, I might just add another mini procedure to it and in a couple of years when all together all sucks ;) I mean sags again, I am getting a state of the art facelift? Does that make some sense or not? Best wishes, Gabrielle

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