Whys Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?
Why Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?
Doctor Answers (18)
Deep plane vs SMAS facelift
A skin only facelift can make the most windswept look because all the tension is on the skin. A deep plane facelift as described by Dr. Hamra requires "extraordinary tension" in the closure and only moves the tissue in one direction. A SMAS lift which is my preference allows the surgeon to move the deep tissues in a vertical direction and skin separately in a natural direction with little tension. Consequently I prefer the SMAS lift. But in the end, it is an art form and great results and poor results can be seen from each technioque. It is more the surgeon than the technique that matters.
Face lift techniques and avoiding windswept look
No patient wants to have that Catagory 3 Hurricane look after a facelift. This look can occur when only the skin layer is addressed, the skin is pulled too tight and is pulled in an unnatural direction.
All the different techniques debated and discussed by experienced plastic surgeons can be overwhelming for a lay person. Sometimes it can overwhelming for a plastic surgeon!
My advise for patients is to get maybe 2 or 3 consultations from a board certified plastic surgeon, have her/him show some examples of her/his work and get a feel for the surgeon's approach and what she/he thinks looks good. Go with the surgeon with whom you click and feel comfortable with.
Windswept facelift results
one main goal of a facelift is to redistribute volume in the face
skin only facelifts do this by pulling skin
smas flap/deep plane facelifts do this by gently relocating the underlying tissue, rearranging the actual soft tissue structure of the face - thus less pull is needed on the skin
less pull = less distortion in my opinion.
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A facelift by any other name is still a facelift
Why Such Conflict of Opinions on Deeplane Facelifts
because deep plane is more anatomical, logical and efficient than any another technique, but it has several warnings:a.-more difficult and risky for deep nerves b.- sweeling last double to get solved c.- it stays a little thighting at first weeks that is why looks artificial but later looks great and last the effects much more than other techiniques. it is ideal for elderly people after 60 y.o.
"Windswept" Look With Facelift
The actual results from a Facelift have much more to do with the artistry of the Surgeon than the specific name given to his/her procedure. I personally feel that a "high SMAS" imbrication technique (Connell) makes the most sense because it allows for elevation of the mid and lower facial tissues, while still allowing for a slightly different vector with skin removal. The techniques that are described such as "deep plane", "SMAS", "high-SMAS" are really just templates that a Surgeon usually modifies to suit the needs of the patient's anatomy and aesthetics. Although most Surgeons perform some type of SMAS based procedure, no two Surgeons perform a Facelift in exactly the same fashion, and variability in results can be expected.
Deep plane facelift and natural appearance.
The progression of the history of facelifting techniques has served to give better and longer lasting results without the "windswept" look. Facelift techniques are still evolving and the latest trend is to add fat grafting to the procedure to repace fat volume lost due to normal ageing. In general, a deep plane facelift or a SMAS lift (if done corrrectly) will give the best results. This is because most of the tension is placed on the deeper layers to replace them to their proper position and the skin then does not need to be pulled too tight. It is excess tension or pulling on the skin layer that tends to give the windswept look. Not only that, skin lifting procedures do not last nearly as long so they are too tight to begin with and loosen too quickly. Usually, facelift procedures with "catchy" names are variations of skin lifts. Be sure that you understand what type of procedure your surgeon performs. It makes a big difference.
Deeplane Facelifts Being Natural or Windswept?
Any type of face lift can look natural or unnatural based on how it is performed and on whether the face lift was accompanied by other procedures to make the result more natural. In general, the deep plane lifts have a more natural result since there is less pull on the skin.
Deep Plane Facelifts and Windswept Look
The windswept look is a function of vector of pull on the skin and the amount of tension on closure not the individual management of deeper tissues. Kenneth Hughes, MD Los Angeles, CA
Does deep plane look done
In my opinion it takes a deep plane at least a year to look good and not "done". This is the assesment of the originator Dr. Hamra. My patients in Beverly hills look good in weeks with my technique and they need to.Therefore I need to do a procedure which heals quickly and looks natural early. A deep plane is not it