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Why Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?

Whys 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.

Seattle Plastic Surgeon
5.0 out of 5 stars 49 reviews

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. 

Lisa L. Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 45 reviews

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.

Adam Bryce Weinfeld, MD
San Angelo Plastic Surgeon
5.0 out of 5 stars 33 reviews

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A facelift by any other name is still a facelift

We are seeing in facelift just what has occured in liposuction, with an ever increasing list of techniques and confusion. With facelift we see deep plane, SMAS, three layer, smasectomy, soft, vertical, vampire (really) and many others. Aspects of all work well if applied when needed. No matter what, windswept is a thing of the past, we learned that lesson.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 29 reviews

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.

Ramon Navarro, MD
Mexico Plastic Surgeon

"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.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 35 reviews

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.

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 10 reviews

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.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

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

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 218 reviews

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

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.