Why does skin relax more in a skin only facelift versus a deep plane facelift?

There's a big difference between a skin-only facelift and a deep plane facelift, or SMAS facelift. The main problem with a skin-only facelift is that the result isn't optimal. Pulling only the skin creates tension in the scar, and it's very likely that not only will you not get a good result, but the scars will also become thick and noticeable. No plastic surgeon expert in facial surgery would recommend a facelift where only excess skin is removed. I recommend you find a good plastic surgeon who is an expert in facial surgery, with whom you can be sure of good results. The risk of hematoma is also present in a skin-only facelift (the approximate risk of hematoma in a Facelift is 2%).

Thanks Sensible253192 for your question! The surgeon's main goal in a typical, skin-only facelift is to redrape and remove extra skin. Because the underlying support structure (the SMAS and deeper tissues) isn't addressed, the skin may relax and sag again quite fast, even though this may initially provide the appearance of tighter skin. Comparable to tightening a slack clothing without modifying the underlying structure, the fabric may appear taut for a time before sagging once more.
The SMAS (Superficial Musculoaponeurotic System), a layer of tissue covering the facial muscles, is released and repositioned during a deep plane facelift. The surgeon can accomplish a longer-lasting and more natural-looking lift by targeting this deeper layer. After that, the skin is redraped over this enhanced foundation, which relieves tension and lessens the chance of premature skin relaxation.
The lifespan of any facelift, whether deep plane or skin-only, depends on a number of variables, including as skin elasticity, lifestyle, and heredity. After a facelift, it's normal to worry about possible side effects including hemorrhage, stiffness, and hardness. Although the incidence and severity of these adverse effects might vary based on the type of facelift and personal circumstances, they are absolutely feasible. Deep plane facelifts include greater manipulation of deeper tissues and blood vessels, which increases the risk of hematoma.
While skin-only facelifts have a lower risk, it's not entirely eliminated. Following any facelift, hardness and stiffness are often expected as the tissues settle and heal. However, if there is a lot of strain on the skin, which is more likely to happen with skin-only facelifts if the underlying support isn't addressed, excessive tightness and persistent hardness may result.
Although your worries are legitimate, getting a skin-only facelift just to stay away from these hazards might not be the best course of action. Weighing the possible advantages and disadvantages of each procedure is crucial, as is having a full conversation about them with a skilled board certified plastic surgeon. They can evaluate your particular situation and suggest the best course of action to meet your objectives while lowering risks.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

Skin tends to relax more quickly after a skin-only facelift because the deeper structural layers of the face—particularly the SMAS (superficial musculoaponeurotic system)—are not addressed. In a skin-only facelift, the lift relies solely on the skin, which is elastic and less capable of holding long-term tension, especially in individuals with sun damage or reduced collagen. This often leads to earlier recurrence of sagging, particularly around the jawline and midface. In contrast, a deep plane facelift repositions the SMAS and deeper tissues, redistributing volume higher on the face and reducing strain on the skin itself. By lifting at a deeper level, the skin is better supported, resulting in more natural, longer-lasting results and less post-operative relaxation.