Why do some surgeons say deep plane only for heavier cheeks with less laxity than older patients? Will smas lift not be enough to hold the lift in such cases?
August 5, 2018
Answer: Facelift in younger patients--deep plane or SMAS? I feel the deep plane lift allows the most natural, durable results for our patients of any age. Most surgeons use the term SMAS lift to describe one that stays above the SMAS rather than releasing it and this can limit the ability to move the tissues and maintain the result without permanent sutures. Also important is how well the incisions are placed to hide them as well as possible. We have revised many facelift scars from other offices and not all are able to be corrected if not placed well to begin with. Hope that helps and best wishes, Dr. Donath
Helpful 1 person found this helpful
August 5, 2018
Answer: Facelift in younger patients--deep plane or SMAS? I feel the deep plane lift allows the most natural, durable results for our patients of any age. Most surgeons use the term SMAS lift to describe one that stays above the SMAS rather than releasing it and this can limit the ability to move the tissues and maintain the result without permanent sutures. Also important is how well the incisions are placed to hide them as well as possible. We have revised many facelift scars from other offices and not all are able to be corrected if not placed well to begin with. Hope that helps and best wishes, Dr. Donath
Helpful 1 person found this helpful
May 7, 2021
Answer: Deep plane or SMAS what surgery to do? Just like rhinoplasty surgery One type of surgery does not fit all. When considering a facelift you should be seeing a physician who is versed at both a deep plane facelift and a SMAS facelift. Not all surgeries fit all patients!. I would talk to you physician about your concerns and what you desire and look at before and after pictures. Based on your confidence in your physician the actual type of surgery he or she does should be based on their experience in treating patients like yourself. You must go into surgery with full confidence in your doctor so choose well.
Helpful 2 people found this helpful
May 7, 2021
Answer: Deep plane or SMAS what surgery to do? Just like rhinoplasty surgery One type of surgery does not fit all. When considering a facelift you should be seeing a physician who is versed at both a deep plane facelift and a SMAS facelift. Not all surgeries fit all patients!. I would talk to you physician about your concerns and what you desire and look at before and after pictures. Based on your confidence in your physician the actual type of surgery he or she does should be based on their experience in treating patients like yourself. You must go into surgery with full confidence in your doctor so choose well.
Helpful 2 people found this helpful
February 13, 2021
Answer: Controversy HiThanks for your question. This is a subject that often gets debated in our meetings. The majority of the studies from the last 15 years show very little difference in long term outcome between traditional deep plane lifting and SMAS plication. What is missing from those studies is the advent of the high-SMAS lift and the deep plane lift with vertical repositioning and true facial ligament release. These techniques appear to have greater durability and better long term outcomes when one looks at revision rates. Having largely switched to these techniques in my practice I can truly say the results are more impressive and appear to have many fewer tuck ups. The argument for younger patients is that their facial ligaments are even tighter and of course they want maximum duration of their lift. All the more reason to consider an advanced deep plane lift. The issue is you have to make sure that the surgeon is doing the more modern version of the the deep plane or the extra benefit is minimal .
Helpful 3 people found this helpful
February 13, 2021
Answer: Controversy HiThanks for your question. This is a subject that often gets debated in our meetings. The majority of the studies from the last 15 years show very little difference in long term outcome between traditional deep plane lifting and SMAS plication. What is missing from those studies is the advent of the high-SMAS lift and the deep plane lift with vertical repositioning and true facial ligament release. These techniques appear to have greater durability and better long term outcomes when one looks at revision rates. Having largely switched to these techniques in my practice I can truly say the results are more impressive and appear to have many fewer tuck ups. The argument for younger patients is that their facial ligaments are even tighter and of course they want maximum duration of their lift. All the more reason to consider an advanced deep plane lift. The issue is you have to make sure that the surgeon is doing the more modern version of the the deep plane or the extra benefit is minimal .
Helpful 3 people found this helpful
