Age 74. Deep plane face lift for pockets of fat loss in cheeks?

Thank you for your inquiry. Without the benefit of photographs, it is difficult to answer the question with accuracy.

In general, the deep plane facelift repositions the facial tissues. The volume that is typically situated low—close to or over the mandible—is moved higher into the cheek and over the cheekbone area. This maneuver reduces laxity in the midface, lower face, and, to some extent, the neck.

However, if there is substantial volume loss in the midface, repositioning alone may not fully correct the deficiency. In such cases, volume augmentation, either with fat transfer or Sculptra, is likely to complement the changes generated by the deep plane facelift.

To get a sense of the degree of volume repositioning that you can expect from a deep plane facelift, I recommend to examine your face when you lie down completely flat without a pillow and using a mirror rather than a mobile phone. This gives you a decent representation of the impact of a deep plane facelift intervention.

Sculptra is a volumising agent that stimulates collagen production to gradually restore facial volume.

Dear Patient,
Thank you for your inquiry. A deep plane facelift is an advanced surgical technique that not only removes excess skin but, more importantly, repositions the deeper facial tissues to their original anatomical position. This approach ensures a natural and long-lasting rejuvenation by addressing the root causes of facial aging. 
In cases of facial volume loss, particularly in the cheeks, combining a deep plane facelift with fat transfer can be highly beneficial. This involves harvesting fat from another part of your body and injecting it into areas that have lost volume, effectively restoring youthful fullness and enhancing facial contours. 
By integrating these procedures, we can achieve a more refined and youthful appearance, addressing both tissue sagging and volume depletion. This comprehensive approach often results in a leaner and more naturally rejuvenated face.
Best regards,

This is a question that would be better answered with photos, but one thing is for certain: a revision midface lift alone in a 74 year old patient is a highly questionable procedure. A deep plane facelift allows for a natural way of repositioning deeper soft tissues for cheek, jawline, and neck restoration; it will not eliminate nasolabial folds but will make them softer.