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

Question

My age is 74. I am considering having a deep plane lift as opposed to mid face lift. I had a mid face lift 10 years ago and did not see much difference. A couple of years later, still had to go for injection of my nasolabial lines. I have pockets of fat loss in my cheeks which bother me. Does the deep plane lift address this problem? I want to reposition the fat so that i have a leaner face.

Lucian Ion, FRCS · Answer

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.

Nashielli Torres Espinosa Chiu, MD · Answer

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,

Stephen Prendiville, MD · Answer

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.

Andrew Miller, MD · Answer

It can be hard to answer the question without photos, but if you have significant fat loss, then you will probably need fat transfer at the same time as the deep plane facelift. The combination does a great job of restoring a more youthful, but natural appearance. Be sure to see a facial specialist for consultation.

Jacob Tower, MD · Answer

Hello, hope you are well. It would be great if you could provide photos so that we can give you concrete advice about the what would be best for you. A deep plane facelift does not add anything to you face, but it does reposition superficial fat compartments that have descended into a more youthful configuration. Part of aging is volume loss--not just adipose tissue (fat), but also bony structure. The cheek bones demineralize resulting in retrusion, similar to the process of osteoporosis that affects the rest of the skeleton. Sometimes fat transfer and cheek and chin implants are recommended alongside the deep plane lift to address both the soft tissue and bony aging changes. Good luck!

Best,
Dr. Tower

Best,
Dr. Tower

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial and neck photographs in a chin neutral position from all angles to make a determination about being candidate for a deep plane facelift surgical procedure.

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

Answers (6)

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