58 y/o female considering a lower facelift for jowls and neck skin laxity. I have questions about the difference between SMAS and Deep Plane, the time it takes, the healing and the longevity. Does one cause more nerve issues following surgery? Additionally, is it most beneficial under general anesthesia or can it be done under twilight? Can it be done in conjunction with a endoscopic brow lift? Pros and cons, please. Thank you.
May 11, 2023
Answer: Deep Plane or SMAS? Deep Plane in My Hands The first thing to consider in your consultation process is the Surgeon and his/her results. After 22 years in practice, I have seen excellent results from both techniques, and results are more individual Surgeon specific than technique specific. That having been said, I prefer the deep plane technique, which allows for a composite lift of skin and SMAS, release of ligamentous structures, and harmonious repositioning of the cheek, jawline and neck. Bear in mind that all modern facelift techniques are SMAS based, but extended SMAS usually means a bilaminar approach: fist elevation of skin, followed by separate elevation of SMAS. In skilled hands, both techniques should take about the same time, about 3 hours in an uncomplicated deep plane facelift in my hands. The exception is a pure plication technique which is quick, doesn't involve lifting SMAS, but doesn't last very long. A deep plane facelift can easily be performed alongside an endoscopic forehead lift, which takes about 30 minutes. You can separate procedures but this means two down-times and two recoveries. I prefer level III sedation, which means that you won't remember anything, nor feel any pain during the procedure.
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May 11, 2023
Answer: Deep Plane or SMAS? Deep Plane in My Hands The first thing to consider in your consultation process is the Surgeon and his/her results. After 22 years in practice, I have seen excellent results from both techniques, and results are more individual Surgeon specific than technique specific. That having been said, I prefer the deep plane technique, which allows for a composite lift of skin and SMAS, release of ligamentous structures, and harmonious repositioning of the cheek, jawline and neck. Bear in mind that all modern facelift techniques are SMAS based, but extended SMAS usually means a bilaminar approach: fist elevation of skin, followed by separate elevation of SMAS. In skilled hands, both techniques should take about the same time, about 3 hours in an uncomplicated deep plane facelift in my hands. The exception is a pure plication technique which is quick, doesn't involve lifting SMAS, but doesn't last very long. A deep plane facelift can easily be performed alongside an endoscopic forehead lift, which takes about 30 minutes. You can separate procedures but this means two down-times and two recoveries. I prefer level III sedation, which means that you won't remember anything, nor feel any pain during the procedure.
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May 9, 2023
Answer: What's the difference between deep plane and SMAS lower facelifts A deep plane facelift involves dissection in the cheek area in Direct proximity of the facial nerve branches, and has a higher incidence damaging those nerves. A SMAS facelift involves tightening the Facial muscles/fascia safely without seeing the facial nerve branches. Study your prospective surgeon's before and after facelift photo Gallery, which should be extensive with natural results that you like.
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May 9, 2023
Answer: What's the difference between deep plane and SMAS lower facelifts A deep plane facelift involves dissection in the cheek area in Direct proximity of the facial nerve branches, and has a higher incidence damaging those nerves. A SMAS facelift involves tightening the Facial muscles/fascia safely without seeing the facial nerve branches. Study your prospective surgeon's before and after facelift photo Gallery, which should be extensive with natural results that you like.
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