Are high SMAS, Deep Plane face lifts ,and vertical face lifts the same lifts using different names? (photo)

You certainly could benefit from a face and neck lift procedure.  The two types of lifts you describe are technical and vary amongst surgeons.  The SMAS layer must be addressed during all facelifts by lifting it and tightening it.  The vector of pull is vertical in from of the ear and posterior/ superior  behind the ear. This gives the most natural result and avoids an unnatural appearance.  A deep Plan facelift is. one of the methods used to tighten the SMAS Layer.  It involves lifting the SMAS with the overlying skin as a thick flap. Excellent results can be achieved with different methods as long as the deeper layers (SMAS) layer are repositioned.    I tend to use a deep plane lift in any patient with heavier soft tissues.  See a few surgeons and  review your options.   I hope this helps. 

You would benefit tremendously from a face and neck lift. The major goals of most techniques are to restore cheek deflation and descent, improve the jowls, and refresh the neck. The various techniques accomplish these goals to various degrees, but the most important aspect in facial rejuvenation is the preoperative assessment of your unique facial aging as well as skill level of the surgeon.

There are several different types of facelift techniques that are currently performed by facelift surgeons. The most important factor is that the technique that is used by a facial surgeon will create a youthful, natural with long lasting result. Experience is the key in facial rejuvenation. Vectors of facial tightening vary from patient to patient. For a 45- 50-year-old patient, I would not apply the same vector and tension that I normally apply to a 70-year-old face. In addition, direction of vectors must be modified during secondary or tertiary facelift to avoid artificial look.  I have performed well over 3000 facelifts and published a specific technique that describe the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening.  A well-performed neck lift during facial rejuvenation is the paramount in a youthful-appearing face. I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity.  Look at the doctor’s before and after pictures, a talented and experienced facelift surgeon will have a smooth and well-contoured neck that enhances the facelift results.  There is no substitute in experience and artistic eyes.