I want to raise my drooping, long cheek muscles. Deep plane vs high SMAS lift? (Photo)

Hello,In patients with genetically long and downward-positioned cheek muscles (malar region), the aging process can make this feature more prominent — especially with deepening nasolabial folds and a tired midface appearance.
Based on your description:
A mini facelift is better suited for mild jowling and jawline definition, but it typically does not effectively elevate the cheek muscles or midface.
An endoscopic mid-face lift can offer improvements, but it often targets more superficial tissues and in many cases is not a true deep plane approach. As you've heard, results can be limited in duration unless it's done with advanced technique and proper indication.
A high SMAS facelift does provide stronger lifting compared to mini lifts, but still may not sufficiently address deeply set or genetically low cheek muscles.
The Deep Plane Facelift, on the other hand, is specifically designed to reposition the entire SMAS and skin layer together, allowing for more effective lifting of the cheek muscles and fat pads to a more youthful and natural position.
For patients like you, with early signs of aging and genetically long cheeks rather than skin laxity, a deep plane facelift — performed by a highly skilled and experienced surgeon — would likely offer the most natural, effective, and long-lasting improvement.
However, a detailed in-person consultation with imaging and physical assessment is always necessary to determine the best individualized approach.