Experience or advice regarding deep plane face lift vs endoscopic facelift? Deep plane neck lift vs platysmaplasty? (Photos)

Your notes show thoughtful planning. A precise recommendation needs direct assessment of the midface and smile dynamics, so the following is general guidance to help frame decisions.
What each option treats• Endoscopic midface lift elevates the malar and SOOF complex, blends the lid cheek junction and supports a fresher eye frame. It pairs well with upper and lower blepharoplasty when minimal visible scars are a priority.• Submental platysmaplasty improves central bands and submental laxity. It is limited for jowls and the lateral neck envelope.• A short scar lower face neck lift refines the jawline and lateral neck where early jowling lives. Incisions can be hidden along ear contours and in hair bearing skin.
Scars when scars must be discreet• Endoscopic access uses small scalp incisions, sometimes intraoral, usually inconspicuous with proper aftercare.• A submental only plan keeps the scar under the chin yet has limited reach for jawline definition.• Short scar lower face neck lifts aim to hide incisions in natural creases while allowing the lateral vector release that jowls require.
Is platismaplasty enough for mild laxity and early jowling• It helps the center of the neck. Early jowling is lateral, so predictable contouring usually needs periauricular access for release and redraping.
Tech neck horizontal lines• These are dermal creases. Best improvement comes from staged skin quality treatments alongside any lift, for example fractional laser, RF microneedling or selected biostimulatory fillers. Topical care and sun protection support durability.
Longevity and swelling in practice• Durability reflects tissue quality, release vectors and fixation, not the name of the technique. Endoscopic midface often shows more early cheek edema that settles. Lower face and neck procedures swell along the jawline and neck. With measured aftercare recovery timelines are broadly similar.
A sequencing strategy that matches your goals• Combine endoscopic midface lift with upper and lower blepharoplasty when the eye frame and midface are top priorities with minimal visible scars.• If jawline and lateral neck are also priorities, discuss whether a short scar lower face neck lift will serve those goals better than platismaplasty alone.• Plan skin quality work for tech neck lines around the surgical timeline rather than expecting surgery alone to smooth them.
Decision checklist for the consultation• Which findings drive concern most: midface descent, true jowls, central bands, horizontal neck lines• A scar map that feels acceptable, and how hairline and ear contours can hide incisions• Whether a submental only plan can truly meet the jawline goal or if short scar access is the right tool• Skin type and pigment risk to set safe parameters for any laser or RF treatment• Recovery priorities including swelling distribution and downtime planning
A tailored plan based on standardized photos and a focused exam will define the least visible incision strategy that still delivers the contour changes you want. A brief complimentary conversation with a coordinator can be used to collect photos and history for a more specific opinion before any medical evaluation.
A short explainer video on facelift approaches has been added below to help visualize these options.
Wishing you a smooth path to a fresher, balanced result with scars kept out of sight.Güray Yeşiladalı, MD