When I began learning how to do facelifts, I learned the standard mini-lift, which is a skin based lift, and the SMAS, or muscle pull face lift.

In a muscle pull face lift, there's a muscle that's sort of right here, and we call this the platysma. What you're doing is you're pulling that muscle, and that's carrying the tension. Then I went out, and I learned how to do deep plane face lifts in the mid 1990s.

This is a patient of mine who I wanted to do a deep plane face lift on. It was relatively early in my experience, and we ended up doing a SMAS lift because she wanted a less aggressive procedure. She came after surgery, and she wasn't particularly happy, and I wasn't thrilled with the result, either.

She got some improvement of her jaw line, some improvement of her neck, but she still has a fat pad here. I liposuctioned the neck. This part of her face really was not improved, and we were both very disappointed. So we waited about a year, went back, and I did a typical deep plane face lift.

The other thing I did is I went into her neck, and I was able to take this fat out here. And that is why I don't do liposuction, because that fat pad is routinely left in the neck after liposuction. But you can see the remarkable improvement in this part of the face with no pulling on the mouth, no pulling on the lips, a slight upturn of the corner of the mouth which you get when you elevate this area.

One other thing I would note is that there's not a significant improvement in the nasolabial fold. Face lifting is not a particularly treatment for the nasolabial fold.

This Is How Different the Restults Can Be With Different Facelifts

Dr. Mark Glasgold describes the difference between a deep plane facelift and a SMAS facelift. He uses a patient that he did both procedures on to show the difference.