Deep Plane Facelift

Let our experienced facelift surgeons help you look younger & feel more confident

Aging is a natural part of life—but that doesn’t mean you can’t do anything about it! As we grow older, our skin naturally starts to lose elasticity as our reserves of collagen and elastin wane. This plus gravity, the loss of fatty tissue, and repetitive motions like squinting or smiling over a lifetime combine to make the perfect recipe for sagging skin around the jawline and neck and the development of creases on the face. Heredity, sun exposure, and personal habits can all contribute to or expedite aging of the face.

Most everyone has heard of facelift surgery as the go-to procedure for reducing signs of aging on the face, but did you know that there have been tremendous advancements in facelift techniques in recent years—and that our surgeons are able to provide an incredibly natural outcome? We use the deep plane facelift technique to reposition and lift deeper tissues back to where they belong, creating a completely natural look.

Before and after facelift and eyelid lift with neck lift and fat grafting
This lovely 51-year-old patient is shown 3 months post-op from a facelift, upper eyelid lift, and neck lift.

When should I have a facelift?

A facelift can be performed at any time after signs of aging appear—there is no hard, fast rule about what age is best. You and your surgeon will decide together when the best time is for you to consider a facelift. Typically, it may be time to start thinking about your options once you start to see:

  • Loss of skin elasticity and muscle tone
  • Jowls begin to form
  • Deep creases start setting in on the mid-to-lower face

When the procedure is performed at a younger age, the results often last for a long time. Later in life, it can be a more difficult procedure, as muscles have become over-stretched and lost their tone; in these cases, results may not be as long-lasting.

  • More Natural Results: The deep plane facelift technique allows for more natural-looking results compared to traditional facelifts, as it addresses deeper layers of facial tissues and muscles without overly tightening the skin.
  • Longer-Lasting Effects: Due to the comprehensive nature of the procedure, the results of a deep plane facelift can last longer than those of standard facelifts, often maintaining their appearance for many years.
  • Enhanced Facial Contours: This technique is particularly effective in rejuvenating the mid-face area, restoring volume and enhancing the natural contours of the cheeks and lower eyelids.
  • Reduced Deep Wrinkles and Creases: A deep plane facelift can effectively diminish the appearance of deep-set wrinkles and facial creases, especially around the nose and mouth (nasolabial folds).
  • Improvement in Jowl and Neck Appearance: The procedure can significantly improve the appearance of sagging jowls and lax neck skin, leading to a more youthful and refreshed neck and jawline.
  • Minimally Visible Scarring: Incisions in a deep plane facelift are strategically placed to be less visible, typically along the hairline and around the ears.
  • Improved Skin Quality: By addressing underlying facial structures, the skin’s appearance can improve in terms of texture and firmness.
  • Reduced Need for Additional Procedures: Because of its comprehensive nature, a deep plane facelift might reduce the need for additional procedures or fillers for some time after the surgery.
  • Anesthesia: Medications used to numb or sedate patients during surgical procedures, essential in a deep plane facelift to ensure comfort and safety.
  • Blepharoplasty: Also known as eyelid surgery, a procedure that can be performed in conjunction with a deep plane facelift to rejuvenate the eyes by removing excess skin, muscle, and sometimes fat from the eyelids.
  • Brow Lift: A surgical procedure to elevate drooping eyebrows, often performed alongside a deep plane facelift to enhance overall facial rejuvenation.
  • Deep Plane Facelift: A comprehensive facelift technique that involves repositioning the entire facial musculature, including the SMAS layer, for more significant and natural-looking results.
  • Facial Anatomy: The structure of the face, including muscles, fat, skin, and bone, crucial in understanding the effects and approach of a deep plane facelift.
  • Incision: Surgical cuts made during the facelift, typically around the hairline and ears, essential for accessing and manipulating facial tissues.
  • Jowls: The sagging lower part of the face around the jawline, often targeted in a deep plane facelift to restore a more youthful contour.
  • Nasolabial Folds: Deep lines running from the sides of the nose to the corners of the mouth, which can be improved with a deep plane facelift.
  • Platysma: A muscle in the neck area, sometimes tightened during a deep plane facelift to address neck sagging and banding.
  • Recovery Time: The period needed for healing after surgery, an important consideration for patients undergoing a deep plane facelift.
  • Rhytidectomy: The medical term for a facelift, a cosmetic procedure aimed at reducing wrinkles and sagging skin on the face and neck.
  • SMAS (Superficial Musculoaponeurotic System): A layer of facial tissue under the skin and fat, manipulated during a deep plane facelift for long-lasting rejuvenation.
  • Skin Elasticity: The skin’s ability to stretch and return to its original state, a factor that can influence the outcomes and suitability of a deep plane facelift.
  • Subcutaneous Tissue: The layer of tissue beneath the skin, comprising fat and connective tissue, often repositioned in a deep plane facelift.
  • Sutures: The stitches used to close surgical incisions, playing a crucial role in the healing process of a deep plane facelift.

What happens during a facelift?

A facelift addresses the mid-face and neck and is typically performed under general anesthesia. Your cosmetic surgeon will begin by placing small incisions in areas where they are well-hidden, usually just inside the hairline at the temple, running just in front of the ear, or in the ear cartilage and behind the ear. Through these incisions, the skin is elevated and the deeper structures (fascia and muscle) are tightened to achieve the desired result. At Inland Cosmetic Surgery, we exclusively perform the deep plane facelift technique to ensure each patient see the most natural-looking result possible.

In this video, cosmetic surgeon Dr. Jacob Haiavy discusses the facelift procedure:

The deep plane facelift technique

During a deep plane facelift, your surgeon will elevate and tighten the support structures beneath the skin to reduce the appearance of deep creases and minimize sagging. This tightening and elevating of the fatty tissue and underlying muscles helps uplift the face to a more youthful position while also eliminating jowling. In some cases, excess fat is also removed from the neck and jowls with micro-liposuction to enhance results.

Overall, this technique has proven to be superior to other lifting procedures, providing a stronger lift and a more balanced improvement. Because the lift relies on deeper structures and not just the skin and muscles, the results are far longer lasting.

At Inland Cosmetic Surgery, our cosmetic surgeons Dr. Jacob Haiavy and Dr. Irene Tower use a hair-sparing technique in which we advance tissue rather than excise it in hair-bearing areas. This keeps the hairline intact and helps to avoid an overly tight, unnatural appearance. This technique is key because the major pull, or tension, of the operation is on the deeper structures rather than on the skin.

Female patient before and after facelift, neck lift, and fat transfer
This lovely 51-year-old female patient is shown 3 months post-op from a facelift, a neck lift, and fat grafting to her cheeks and nasolabial folds.

Additional procedures to boost your facelift results

While a facelift focuses on the mid-to-lower face and neck, it is often performed at the same time as upper face rejuvenation for more dramatic results. Patients may combine facelift with procedures such as blepharoplasty (eyelid surgery), forehead lift, chin or cheek augmentation, or rhinoplasty.

In patients with very fine wrinkles of the skin surface, a facelift may be of limited benefit: other procedures, such as laser resurfacing or chemical peels, can address these skin texture issues. We have found that the combination of a facelift with laser resurfacing enhances the benefits of both procedures and results in a greater improvement of the overall facial appearance.

The surgery went perfect, the outcome was amazing, the doctor is fantastic, my face is perfect.Real Inland Cosmetic Surgery facelift patientRead more patient reviews

How long does a facelift last?

Although the procedure does not stop the aging process, it certainly slows down the clock. The results of a facelift are typically long-lasting, though your genetics, degree of skin elasticity, and personal habits will play a role in how you continue to age. One of the ways you can maintain your results is by having a secondary tuck within the first two years after the original surgery. In this procedure, the original incisions around the ear are opened up and the scar tissue that had formed from the original surgery is tightened.

Since the scar tissue is stiffer than the normal subcutaneous tissue, tightening it results in a more lasting effect. The secondary tuck can be performed under local anesthesia or IV sedation. The recovery from this secondary operation is prompt, with many patients resuming normal activity within a couple of days. This procedure has become very popular among patients who have had a facelift.

To further enhance and maintain your surgical results, we offer a medical line of skin care products using Glycolic Acids and Antioxidant therapy, along with progressive skin peels such as Glycolic Acid peels and Microdermabrasion.

Female patient before and after a face and neck lift with fat transfer and buccal fat pad removal
This 70-year-old female patient is shown just 3 months post-op from a facelift with fat transfer, buccal fat pad removal, and neck lift surgery.

What is recovery after a deep plane facelift like?

While you’ll need to take some downtime, most of our patients are pleasantly surprised by how quickly they can start to resume normal activity. After your procedure, you’ll need to wear an elastic neck strap part-time for a week in lieu of heavy dressings, which can be uncomfortable.

A bit of swelling and bruising is completely normal and should resolve within a week or two. Bruising is usually limited to the neck area. Initially, there may be a feeling of numbness and tension around the incisions sites, but this will lessen with time as the sensory nerves regenerate. The tightness is mainly in the neck region and may last for a few weeks.

Patients are usually active within a few days of surgery, though they will need to take it easy. Makeup can be applied within a couple of days of surgery. For several weeks after surgery, patients are advised to avoid sun exposure for best results. Healing is gradual and there is a constant improvement in the first few weeks. Final results may not be apparent for several months. In most cases, a single procedure achieves the desired result though some patients may desire secondary procedures to achieve maximum benefit.

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We’d love to help you understand the options available to you and answer any questions you may have during a with one of our experienced cosmetic surgeons. Contact us online today or call (909) 987-0899 to get started!

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