The innovative techniques of the deep plane facelift

A facelift is a rejuvenating procedure that refreshes and renews the appearance of a patient's facial structure. Historically, it has been highly sought after, with excellent results that can last for many years.

Because of its sustained popularity, there has been a strong focus on improving this procedure and providing longer-lasting results. One advancement that has seen significant interest in the past few years is the deep plane facelift. This technique addresses the layers beneath the skin rather than focusing only on the superficial layers of the skin, creating incredible results for patients.

So, what exactly is the deep plane facelift and how does it differ from a traditional facelift? Are there patients that are better suited for this type of facelift than others? What kind of results can you expect from a deep plane facelift?

To gather more insights on the deep plane facelift and the pros and cons that this procedure offers patients, we sat down for a Q&A with ASPS Member Surgeon Darrick E. Antell, MD, FACS.

ASPS: When looking at innovations and advancements in facelift procedures, one that is making waves within the world of plastic surgery is that of the deep plane facelift. How popular is this type of procedure at your practice currently? Is this procedure requested more often than a traditional facelift procedure?

Dr. Antell: There are many terms circulating the internet today on what is the "best facelift," and I think that can be really confusing especially when these terms are thrown around without a credible source backing them. To me, the "best facelift" really depends on the individual's anatomy.

For each of my patients, the facelift is designed based on that individual person's needs. What I offer my patients as a "best facelift" is truly a "designer facelift" because every technique and every choice I make for the operation is based off their needs and desired outcomes. Additionally, I am one of the few people in the world who has conducted studies comparing different facelift techniques and had the opportunity to do these studies on twins.

ASPS: How is a deep plane facelift typically performed? Or does it vary from patient to patient?

Dr. Antell: It is typically performed under sedation or other types of anesthesia in a fully accredited operating room, which we actually have here at our office, so there is no need for my patients to go into a hospital for the procedure. The incision to access the deep plane is the same as any facelift.

ASPS: How does a deep plane facelift differ from a traditional facelift procedure?

Dr. Antell: Historically, facelifts were a skin-only operation, and then they became deeper, undergoing the depth beneath the SMAS, which stands for the superficial musculoaponeurotic system. There are different varieties of ways to manipulate the SMAS, one of which is the deep plane technique, which goes below the SMAS and releases some of the ligaments of the face.

ASPS: Are there patients who are better suited for a deep plane facelift procedure than a traditional facelift? Vice versa?

Dr. Antell: It depends on the patient's individual anatomy, and that can't be described based on a photo alone. I need to be able to meet the patient and feel the areas. This is because the textures of people's faces differ. Some people have a more silk-like texture, while others may not, and that may change the way I design the facelift for that particular patient.

ASPS: What is the recovery process like for a deep plane facelift? Is there anything that patients should be aware of ahead of time?

Dr. Antell: The recovery process is very similar for each of the facelift techniques. Typically, people are back on an airplane within 10 days if they are from out of town or out of the country. Having treated patients from all over the world, I can tell you that happens quite often!

ASPS: Do you have any advice or tips for patients who are interested in pursuing a facelift and considering a deep plane facelift?

Dr. Antell: The biggest thing is for the patient to do their research! When going for the consultation with the surgeon, make sure to ask to see before and after results from the doctor and make sure that you click with the office because that is who you will be dealing with for the entire procedure. I take great honor in the team I have at my office as they truly help that place run and make sure our patients get the best experience.

ASPS: Do you have any additional insights around this topic that you would like to share?

Dr. Antell: At the end of the day, do your homework and make sure that all of your questions are answered!

To find a qualified plastic surgeon for any cosmetic or reconstructive procedure, consult a member of the American Society of Plastic Surgeons. All ASPS members are board certified by the American Board of Plastic Surgery, have completed an accredited plastic surgery training program, practice in accredited facilities and follow strict standards of safety and ethics. Find an ASPS member in your area.