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Deep Plane Facelift

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

When you’re dealing with deep lines and wrinkles, sagging skin, and jowls, it can be difficult to know what will help address all your concerns. That’s where the deep plane facelift comes in. This type of facelift lifts and changes the deep layers of the skin.

What is a Deep Plane Facelift?

As the name suggests, a deep plane facelift makes changes to the deep tissues in the face. Compared to a SMAS (Superficial Musculo Aponeurotic System) facelift which treats the skin on the face and the SMAS as two separate units, the deep plane facelift lifts and treats the skin as one complete unit.

The deep plane facelift repositions the tissues below the SMAS and releases certain ligaments to tighten and remodel the tissues. With the procedure, the surgeon can lift the tissues more thoroughly without stretching and pulling the skin, giving it a natural-looking appearance.

Who is A Good Candidate for A Deep Plane Facelift?

The ideal candidate for a deep plane facelift is anyone in generally good health with no serious medical conditions who is a nonsmoker and is struggling with facial or neck skin laxity issues, a double chin, a poorly defined jaw, and/or sunken cheeks or loss of volume. You should also have realistic expectations about what this surgery can achieve.


To prepare for a deep plane facelift, you’ll first want to have a consultation with a board-certified plastic surgeon. During the consultation, you can talk one-on-one with your doctor about the results you’re looking for and any questions and concerns you might have. Make sure to also let them know about any medical conditions you have and what medications you’re taking. They will let you know what you need to do before surgery.

Some of the ways you can prepare for surgery include:

  • If you are a smoker, you’ll want to quit smoking at least a month before your procedure. This will ensure your body can properly heal after surgery.
  • A month before surgery, you’ll also want to start a healthy diet of fruits, vegetables, healthy fats, and lean protein.
  • Before your surgery day, you’ll also want to schedule someone to take you to and from the procedure and plan for someone to stay home with you the first few days after the surgery.
  • Make sure to also take time off work. You will likely need two weeks
  • One week before the surgery, you’ll want to stop taking any blood thinners you’re on, fill any prescriptions you’ll need, and stock up on gauze and ice packs.
  • The night before, don’t eat or drink anything and try to get as much sleep as you can.

What Happens During A Deep Plane Facelift?

On the day of surgery, you will be put under IV sedation and then incisions will be made in the hairline and around the ear. These incisions are made to help your surgeon tighten and secure the layers of the connective tissues and the underlying muscles beneath the skin. The ligaments will be also released in order to lift and rejuvenate the skin and reposition the muscles and tissues. Then the incisions will be closed and you can start your road to recovery.

Recovery and Results

During the first few days of recovery, you’ll want to rest and relax. You’ll also want to take any prescribed pain medication your surgeon provides.

As for sleep, you will need to sleep on your back with your head elevated at a 45-60 degree angle. You can shower and wash your hair two days into your recovery.

After 4-5 days, your swelling will likely start to go down and your bruising will start to improve.

During the first two weeks of your recovery, you’ll also want to move around a bit to promote circulation and healing. Once two weeks pass, you will begin to really start feeling better and be able to do some light work.

The results of a deep plane facelift last a long time, providing results for 10-15 years.

Schedule A Consultation

Are you struggling with skin that’s lost its elasticity, “jowling,” or a poorly defined jawline? A deep plane facelift may be exactly the treatment you’re looking for. At Cosmetic Surgery Associates, Dr. Richards, Dr. Magge, or Dr. Jabs will examine your face and determine the best treatment for you.

To schedule a consultation today, call our Bethesda, MD office at (301) 493-4334 or use our online scheduling form.

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Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers