Why I’m Performing More Deep Plane Facelifts- Dr. Jabs
Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.
Posted on May 5, 2025 under Deep Plane Facelift
Deep plane facelifts have gained significant popularity in the aesthetic surgery world, and for good reason. Initially popularized in Texas, this advanced technique offers unique benefits over traditional facelift methods, especially for patients seeking natural-looking, long-lasting rejuvenation. In my practice, I’ve increasingly turned to the deep plane facelift to address the limitations I’ve encountered with older techniques.
What Is a Deep Plane Facelift?
A deep plane facelift involves carefully separating the layer beneath the skin, known as the SMAS (Superficial Musculoaponeurotic System), from the underlying facial nerves and muscles while keeping the skin attached to the SMAS. This method allows for more effective repositioning of the deeper facial structures without excessive pulling on the skin’s surface.
Because this approach requires a deep understanding of facial anatomy and is more complex, it is essential that an experienced surgeon performs it. It results in a more youthful appearance with fewer skin creases.
Traditional SMAS Plication vs. Deep Plane Facelift
The more conventional approach, SMAS plication, involves lifting the skin above the SMAS and then tightening the SMAS layer by folding and suturing it. While this method is generally considered safe, it often requires more extensive skin elevation, which can:
- Increase the risk of hematoma (blood pooling beneath the skin)
- Lead to unnatural creasing, especially in patients with sun-damaged skin
- Limit how much rejuvenation can be achieved in certain areas
Over time, I’ve noticed that the results from SMAS plication can be unpredictable. While some patients maintain excellent outcomes for years, others experience sagging or an unnatural appearance as they age—even though the same technique was used.
Why I’m Choosing the Deep Plane Approach
My goal is to provide lasting, natural-looking facial rejuvenation. In recent years, many of my returning facelift patients have sought a secondary procedure to refresh their look. I’ve increasingly turned to the deep plane technique for these cases, and the results have exceeded my expectations. Here’s why:
Superior Correction of Jowls and Neck Laxity
By lifting the deeper tissue rather than just the skin, I can more effectively restore youthful contours around the jawline and mouth.
Improved Facial Harmony
The technique allows for upward and backward repositioning of the lateral facial tissue, restoring it to its natural position in youth.
Release of Facial Retaining Ligaments
This allows for a complete lift without causing skin distortion or harsh lines, which isn’t addressed in traditional SMAS techniques.
Minimal Complications
In my experience, this approach has not resulted in nerve injuries or hematomas, making it a safe and predictable option in the right hands.
Why Choose a Deep Plane Facelift?
The deep plane facelift takes more time and precision, but the results speak for themselves. I believe it’s the most anatomically sound method for restoring a youthful facial structure, especially for patients experiencing sagging in the lower face and neck.
If you’re considering facial rejuvenation and want to understand whether a deep plane facelift is right for you, I’d be happy to discuss your goals and create a plan tailored to your anatomy and aging pattern.
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