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Deep Plane Facelift
Plastic Surgery and Medspa Practice Serving Maryland, Washington DC & Virginia

It’s important to understand that the type of facelift you choose affects the outcome. Plastic surgeons are always striving to improve the appearance and longevity of the procedures they perform. The Extended Deep Plane Lift is one of the latest approaches to facial rejuvenation and has both theoretical and real advantages over other approaches.

Facelift procedures can basically be categorized on how the skin and deep structures are approached. We are striving for the safest way to provide natural, long lasting results that tighten the skin, decrease jowls, lift the mid face and improve the contour of the neck.

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Recovery:

10-14 Days

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Cost:

Starts at $36K+

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Results:

3-6 Months

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Benefits of a Facelift

  • Lifts sagging face and neck
  • Smooths deep lines and folds
  • Restores youthful facial contours
  • Reduces jowls and loose skin
  • Outperforms lasers and injectables

A deep plane facelift is a highly advanced technique that provides natural-looking, long-lasting facial rejuvenation by addressing sagging skin and deep structural support. This procedure offers transformative results with a more youthful, refreshed appearance.

The most basic form of lifting addresses only the skin. This has the advantage of a rather quick recovery but the results do not last. Facial skin has often been exposed to the sun for years and has lost some of it’s elasticity. When trying to effect change in the lower face the appearance of being pulled may result.

Other techniques address deeper structures (SMAS) after the skin is elevated by either plication (folding) and suturing or by excision of a small area of SMAS tissue with limited undermining and suturing. This has the advantage of pulling the deeper tissue tighter but does not significantly address the mid-face and does not release the ligaments that the tissues may sag around.

Understanding the Procedure

A “Deep Plane” lift does not rely on the skin or folding of the SMAS but rather goes beneath the SMAS, the “deep plane”, releases the adherent ligaments in both the mid face and neck and allows for them to be tightened as a unit as needed, all with limited skin undermining. This technique is further enhanced by carrying the deep plane undermining all the way to the jowls and nasolabial folds as well as the neck a.k.a. an extended deep plane lift. Many feel that this type of lift offers a longer lasting result.

The neck is approached from a small incision under the chin. A thin layer of fat is left on the elevated skin to give a more natural appearance. The deep structures are contoured by removing deep fat, bulging glands and muscle as necessary beneath the muscle layer, followed by tightening of any lax muscle.

Am I a Candidate?

You may be a great candidate for a facelift if you’re noticing any of the following:

  • Deep creases or folds between the nose and mouth (nasolabial folds) that don’t smooth out with fillers
  • Loss of youthful volume in the mid-face, giving a tired or hollow appearance
  • Jowls or a less defined jawline that’s disrupting your facial contour
  • Loose, excess skin or vertical banding along the neck (sometimes called “turkey neck”)
  • You want long-lasting, natural-looking rejuvenation that goes beyond what non-surgical treatments can offer

In addition to cosmetic concerns, ideal facelift candidates should also meet certain health criteria to ensure a safe and successful procedure:

  • You’re in overall good physical health with no unmanaged chronic conditions
  • You don’t smoke or are willing to quit several weeks before and after surgery
  • You maintain a stable weight and a healthy lifestyle

Plastic Surgery Safety

Questions of safety have been raised since the deep plane is directly over and often exposes the nerves to the muscles of the face. Studies have shown no difference in nerve injury with this technique compared to plication/excision techniques. An experienced surgeon with intimate anatomical knowledge of the face is paramount. Dr. Magge and Dr. Jabs have a wealth of surgical experience in this area. This is one of many reasons why choosing a board certified plastic surgeon to perform your surgery is so important.

Surgery Recovery Expectations

Recovery is similar to a more conventional lift and no drain is required. The sutures dissolve over time. You should be able to be in public within two weeks with minimal to no bruising.

The procedure is performed in our certified office OR under twilight anesthesia which allows for less post operative nausea. General anesthesia is not required although it is available on request.

Free Consultation in Bethesda, Maryland

To learn more or to schedule a free consultation please contact our office by phone or filling out our online contact form.

Facelift FAQs

Does a facelift make you look younger?

Yes, a facelift will take years off of your face by tightening the deeper supporting layer of the face and removing excess skin as well. The areas that will be most targeted during a facelift are the jowls and neck.

How can I tighten loose skin on my face?

A Facelift, aka an S-lift will tighten the loose skin on the face by tightening the deep SMAS layer of the face. The skin is redraped, and the excess skin is then trimmed.

How do I get rid of my double chins?

There are several options for treating double chins. Kybella is a non invasive option but requires multiple treatments and is not effective for treating loose skin. Liposuction is effective when there is excess fat, and the skin quality is good without loose skin. When there is mild skin laxity, and extra fat, liposuction with Renuvion skin tightening would be an option, and when there is more skin laxity present then a facelift/ neck lift would be best in combination with neck liposuction.

How do I prepare for a facelift?

Prior to a facelift surgery, smoking is an absolute contraindication. Any smokers should have abstained (including vaping) for at least 6 weeks prior. Eating healthy, and having medical problems such as high blood pressure and diabetes under good control are also essential. At the preop visit, our staff will go over medications and foods to avoid in the two weeks leading up to surgery.

How do I reduce swelling in my face?

Head elevation is the best and most common way to reduce swelling after a facelift.

How do you reduce swelling after a facelift?

Head elevation is the best and most common way to reduce swelling after a facelift.

How long after a facelift can I exercise?

You can do light excercise one week after a facelift and progress to full activity at 2-3 weeks.

How long does it take for bruising on the face to go away?

Bruising after a facelift procedure should be gone 1 to 2 weeks after the procedure.

How long is recovery from a facelift?

Most often patients can return to work 1 to 2 weeks after a facelift procedure.

How painful is a facelift?

A facelift is tender the first 1 to 2 days after surgery.

Is a facelift permanent?

No. A facelift is not permanent. Often a facelift procedure will last 12 to 14 years. However, even though the skin can loosen, it may not ever get as bad as it was before the facelift.

What is a mid face lift?

A mid-face lift will lift sagging or atrophic cheeks.

What is best age for facelift?

On average, facelift patients are in the age group of 35 to 65 and most surgeons do not recommend the procedure for those below the age of 35. The optimal age for undergoing a facelift is 45 to 50, but it depends on how you feel about yourself and the aging signs you are experiencing. The goal of the procedure is to maintain your natural face, and it is advantageous to address the aging signs sooner for the results to be better. Facial aging can differ in people of the same age due to genetics, lifestyle choices and environmental factors. Older patients, those at 60 or older, have significant aging and the results will be quite noticeable, which may not always be desired. It is then perhaps safer to say that the best age to get a facelift varies, depending on your facial aging and aesthetic goals as well.

What is the difference between a deep plane and SMAS facelift?

A deep plane facelift lifts the tissues off of the bone and a SMAS facelift lift the tissue attached to the muscles. The recovery is much longer with a deep plane lift due to swelling and offers no advantage to a SMAS lift.

When should you get a facelift?

When you dont like sagging areas of your face and your plastic surgeon agrees that you are a good candidate for the procedure.

Does a Facelift Require General Anesthesia?

Most patients considering a facelift want to know if they will require general anesthesia. Usually, you do not have to get general anesthesia. When you undergo a neck lift or lower facelift, your surgeon will give you an IV sedation, also known as twilight sedation. The level of sedation is much lesser than the general anesthesia and incidences of feeling tired or nausea are less too. However, during your consultation, your surgeon will help determine the best anesthesia for you. If you have chronic back or neck pain, other medical issues or if you are undergoing multiple procedures at the same time, general anesthesia might be in your best interests.

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Top-Rated Doctors

Keshav Magge, MD, FACS

Keshav Magge, MD, FACS

Board-Certified Plastic Surgeon

Honored as a Top Doctor by Bethesda Magazine and Washingtonian in both 2024 and 2025, Dr. Magge is recognized for his exceptional surgical skill, artistic precision, and patient-centered approach. A leading plastic surgeon in Bethesda, Maryland, he completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Children’s National Medical Center in Washington, D.C., where he gained advanced expertise in facial rejuvenation and aesthetic surgery innovations.

Meet Dr. Magge
A. Dean Jabs, MD, PhD, FACS

A. Dean Jabs, MD, PhD, FACS

Board-Certified Plastic Surgeon

Dr. Jabs is an award-winning, board-certified plastic surgeon recognized nationally for his expertise in creating natural-looking results and his warm, compassionate approach to patient care. Trained in NY at Columbia University, he served in the US Army and has special expertise in facial rejuvenation. He has over 35 years of experience and has consistently been voted a top plastic surgeon by Washingtonian and Bethesda magazine.

 

Meet Dr. Jabs
Franklin D. Richards, MD, FACS

Franklin D. Richards, MD, FACS

Board-Certified Plastic Surgeon

Dr. Richards has been recognized as a Top Doctor by several prestigious organizations, including Castle Connolly, Consumers’ Research Council of America, and Washingtonian magazine. A leading plastic surgeon in Bethesda, Maryland, Dr. Richards is the past Chief of Plastic Surgery at Johns Hopkins Suburban Hospital. His expertise is in achieving natural results in facelift and eyelid surgery, with additional interests in cosmetic surgery of the breast and abdomen.

Meet Dr. Richards

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Eyelid surgery, or blepharoplasty, addresses sagging upper eyelids and heavy under-eye bags. Upper and lower eyelid surgery can be performed separately or together to turn back the clock on aging and rejuvenate brighter, more alert eyes.

Neck Lift

A neck lift creates a more sculpted and youthful neck by removing loose skin from the neck and jawline, and tightening the vertical bands that may have lost elasticity due to natural aging.

Rhinoplasty

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I had such an amazing overall experience at Cosmetic Surgery Associates. The staff is very pleasant. I had my first invasive cosmetic procedure done back in September, and the final results are amazing. I LOVE IT. I'm so much happier with my body now. HIGHLY RECOMMEND. Prior to my surgery, I had been thinking about this for a while, and I'm so happy I made the decision to go through with it. I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES. HIGHLY HIGHLY RECOMMEND!!

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Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office. The day of my surgery, the staff took amazing care of me and went above and beyond to calm my nerves, talk me through it, and made it such a great experience. I highly recommend this office. I can't thank them enough for all that they did for me!

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My experience there was beyond 5 stars. From taking the appointment to post surgery. Even now after 10 months, the follow ups are outstanding. The whole staff took great care of me and the results are what I expected. Thank you for everything. Don't think twice and use this clinic if you want best in class service and the best result.

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