Unlock Natural Beauty: Deep Plane Facelifts by Dr. Nassif

As we get older, the face inevitably begins to suffer from the ravages of time, as wrinkles develop over once-smooth skin, and skin that used to be tight now hangs and sags. A facelift seeks to counteract these effects, resulting in a younger, brighter appearance for patients of any age. In addition to a traditional facelift in Beverly Hills, top facelift surgeon Dr. Nassif also has the expertise and considerable skill necessary to perform a deep plane lift, which is a variety of facelift that operates on an entirely different level of tissue than the older techniques. Because of the differences in how a deep plane lift is performed, not many doctors are qualified to successfully execute such a procedure. The results can lead to a more natural, vibrant you.

Traditional SMAS Facelifts

The earliest facelifts relied on pulling the skin alone to achieve the desired smoothness – while underlying tissue layers were left untouched, the skin was pulled taut so that it became a smooth, tight surface once more. Unfortunately, this also had the downside of producing a particular look that was quite easy to identify – the surface of the face often appeared overly smooth and plastic, and features were sometimes distorted, resulting in a “done” look that made it readily apparent that the individual had undergone the procedure.

Fortunately, these skin-only facelifts are a thing of the past, and the new normal for a standard facelift is what is known as a SMAS facelift. The SMAS technique is named for the layer of tissue on which it operates: the superficial musculoaponeurotic system, which is a layer of muscle and connective tissue that separates the skin of the face from the underlying nerves and other structures.

Some facelift surgeons describe this as a “muscle lift,” since it relies largely on tightening the muscular layer of the face, rather than just the skin’s surface. However, there is still a third, even deeper option.

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6 Weeks Post-Op Transformation: Facelift, Neck Lift & Lip Lift with Dr. Nassif

6 Weeks Post-Op Transformation: Facelift, Neck Lift & Lip Lift with Dr. Nassif

What Sets the Deep Plane Lift Apart

Despite its numerous positive attributes, the SMAS facelift can also rely partially on skin tightening, which can still lead to that plastic appearance if not performed by a highly skilled facelift surgeon. The reality is that some of the effects of aging occur below the SMAS layer. The deep plane lift, on the other hand, maintains the skin and underlying tissues in alignment with each other, by detaching and repositioning the entire system as a single unit.

While the SMAS relies on the tension of the pulled skin and muscle to produce the results, a deep plane procedure puts no such strain on the skin or muscle, instead simply adjusting the positioning of the facial tissue for a more permanent effect. The results of a deep plane lift are subtler and more natural, allowing younger patients to stave off the effects of aging early on, rather than waiting to correct serious flaws after they have occurred.

This facelift can still be performed on an older patient who is seeking more dramatic results that can offer a refreshed and rejuvenated natural appearance, rather than the tight, “pulled” look associated with the SMAS facelift. During your deep plane facelift, you will be either sedated in a “twilight sleep” state or under general anesthesia for your comfort and safety. The incisions made are similar to those of a SMAS facelift, extending along the hairline and around the ears.

Recovery Period for a Deep Plane Facelift

The name of this procedure can be misleading – the term “deep plane” leads some patients to mistakenly believe that it is somehow a more invasive, major surgery than a traditional facelift, resulting in greater trauma to the face’s tissues and necessitating a longer recovery time. In reality, a deep plane lift allows the skin and muscle to remain attached to the underlying systems, resulting in less trauma than a SMAS facelift that separates the distinct layers of facial tissue, pulling them out of their original alignment.

The recovery period of a few weeks before resuming normal activities is comparable for both procedures, and we would encourage you to make your decision based on the ultimate results, rather than how long it may take to heal. Months or years from now, you won’t be thinking about exactly how many days it took to recover from your procedure, but you will be living with the aesthetic results of it.

As an internationally recognized board certified facial plastic surgeon on the cutting edge of cosmetic innovation, and a top Beverly Hills facelift surgeon, Dr. Paul Nassif is uniquely qualified to perform a deep plane facelift that will produce superior, longer lasting, more natural looking results -- while many surgeons don’t offer this option simply because the technique can be more difficult to master. To schedule your initial consultation with NassifMD Plastic Surgery®, contact us today.

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Deep Plane Facelift FAQ

How long do the results of a deep plane facelift typically last?

Will a deep plane facelift change my natural facial expressions?

Is a deep plane facelift combined with other procedures?

How visible are the scars after a deep plane facelift?

At what age do patients typically consider a deep plane facelift?

How does swelling from a deep plane facelift compare to other facelift techniques?

What makes the deep plane facelift more technically demanding?

How long do the results of a deep plane facelift typically last?

A deep plane facelift is known for producing long-lasting results. Because the underlying facial structures are repositioned rather than relying on skin tension alone, many patients enjoy results that can last 10 to 15 years, depending on genetics, lifestyle, and skin quality.

Will a deep plane facelift change my natural facial expressions?

When performed correctly, a deep plane facelift preserves natural facial movement and expression. The goal is not to alter how you look or emote, but to restore youthful positioning of the tissues so you still look like yourself—just refreshed.

Is a deep plane facelift combined with other procedures?

Yes. A deep plane facelift is frequently combined with procedures such as a neck lift, eyelid surgery, or fat grafting to create balanced, comprehensive facial rejuvenation. Dr. Nassif customizes each surgical plan based on your anatomy and goals.

How visible are the scars after a deep plane facelift?

Incisions are carefully placed along the hairline and around the natural contours of the ear to keep scars as discreet as possible. Over time, these incisions typically fade and become difficult to detect once healing is complete.

At what age do patients typically consider a deep plane facelift?

There is no ideal age for a deep plane facelift. Some patients in their 40s and 50s choose it to address early signs of sagging, while others in their 60s or beyond seek more advanced rejuvenation. Candidacy is based on anatomy and goals rather than age alone.

How does swelling from a deep plane facelift compare to other facelift techniques?

Swelling is expected after any facelift procedure, but many patients find that swelling from a deep plane facelift resolves in a similar timeframe to a SMAS facelift. Because tissue planes remain aligned, some patients experience a smoother recovery overall.

What makes the deep plane facelift more technically demanding?

The deep plane facelift requires advanced surgical skill and a deep understanding of facial anatomy. It involves working beneath the SMAS layer while protecting critical nerves and structures, which is why fewer surgeons are qualified to perform it consistently and safely.

Get The Most From Life

Dr. Paul Nassif understands the importance of feeling confident in your appearance. He works with patients to enhance their natural beauty and allow them to get the most out of life. If you are interested in an appointment with Dr. Nassif, contact our office to schedule your consultation.

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