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A deep plane facelift is a surgical technique that lifts and repositions tissue beneath the skin to address sagging in the face and jawline. The surgeon works below the superficial musculoaponeurotic system, or SMAS, and releases selected facial ligaments. This allows deeper tissue to move into a new position without relying on skin tension alone. The exact approach depends on facial anatomy and the planned result.
read more about deep plane facelift ...A deep plane facelift may be considered for sagging cheeks, jowls, or changes along the jawline. A surgeon examines the skin and deeper facial tissue before recommending a technique. The operation does not stop aging or treat every concern about skin texture. Other procedures may be discussed if the neck or eyelids also need attention.
The surgeon places incisions around the ears and, depending on the plan, along the hairline. Beneath the skin, the surgeon releases selected retaining ligaments and repositions deeper facial tissue. Excess skin is then adjusted, and the incisions are closed. The extent of surgery and the type of anesthesia vary by patient.
Swelling, bruising, and tightness are expected during early recovery. Dressings or drains may be used, and the surgeon provides instructions for wound care and activity. The time needed to return to work or social activities depends on the extent of surgery and individual healing. Swelling can continue to settle after the initial recovery period.
Facelift risks include bleeding, infection, poor wound healing, and noticeable scarring. A collection of blood beneath the skin, called a hematoma, may require treatment. Facial nerve injury can cause weakness, although it is uncommon. The surgeon should discuss these risks alongside the planned technique and the patient's health history.
It releases selected facial ligaments and repositions tissue below the SMAS layer. Other facelift techniques handle that deeper layer in different ways.
Not automatically. A surgeon may include neck work when it is part of the agreed surgical plan.
Yes. Incisions leave scars, which surgeons generally place around the ears or hairline to make them less noticeable.
The surgery repositions tissue, but facial aging continues. Weight changes and other personal factors can also affect the appearance over time.
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Face-lift. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/face-lift/about/pac-20394059. Date Accessed September 30, 2026.
Modern approaches to the traditional facelift. American Society of Plastic Surgeons. https://www.plasticsurgery.org/news/blog/modern-approaches-to-the-traditional-facelift. Date Accessed September 30, 2026.
The innovative techniques of the deep plane facelift. American Society of Plastic Surgeons. https://www.plasticsurgery.org/news/articles/the-innovative-techniques-of-the-deep-plane-facelift. Date Accessed September 30, 2026.