Are you thinking about a deep plane facelift? This is one option you can consider if you want natural-looking results. It’s always a good idea to be informed of the risks and the factors (such as surgeon expertise) that can reduce those risks.
Every surgical procedure carries some level of risk. A deep plane facelift works below the surface. It lifts the deeper tissues, reshapes the lower face, and softens years of aging. But it’s not a simple procedure. It’s more involved than a mini facelift and more advanced than a SMAS lift.
You may have come across words like nerve damage, hematoma, or skin loss. They sound serious, because they are. And you’ve likely wondered, “Could this happen to me?”
This guide will show you the risks of a deep plane facelift, its alternatives, and how to make smarter choices before you go into surgery.
Potential Post-Op Deep Plane Facelift Complications
Even the best facelift procedure comes with some risk of complications. A deep plane facelift lifts the soft tissue beneath the surface. That’s how it reshapes your jawline, lower face, and mid-face. The results last longer and look more natural.
But the surgical technique is complex. Healing isn’t always smooth, and knowing what to expect helps.
You ask better questions when you understand what’s normal and what isn’t. You notice small things early, and you know when it’s time to call your surgeon. Here are a few potential complications to be aware of:
1. Scarring
Any facelift surgery involves incision, and any incision may leave a scar. But that doesn’t mean every scar is cause for concern.
With a deep plane facelift, scars are usually hidden along the hairline, behind the ears, or under the chin. When done by an experienced facelift surgeon, these lines fade nicely over time.
The soft tissue around the incisions heals slowly but steadily, especially if you avoid smoking, take the right supplements (as advised), and follow post-operative care instructions.
If you’re prone to thick scars or keloids, mention it early in your consultation. A board-certified plastic surgeon can help you manage expectations and walk you through your healing timeline.
2. Facial Nerve Damage
Possible nerve damage is one of the risk factors that raises the most fear, but the risk is very low when you’re in the hands of a qualified surgeon.
This risk exists because a delicate network of nerves controls your facial muscles. If one is stretched or injured during plastic surgery, it can affect how your face moves or feels.
In most cases, nerve injury is temporary. You may feel tingling, numbness, or slight asymmetry in the early weeks. That’s part of the healing process. If symptoms last beyond your recovery time, speak with your surgeon right away.
An experienced surgeon will use techniques to avoid deep cuts near the main nerve branches, especially when repositioning the deeper tissues.
Choosing someone with years of experience in the deep plane facelift technique greatly lowers the risk of permanent facial nerve injury.
3. Hematomas
A hematoma is a buildup of blood under the skin. It usually happens within the first 48 hours after cosmetic surgery. You might notice sudden swelling, pain, or a change in skin color near the incisions.
While common in facelift patients, large hematomas need quick treatment. Left untreated, they can delay healing or even lead to more serious problems like skin necrosis.
This is why post-operative care matters. You’ll likely have a follow-up within a day or two of your deep plane facelift procedure. Use that time to flag anything that feels off, no matter how small. It’s better to catch it early.
4. Skin Loss (Necrosis)
Skin loss happens when blood flow is disrupted in the operated area. This is rare, but when it occurs, it’s usually linked to smoking, poor health, or extreme tension around the sutures.
The good news is that most cases are minor and heal on their own with proper care. However, in more severe cases, the affected area may need more treatment or correction later.
An experienced, board-certified plastic surgeon knows how to protect the facial skin during surgery and avoid putting too much pressure on one area.
You can reduce your own risk by avoiding nicotine, following pre-op instructions, and reporting any unusual signs during recovery.
Alternative Procedures to Deep Plane Facelifts
You might want a refreshed jawline or smoother mid-face, but feel unsure about deep plane facelift surgery. That’s okay. Other facelift techniques may suit your goals with less complexity and risk.
| SMAS Facelift | The SMAS facelift targets the superficial musculoaponeurotic system, just under the surface of your facial skin. It lifts sagging areas in the lower face and neck, especially around the jowls. This facelift procedure avoids deep repositioning of facial muscles, which may lower the risk of nerve injury or asymmetry. Recovery time is often shorter, and results still look natural. It’s a good middle ground between subtle and dramatic. |
| Mini Facelift | A mini facelift is a lighter version of a full facelift surgery. It involves shorter incisions, fewer sutures, and less repositioning. This type of facelift works best for early signs of facial aging around the jawline and lower face. A mini facelift may be worth considering if you want to stay ahead of sagging skin without a long post-operative recovery. It won’t address deeper tissues or the mid-face as fully, but it comes with fewer potential complications. |
| Neck Lift and Brow Lift Combinations | Sometimes, a full facial rejuvenation doesn’t require a deep plane technique. You can combine a neck lift with other procedures for more balanced results. These targeted options can smooth creases, lift soft tissue, and restore definition, without going deep into the facial muscles.Your facelift surgeon may recommend these alternatives if your concerns are more isolated or if you’re looking to avoid increased risk. |
| Working With a Board-Certified Plastic Surgeon | A board-certified plastic surgeon knows the difference between technique and outcome. They explain each surgical technique and match your goals with the right approach. That way, you get results that feel safe, subtle, and tailored to your face, not someone else’s. |
Schedule a Facelift Consultation With Dr Calvert
You’ve taken the time to understand the potential risks. You’ve seen how each type of facelift technique works. Now comes the part that matters most: choosing the right surgeon.
Dr. Jay Calvert is a board-certified plastic surgeon with deep expertise in advanced facelift procedures, including the deep plane facelift technique. He understands the science and art of facial rejuvenation.If you’re ready to explore your options and talk through what’s right for your face, book a consultation with Dr. Calvert today.