Facial aging changes everything. Skin loosens, deep creases form, and the jawline loses definition. A facelift can reverse these effects, but not all techniques work the same way. Some tighten only the skin. Others go deeper for longer-lasting, natural results.
The right approach depends on your goals. Do you want subtle changes or a dramatic lift? Are you focused on the midface, lower face, or both? Different techniques target different areas. Choosing the right one means understanding how each works and what results to expect.
In this guide, you’ll learn how facelifts reshape the face, how techniques differ, and what to expect from facial plastic surgery and recovery.
What Is a Deep Plane Facelift?
Aging affects the face from the inside out. Skin loses elasticity, fat pads shift, and retaining ligaments weaken. Over time, jowls form, nasolabial folds deepen, and the jawline softens. A deep plane facelift corrects these changes by lifting deeper layers, not just tightening the skin.
This facelift technique works beneath the SMAS layer. While a traditional facelift pulls the excess skin tight, a deep plane facelift lifts facial muscles, soft tissue, and fat pads in one movement. This restores lost volume, smooths creases, and creates natural-looking results.
The surgical procedure starts with small incisions near the hairline and ears. A board-certified plastic surgeon frees the fascia and adjusts deeper structures, including the zygomatic ligaments in the midface. This allows for a stronger lift in the lower face, jawline, and neck skin. The result lasts longer than surface-level lifts.
This technique releases retaining ligaments, allowing facial tissues to move naturally. The lift is more effective and avoids a tight, overdone look. It also preserves blood flow, which speeds healing and lowers risks.
Deep Plane Facelift vs. SMAS Facelift: Key Differences
A facelift smooths jowls, lifts the midface, and defines the jawline. However not all surgical techniques work the same. The SMAS facelift and deep plane technique are two of the most advanced options. Both target deeper layers than a traditional facelift, but they work differently. Here are the key differences.
Technique
An SMAS facelift tightens the superficial musculoaponeurotic systems (SMAS layer). A plastic surgeon lifts this layer with sutures, repositioning facial tissues to restore a youthful appearance.
A deep plane facelift procedure goes deeper. It releases retaining ligaments, allowing the facial muscles, fat pads, and soft tissue to move as one. This lifts the lower face, smooths nasolabial folds, and restores volume in the midface.
Longevity & Results
Both techniques offer long-term results, but the deep plane facelift surgery lasts longer. Since it lifts facial skin and deeper structures together, it resists gravity better. It lasts 10 to 15 years, while a SMAS facelift lasts 7 to 10 years.
A SMAS facelift is best for mild to moderate facial aging. The deep plane technique works better for significant sagging in the jawline, midface, and neck skin.
Recovery & Downtime
The deep plane technique requires more dissection, so recovery time is slightly longer. Most return to regular activities in two to three weeks. A SMAS facelift takes one to two weeks. Swelling and bruising occur with both. The deep plane method may cause more swelling at first due to deeper adjustments.
Choosing the Right Procedure
A SMAS facelift works well for a subtle lift. The deep plane facelift technique is better for longer-lasting results and a more dramatic lift. A board-certified facial plastic surgeon will assess skin laxity, age, and goals to determine the best choice.
Both improve facial rejuvenation. For full cosmetic surgery results, both can be combined with a brow lift, neck lift, or blepharoplasty. The best choice depends on how much lift you need and how long you want it to last.
Recovery and Aftercare: What to Expect
Healing takes time. Swelling, bruising, and tightness are normal after a deep plane facelift. The first week is the most challenging. The facial tissues adjust, and the soft tissue settles into place. Keeping your head elevated helps reduce swelling. Ice packs offer relief but should be used with care to avoid affecting nerve sensitivity.
The First Week: Managing Swelling and Discomfort
The initial days require patience. Swelling peaks around day three before gradually subsiding. Bruising may appear around the jawline, midface, and neck skin, but it fades within two weeks.
Mild discomfort is common, but prescribed pain medication or over-the-counter options help manage it. General anesthesia may leave you feeling groggy for the first 24 hours. Rest is key.
Two to Three Weeks: Returning to Daily Life
Most patients return to light activities in two to three weeks. Sutures are usually removed within five to seven days, but incisions take longer to heal fully. Expect some numbness or tingling in treated areas as facial nerves recover.
The skin may feel tight at first, but this sensation improves with time. Strenuous activity, including exercise, should be avoided for at least six weeks to prevent unnecessary strain on facial muscles and retaining ligaments.
Three to Six Months: Seeing Full Results
Healing continues long after the initial recovery phase. By month three, swelling is minimal. The nasolabial folds soften, and the jowls lift. Skin texture improves as fat pads settle into their new position.
By six months, the facelift procedure reveals its full effect. The face looks natural, lifted, and refreshed.
Maintaining Long-Term Results
Longevity depends on skin laxity, lifestyle, and proper aftercare. Protecting your skin from sun exposure prevents premature aging. Fillers and fat grafting add volume.
A brow lift or blepharoplasty refines the look. These cosmetic procedures help maintain and extend facelift results. Keeping skin hydrated and using medical-grade skincare keeps it firm.
Follow-up visits with a board-certified facial plastic surgeon track healing. Avoid strenuous activity, wear sunscreen, and stay hydrated. These steps keep your results looking fresh for years.
Get a Deep Plane Face Lift Consultation Today
A deep plane facelift is for those who want lasting change. It lifts facial muscles, smooths nasolabial folds, and reshapes the jawline. The results look natural and last longer than other facelift techniques. If you’re considering a change, the next step is simple.A consultation with a board-certified facial plastic surgeon gives you answers. Learn what works for your face, your skin, and your goals. See if a deep plane facelift surgery is right for you. Book your consultation with Dr. Calvert’s Office.