This procedure can create a more youthful and refreshed appearance, without changing the underlying characteristics of the face, ensuring that a natural appearance is maintained.
A Deep Plane Facelift creates a backward and upward lift – towards the top of the ear – by tightening the SMAS, which is the deeper layer of tissue beneath the skin. It avoids excessive tension on the skin and preserves more blood supply.
The Deep Plane Facelift differs from a traditional facelift. The traditional facelift relies on pulling the skin itself to lift the skin and underlying tissues. While this method has worked well in the past, excess tension on skin closure can lead to stretching of the skin giving the face a pulled appearance and widened scars. The deep plane facelift is a specialised technique in which short skin flaps are elevated and dissection is taken under the deep plane – a layer of fibrous tissue and muscle. This deep plane, which has excellent strength and blood supply, is repositioned and used to provide the strength of the lift. This reduces the tension on the skin closure and more effectively elevates the soft tissues of the midface, leading to a more natural appearance after surgery.
The incision is hidden inside the hairline and in the crease in front of the ear. The incision is started in the temple, in the sideburn hair, extending to just above and in front of the ear, continuing around the earlobe and behind the ear. A short incision may be made in a natural crease underneath the chin if access is required to this part of the neck.
Small incisions are placed in very inconspicuous places, generally the natural creases of the skin. These normally heal as thin thread-like lines and are well camouflaged.
Facelift surgery will not rejuvenate the eyes or brows, nor will it significantly improve the quality of the skin itself. Thus procedures such as a browlift, blepharoplasty (eyelid surgery), and/or skin treatments may be necessary to achieve the maximum improvement.
Understanding the procedure:
After you are prepared and anesthetised, the surgeon will mark your face to indicate incision placement and then proceed to make those incisions. Working through these he will tighten and lift muscles, remove excess skin, remove and/or redistribute and sculpt fat to restore lost volume/fullness, redrape the skin and close the incisions. The tension is put on the deep plane to avoid a pulled experience on the skin.