The deep-plane facelift is an advanced surgical technique in facial aesthetics that provides natural and long-lasting results. This method not only targets the skin surface but also the deeper tissues of the face, particularly the anatomical structure known as the superficial musculo-aponeurotic system (SMAS). By lifting and reshaping the SMAS, it effectively corrects sagging in the cheeks and along the jawline. Unlike traditional methods, this technique repositions the facial contours more vertically and naturally, enhancing the rejuvenation effect. Offering patients a more permanent and aesthetic appearance, this procedure should be carefully planned and performed by an experienced surgeon.
By repositioning the deep facial tissues (SMAS layer), achieve a younger, more natural, and long-lasting facial appearance.
Indications
Noticeable facial sagging, volume loss in the cheeks, pronounced aging effects along the jawline, deepening of nasolabial folds.
Surgical Method
To access the deeper facial tissues, the SMAS layer under the skin is released and lifted upward, creating a natural rejuvenation. This approach is more comprehensive than classic facelifts that only tighten the skin.
Type of Anesthesia
General anesthesia.
Duration of Surgery
4-6 hours, depending on the scope of the procedure.
Recovery Period
Mild swelling and bruising may occur in the first 2-3 weeks; full recovery takes about 6-12 weeks.
Protect the face from trauma, sleep with the head elevated, avoid heavy activities, attend regular check-ups, apply cold compresses to reduce swelling.
What is a Deep-Plane Facelift?
The development of deep-plane facelift techniques represents turning points in modern facial aesthetic surgery. Initially introduced in 1968 by Tord Skoog with subfascial dissection, facelift procedures moved beyond mere skin tightening. This technique focused on lifting and repositioning deeper facial structures, aiming for more natural and long-lasting results.
In 1976, Mitz and Peyronie defined the Superficial Musculoaponeurotic System (SMAS), revealing one of the cornerstones of facial lifting surgery. This anatomical discovery enabled surgeons to better understand the deeper facial tissues and develop interventions targeting these layers.
In 1990, Dr. Sam T. Hamra developed the method known as deep-plane rhytidectomy. This method, using a musculocutaneous flap that includes skin, subcutaneous fat, and the platysma muscle, aimed to specifically address laxity in the nasolabial folds. By reshaping the deeper tissues, a longer-lasting and more natural rejuvenation effect was achieved.
In subsequent years, the technique was expanded to include the orbicularis oculi muscle, allowing for harmonious rejuvenation of the periorbital area. The evolution of composite facelift methods, supported by anatomical knowledge and surgical innovation, increased patient satisfaction and made it one of the most effective techniques in modern facial aesthetics.
Who is a Candidate for a Deep-Plane Facelift?
A deep-plane facelift is an ideal option for individuals showing the pronounced effects of facial aging. It is particularly effective in cases where there is sagging beneath the jawline, more pronounced nasolabial folds, and mid-face descent. This procedure not only addresses superficial skin laxity but also corrects the malposition of deeper tissues, resulting in a more natural and longer-lasting rejuvenation. Ideal candidates are those in good general health, non-smokers, and with realistic expectations of surgical outcomes. Good skin elasticity and a strong bone structure are also important factors that enhance the success of the procedure. However, for some patients with underlying medical conditions or those preferring less invasive options, this method may not be suitable. Therefore, a detailed assessment based on individual needs and expectations is essential to achieve the best results.
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While a deep-plane facelift can yield effective results in facial aesthetics, it is not suitable for every patient. Contraindications are based on factors that may affect the patient’s overall health, complicate the healing process, or negatively influence surgical outcomes.
Absolute contraindications include serious medical conditions. Chronic ailments such as uncontrolled hypertension, diabetes, and cardiovascular diseases significantly increase surgical risks. Additionally, connective tissue disorders or immunodeficiency states, which adversely affect wound healing, make the procedure unfeasible. Patients with psychiatric conditions, particularly body dysmorphic disorder or unrealistic expectations, may not be satisfied with the surgery, complicating the procedure further.
Relative contraindications include smoking, a significant risk factor. Smoking negatively affects blood flow to subcutaneous tissues, leading to complications such as infection or tissue necrosis. Smokers are advised to quit smoking before the surgery. Also, patients taking blood-thinning medications should discontinue them at least one week prior to the operation to reduce bleeding risks.
How is a Deep-Plane Facelift Performed?
The deep-plane facelift is one of the most advanced techniques in aesthetic surgery, aiming to restore a youthful and natural appearance by targeting the subdermal structures. The procedure is usually performed under general anesthesia, but depending on the patient’s health and the scope of the surgery, a combination of deep intravenous sedation and local anesthesia may also be chosen.
During the surgery, incisions are strategically placed, starting from the hairline, continuing down from the temples, passing in front of the ear, and extending behind the ear along the hairline. This careful placement ensures that scars are concealed within natural skin folds and hairlines. Through these incisions, the surgeon carefully lifts the skin layer to expose the deep tissue known as the superficial musculo-aponeurotic system (SMAS).
The SMAS layer is meticulously dissected and repositioned to correct the signs of aging in the face. This step is critical for softening nasolabial folds, defining the jawline, and lifting the mid-face area. Excess skin is carefully trimmed and reshaped without creating unnecessary tension.
Once the procedure is complete, sutures are placed with aesthetic precision, and drains may be inserted if necessary to prevent fluid accumulation. These drains are usually removed within one or two days. By preserving anatomical structures, a deep-plane facelift maintains the natural aesthetic integrity and youthful appearance of the face.
What Are the Side Effects of a Deep-Plane Facelift?
Although a deep-plane facelift provides effective results in aesthetic surgery, like any surgical procedure it carries some risks and side effects. The most common post-operative side effects include swelling, bruising, a feeling of tightness in the surgical area, and temporary numbness. These symptoms are usually mild and resolve spontaneously within a few weeks. In rare cases, serious complications such as hematoma formation may occur, requiring surgical intervention. Infections can be effectively treated with antibiotics.
Facial nerve damage is a significant risk associated with a deep-plane facelift. Such nerve injuries may cause temporary or permanent facial muscle weakness. However, current research indicates that these injuries generally resolve spontaneously and that the deep-plane approach presents similar nerve injury risks as other SMAS techniques. Additionally, in patients who smoke, more severe complications such as skin flap necrosis may occur, making it extremely important to quit smoking before surgery.
From an aesthetic standpoint, issues such as hypertrophic scar formation, hair loss at incision sites, and earlobe deformities may arise. These effects can largely be prevented with careful surgical technique. Choosing an experienced, specialist surgeon is crucial to achieving optimal results and minimizing complications. A thorough pre-operative briefing is essential before every procedure.
How Successful Is a Deep-Plane Facelift?
The deep-plane facelift is a highly effective surgical method associated with high patient satisfaction and long-lasting results. Scientific studies clearly demonstrate the reliability and efficacy of this technique. For instance, in a study by Kamer and Frankel involving 335 patients, 97% of the patients were satisfied with the results, and the rate of requiring a second revision procedure was only about 3.3%.
In more invasive SMAS techniques, this revision rate can rise to as high as 11.4%. Meta-analyses also support the safety profile of deep-plane facelift procedures; the rate of temporary facial nerve injury is only about 0.69%, which is similar to that of other facelift methods. All these findings indicate that the deep-plane facelift technique is both effective and safe, ensuring long-term patient satisfaction in facial rejuvenation surgery.
How to Prepare for a Deep-Plane Facelift?
Preparing for a deep-plane facelift requires careful planning to ensure both the surgery and the recovery processes proceed smoothly and effectively. This preparation process aims to achieve a successful outcome through collaboration between the surgeon and the patient. The most important steps to consider when preparing for the surgery are as follows:
Before the operation, a comprehensive assessment with the plastic surgeon is conducted to thoroughly examine the facial anatomy. During this consultation, the patient’s aesthetic expectations and medical history are reviewed. Physical examination evaluates skin quality, facial tissues, and problem areas. If necessary, advanced imaging methods are employed to optimize surgical planning. Additional tests by a primary care physician may also be required to assess overall health.
Medications that increase bleeding risk, such as aspirin, anti-inflammatory drugs, and herbal supplements, should be discontinued at least two weeks before the surgery. The surgeon may recommend special medications or topical products to support skin health and prepare the skin prior to the operation.
Smoking seriously impedes the healing process. Therefore, patients should stop smoking four to six weeks before surgery and remain smoke-free for at least four weeks afterward.
A balanced diet rich in fruits, vegetables, and high-quality proteins helps strengthen the immune system and supports healing. Adequate water intake prepares the body for surgery and speeds recovery.
Patients should arrange a support system for assistance with daily tasks during the recovery period. Taking sufficient time to rest after surgery reduces the risk of complications and promotes faster healing.
Adhering to the specific instructions provided by the surgeon increases the success of the operation. These instructions cover fasting periods, skincare routines, and hygiene measures. Completing all preparations prior to surgery ensures that the patient is both physically and psychologically ready for the procedure.
How to Care for Yourself After a Deep-Plane Facelift?
Careful postoperative care following a deep-plane facelift is critical both for achieving the desired aesthetic results and for ensuring a smooth healing process. The primary goals of postoperative care are to support tissue healing, prevent complications, and optimize aesthetic outcomes.
Early Postoperative Care (1-7 Days):
Resting in the first few days helps reduce swelling and bruising. Postoperative head dressings are usually in place, and it is important to maintain these dressings according to the surgeon’s instructions. Elevating the head can help minimize swelling. Pain management involves taking the prescribed medications regularly. Hygiene is crucial for wound care; keeping the incision sites clean and dry reduces infection risk.
Intermediate Postoperative Care (8-14 Days):
From the second week onward, most patients can return to light daily activities. However, heavy lifting, excessive bending, or strenuous exercise that could harm healing tissues should be avoided. Any numbness or tightness felt in the face during this period is normal and will subside with time. Controlled and gradually increased activity supports circulation and contributes to healing.
Long-Term Postoperative Care (3-12 Weeks):
During this period, changes in facial contours become more pronounced. Most of the swelling subsides, and the natural facial contours emerge. Heavy physical activities may be reintroduced at this stage, but only as advised by the surgeon. You can also return to your usual skincare routine, taking care to avoid damaging the healing tissues.
Overall, a healthy diet, adequate fluid intake, avoiding smoking, and protecting your skin from sun exposure all help speed up the healing process. If any unexpected issues arise, you should contact your surgeon without delay. Regular follow-up appointments are essential for monitoring progress and detecting any potential complications early.
How much does a Deep Plane Facelift cost in Turkey?
An average Deep Plane Facelift cost in Turkey is between 6,000€ to 6,500€.
All-Inclusive Deep Plane Facelift packages include;
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Turkey has become a great destination for deep plane facelift and neck lift abroad . It performed more than 553000 aesthetic surgeries in 2023. This has been increasing yearly. India is one of the top ten countries in the world when it comes to facelift. Turkey welcomes more than 1.2 million international patients in its medical tourism sector alone, with many guests being cosmetic surgeries. In view of the considerable number of plastic surgeons in the nation and its high density of cosmetic surgery clinics, it is emphasized that the country is a leader in aesthetic surgery. Additionally, the access and exchange rates of Turkey are also suitable for patients worldwide and offer affordable treatment.
Receiving a deep plane facelift and neck lift in Turkey is considered safe, provided your clinic is accredited and your physician is certified. Turkey has high healthcare standards and most patients are satisfied with their results. In fact, many commend the skills of Turkish surgeons and the quality of care they receive. Being a surgery, it is important to do thorough research and choose an accredited facility and a good surgeon for the safety of the individual. Also, keep in mind that there can be complications when opting for medical treatment abroad. Consulting geographical medical professionals can help.
Having a deep plane facelift and neck lift overseas can be beneficial. Almost 97% of patients are satisfied with the results. Many patients say that after surgery, they appear up to six years younger, with results lasting about 10 years. Countries renowned for clinical tourism like Turkey, Hungary and Poland perform a lot of cosmetic surgeries every year which helps them achieve high success rates. Countries that provide modern facilities with the latest technology and highly experienced cosmetic surgeons. These experts may be accredited by organizations such as the Joint Commission International (JCI) or the International Organization for Standardization (ISO). Moreover, patients get the chance to indulge in new experiences before or after their treatment by combining it with luxury vacation. Although, one must keep in mind the risks like the hematoma formation being much more in deep plane facelifts as compared to SMAS plication techniques. The recovery time can be a bit different for everyone. Most people manage to get back to work and socialize within 3 to 4 weeks. However, it may take a few months for them to feel completely better. Do the research and consult with qualified personnel to ensure it is safe and satisfying.
If you’re planning a deep plane facelift and neck lift in Turkey, you ought to plan to stay, at least, 10 days to 14 days in Turkey. This time frame allows for the process, recovery, and required medical recheck before coming back home for healing. Most recoveries involve wearing a compression garment and neck support for the first 1 to 2 weeks. This will manage swelling and drain fluid. Most people must not go back to work for at least two weeks and not do strenuous work for about six weeks, depending on how you’re recovering and your job. Swelling and bruising usually go away in about seven to ten days but complete healing can take four to six weeks. Following your surgeon’s instructions post-operatively is very important for your recovery and results.
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