{"id":27621,"date":"2025-09-17T07:23:54","date_gmt":"2025-09-17T07:23:54","guid":{"rendered":"https:\/\/drermanak.com\/?p=27621"},"modified":"2025-09-17T07:35:51","modified_gmt":"2025-09-17T07:35:51","slug":"revision-deep-plane-facelift-in-a-female-patient","status":"publish","type":"post","link":"https:\/\/drermanak.com\/en\/revision-deep-plane-facelift-in-a-female-patient\/","title":{"rendered":"Revision Deep Plane Facelift in a Female Patient"},"content":{"rendered":"<p>A 56-year-old female presented with concerns about recurrent lower facial aging, jowling, and volume descent following a prior facelift procedure performed 7 years earlier. The patient expressed dissatisfaction with the durability and naturalness of her previous results, noting an early return of heaviness in the lower face and marionette areas.<\/p>\n<p>She was healthy, non-smoking, and maintained a stable weight. Her primary goal was a refreshed, natural look\u2014particularly in the cheeks and jawline\u2014without signs of over-tightening or artificial contours.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Content<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #af9b8c;color:#af9b8c\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #af9b8c;color:#af9b8c\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drermanak.com\/en\/revision-deep-plane-facelift-in-a-female-patient\/#Clinical_Findings\" >Clinical Findings<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drermanak.com\/en\/revision-deep-plane-facelift-in-a-female-patient\/#Surgical_Approach\" >Surgical Approach<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/drermanak.com\/en\/revision-deep-plane-facelift-in-a-female-patient\/#Intraoperative_Summary\" >Intraoperative Summary<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/drermanak.com\/en\/revision-deep-plane-facelift-in-a-female-patient\/#Visual_Outcome\" >Visual Outcome<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Clinical_Findings\"><\/span><strong>Clinical Findings<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Physical examination revealed:<\/p>\n<ul>\n<li>Moderate jowling with descent of the lower cheek fat<\/li>\n<li>Residual marionette line hollowing<\/li>\n<li>Midface volume deflation<\/li>\n<li>Skin laxity and lateral tension from the previous facelift<\/li>\n<li>No platysmal banding or significant cervical skin redundancy<\/li>\n<\/ul>\n<p>Given the absence of neck aging signs or patient complaints regarding neck contour, a revision <strong>deep plane facelift alone<\/strong> was deemed appropriate.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Surgical_Approach\"><\/span><strong>Surgical Approach<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A revision <strong>deep plane facelift<\/strong> was planned to reposition descended midface tissues, address perioral sagging, and create natural vector lifting. The procedure included:<\/p>\n<ul>\n<li>Release of residual scarring and previous SMAS manipulation<\/li>\n<li>Vertical vector lifting via deep plane dissection to mobilize and elevate the cheek fat pads<\/li>\n<li>Structural rejuvenation with tension redistribution over a robust SMAS flap<\/li>\n<li>Conservative skin redraping with meticulous incision closure to camouflage scars<\/li>\n<\/ul>\n<p><strong>Neck lift or subplatysmal work was not indicated or performed.<\/strong><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Intraoperative_Summary\"><\/span><strong>Intraoperative Summary<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><strong>Anesthesia:<\/strong> General<\/li>\n<li><strong>Duration:<\/strong> ~3.5 hours<\/li>\n<li><strong>Procedure Highlights:<\/strong>\n<ul>\n<li>Deep plane entry from the zygomatic arch to jawline<\/li>\n<li>Elevation and repositioning of midface soft tissues<\/li>\n<li>SMAS elevation and re-suspension without manipulation of neck structures<\/li>\n<li>Skin closure with minimal tension to support long-term natural results<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Visual_Outcome\"><\/span><strong>Visual Outcome<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>Notable Changes:<\/strong><\/p>\n<ul>\n<li>Harmonious facial contouring<\/li>\n<li>Lifted cheeks and lower face definition<\/li>\n<li>Preservation of facial expression and dynamic movement<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_27627\" aria-describedby=\"caption-attachment-27627\" style=\"width: 1600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-27627 size-full\" src=\"https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2.webp\" alt=\"Revision Deep Plane Facelift in a Female Patient\" width=\"1600\" height=\"1600\" title=\"\" srcset=\"https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2.webp 1600w, https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2-300x300.webp 300w, https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2-1024x1024.webp 1024w, https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2-150x150.webp 150w, https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2-768x768.webp 768w, https:\/\/drermanak.com\/wp-content\/uploads\/2025\/09\/2-1536x1536.webp 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/><figcaption id=\"caption-attachment-27627\" class=\"wp-caption-text\">Revision Deep Plane Facelift in a Female Patient<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A 56-year-old female presented with concerns about recurrent lower facial aging, jowling, and volume descent following a prior facelift procedure performed 7 years earlier. The patient expressed dissatisfaction with the durability and naturalness of her previous results, noting an early return of heaviness in the lower face and marionette areas. She was healthy, non-smoking, and [&#8230;]\n","protected":false},"author":2,"featured_media":27622,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[159],"tags":[],"class_list":["post-27621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-facial-esthetics"],"_links":{"self":[{"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/posts\/27621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/comments?post=27621"}],"version-history":[{"count":2,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/posts\/27621\/revisions"}],"predecessor-version":[{"id":27646,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/posts\/27621\/revisions\/27646"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/media\/27622"}],"wp:attachment":[{"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/media?parent=27621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/categories?post=27621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drermanak.com\/en\/wp-json\/wp\/v2\/tags?post=27621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}