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Deep Plane Facelift 101: Everything You Need To Know

28th July 2025

By Danny Travis-Brown

Deep Plane Facelift 101: Everything You Need To Know

The deep plane facelift has gained popularity among patients seeking natural looking results that last. This advanced facelift technique targets deeper tissues of the face to address sagging skin and facial ageing more effectively than traditional facelift techniques. Whether you’re in Nottingham, Doncaster, or elsewhere considering facial rejuvenation, understanding the deep plane facelift surgery in detail will help you make an informed decision.

What is a Deep Plane Facelift?

A deep plane facelift is a surgical procedure designed to lift and reposition the deeper layers of facial tissue, particularly the superficial musculoaponeurotic system (SMAS) and underlying structures. Unlike traditional facelift procedures that tighten only superficial layers, the deep plane technique releases facial retaining ligaments and repositions deeper tissues for a more natural appearance and youthful definition. It is often combined with a neck lift to enhance the overall facial structure and rejuvenated appearance.

Why is it called ‘Deep Plane’?

It is called a deep plane facelift because the surgical procedure works within the ‘deep plane’ layer beneath the SMAS. By lifting the deeper layers rather than pulling on the skin alone, surgeons can avoid tension free skin closure problems and achieve natural looking results without the tight, overdone appearance sometimes associated with traditional facelift techniques.

What is the SMAS Layer?

The superficial musculoaponeurotic system (SMAS) is a layer of tissue covering the deeper structures of the cheek and lower face. In facelift surgery, addressing this layer is key to effective and long-lasting facial rejuvenation. Traditional SMAS facelift procedures focus on tightening this layer, while deep plane facelifts lift and reposition the deeper facial ligaments and underlying tissues for more comprehensive results.

How is a Deep Plane Facelift different from other Facelifts?

The deep plane facelift differs from other facelift techniques in several ways:

  • Deeper tissue release: Instead of only tightening the SMAS, it lifts the deeper layers, facial ligaments, and fat pads.
  • Natural looking results: By repositioning rather than pulling, it avoids tension on the skin, preventing an artificial look.
  • Longevity: Deep plane facelifts generally last longer than traditional facelift procedures, with results often seen for 10-15 years.
  • Improved midface rejuvenation: It addresses the nasolabial folds and midface sagging more effectively.

Deep Plane Facelift vs SMAS Facelift

Key differences:

  • SMAS facelift tightens the superficial musculoaponeurotic system layer.
  • Deep plane facelift surgery lifts the SMAS and releases deeper facial ligaments for more extensive rejuvenation.
  • Results: Deep plane facelift offers a softer, natural rejuvenation compared to SMAS, which can sometimes appear slightly tighter.
  • Ideal patient: Deep plane facelift is suitable for patients with moderate to severe facial ageing and deeper tissue sagging.

Which Facelift is Best for You?

Choosing between a deep plane facelift and a traditional SMAS facelift depends on:

  • The degree of sagging skin and facial ageing
  • Desired longevity of results
  • Recommendations from your board certified plastic surgeon after assessing your facial anatomy and structure.

What are the Benefits of a Deep Plane Facelift?

A deep plane facelift procedure offers several benefits compared to traditional facelift procedures:

  • Natural looking results: By lifting the deeper layers of the face rather than pulling only on the skin, this facelift technique restores your natural facial structure, avoiding an overly tight or ‘done’ appearance.
  • Long-lasting outcome: Many patients undergoing facelift surgery report results that last 10–15 years, making it a worthwhile option for long-term facial rejuvenation.
  • Improved midface and nasolabial folds: The deep plane technique releases facial retaining ligaments to lift sagging skin in the midface, cheeks, and jawline more effectively than traditional facelift techniques.
  • Youthful appearance: It repositions deeper tissues and fat pads for a refreshed appearance, enhancing facial definition while maintaining natural expression.
  • Better neck lift integration: Because it addresses deeper tissues, this facelift often includes a neck lift to smooth lax skin under the chin and along the neck.

Is a Deep Plane Facelift better than a SMAS Facelift?

Whether the deep plane facelift is better than a SMAS facelift depends on your goals and facial anatomy. Generally:

  • Deep plane facelifts provide more comprehensive lifting by targeting deeper layers, ideal for significant facial ageing.
  • SMAS facelifts are effective for moderate sagging but may not lift the midface and deeper tissues as thoroughly.
  • Your facial plastic surgeon will recommend the best approach after assessing your facial ligaments, skin laxity, and underlying tissues.

What are the Risks of a Deep Plane Facelift?

Like all surgical procedures, deep plane facelift surgery carries some risks, including:

  • Facial nerve injury (though rare with an experienced plastic surgeon)
  • Hematoma or bleeding
  • Infection
  • Scarring
  • Temporary swelling and bruising
  • Facial asymmetry

Choosing a board certified plastic surgeon experienced in deep plane facelifting reduces these risks significantly.

What is the Recovery like after a Deep Plane Facelift?

Deep plane facelift recovery typically involves:

Recovery Stage

Details

Initial swelling and bruising

Peaks within 48–72 hours, then gradually improves from 2-3 weeks.

Suture removal

Usually around 7–10 days post-surgery.

Returning to work/social activities

Most patients feel comfortable within 2–3 weeks, though residual swelling may take longer.

Prescribed pain medication

Often required for the first few days to manage discomfort.

Final results

Visible after 4–6 months once deeper tissues have fully settled.

Your surgeon will provide detailed post operative care instructions to support a smooth recovery process.

How Long does a Deep Plane Facelift Last?

A deep plane facelift typically lasts 10–15 years, longer than traditional SMAS facelifts, because it repositions deeper tissues rather than tightening superficial layers alone. Ageing will continue naturally, but patients often look years younger even as time progresses.

How much does a Deep Plane Facelift Cost?

The cost of a deep plane facelift varies depending on your surgeon’s expertise, hospital fees, and whether combined procedures such as a neck lift or brow lift are performed. Typically, deep plane facelift surgery costs more than traditional facelift procedures due to its complexity and longer operative time.

Is it Worth it?

For many patients seeking long-lasting, natural facial rejuvenation, the deep plane facelift is worth the investment. It provides:

  • Natural, youthful results
  • Improved midface and jawline definition
  • Longer-lasting rejuvenation compared to other facelift techniques

Discuss your goals with a qualified facial plastic surgeon to determine if it is the right option for you.

Who is a Good Candidate for a Deep Plane Facelift?

Ideal candidates include:

  • Individuals aged 40–70 experiencing sagging skin, deep wrinkles, or jowls
  • Patients seeking natural looking results without an over-pulled appearance
  • People in good general health, without significant medical conditions preventing surgery

Need Help?

The deep plane facelift is an advanced facelift technique that offers natural looking, long-lasting facial rejuvenation by lifting the deeper tissues and enhancing your facial definition. If you’re considering facelift surgery in Nottingham or Doncaster, Mr Aftab Ahmed specialises in the deep plane facelift technique and can guide you through your options. As an experienced facial plastic surgeon, he will assess your goals and facial anatomy to help you decide whether this surgical procedure is right for you.

Deep plane facelift results are known for their natural, refreshed appearance, with many patients looking up to 10–15 years younger while maintaining their unique facial expressions and structure.