The Deep Plane Facelift: Is It Right For You?

Rohan Mathew

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The facelift is one of the best-known plastic surgery procedures—just about 500,000 Americans underwent one between 2019 and 2020. Originally, the facelift (also known as a ‘rhytidectomy’) simply cut the skin and pulled it tight against the face. This process, while effective, unfortunately results in a more unnatural, plastic look that can leave some patients either dissatisfied or downright displeased. This original facelifting technique is now called the “traditional facelift,” because there have been countless advancements over the years that have left patients looking far more natural.

A more advanced facelifting method is called the ‘SMAS facelift,’ which manipulates the Superficial Musculo Aponeurotic System—a layer of fat, fibers, and muscles deep within the face. During a SMAS lift, the skin is separated from the muscle layer before that same musculature is raised, creating the effect of a “lift.” This procedure leaves behind more natural-looking results and is generally considered to be safer than a traditional facelift.

There is, however, another facelifting method that, while harder to perform for most surgeons, is considered superior to both traditional and SMAS facelifts: the deep plane facelift and its accompanying ‘MADE Facelift,’ a hybrid lift pioneered by top New York facial plastic surgeon, Dr. Andrew Jacono.

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The Deep Plane Facelift

The “Deep Plane” is the anatomic plane between the SMAS-platysma complex (which is muscle and fascia) and the deeper layer of muscles that are responsible for facial shape and expression. Although the deep plane facelift was invented in 1990, Dr. Andrew Jacono has improved the procedure to accomplish tension-free movement with no excessive tightness. He also releases ligaments throughout the neck and face with an arsenal of natural lifting strategies. His before-and-after are so dramatic that they have been the subject of debate on social media; some wonder if the results have been tweaked with photoshop, while others question whether the outcomes are even possible.

The deep plane facelift is so much more impressive than the traditional and SMAS approaches because it penetrates far deeper than the SMAS layer, repositioning the muscle and fat layers that are responsible for facial expression. And, unlike in the other aforementioned approaches, the deep plane facelift does not pull on or remove the skin, which makes post-operative faces look far less “done.” Beyond this, the results last much longer than a traditional facelift, and complications like facial nerve injuries are almost unheard of.

One of the most important differences between the traditional facelift and the deep plane facelift, however, is its lack of scarring. By cutting along the natural folds and creases of the face, Dr. Jacono can hide the incisions well enough that patients appear to have no scars after recovery.

The Benefits of a Deep Plane Facelift

  • Provides results that are subtle and natural-looking.
  • Hides scars.
  • Boosts self-confidence.
  • Has a quicker recovery time than most other facelift procedures.

The Drawbacks of a Deep Plane Facelift

  • Much harder to perform for most surgeons.

∙         Around two weeks of swelling and discomfort following surgery.

Improvement of the Deep Plane Facelift

The deep plane facelift has been around for over 30 years, but thanks to Dr. Andrew Jacono’s advancements, it has become the new facial plastic surgical standard, especially for celebrities. Among Dr. Jacono’s happy patients are Sonja Morgan of the hit reality-TV show, ‘The Real Housewives of New York City,’ and even Dr. Paul Nassif of ‘Botched’ fame. His success, of course, is a testament to his passion and remarkable expertise.

If pioneering the deep plane facelift was not enough, Dr. Jacono has also created the MADE Facelift, which manipulates and repositions the deep plane, but focuses on the lower half of the face—the chin, the neck, and the jowls. Specifically, it targets marionette lines, sagging cheeks, and neck banding, all of which tend to worsen with age.

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If you are interested in receiving the best facelift results, you cannot settle; you must put your trust in the best of the best. Let Dr. Andrew Jacono and his world-renowned New York City office handle your needs and offer you the necessary care, attention, and enthusiasm you require. Call (212) 570-2500 today to schedule a consultation and start on the path to confidence about your age and appearance.