Are you considering a facelift but feeling overwhelmed by the options? You’re not alone. Advanced surgical techniques used in traditional and deep plane facelifts produce subtle, natural-looking results that avoid the “windswept” appearance of old-school facelift procedures.
How Does a Facelift Work?
A facelift, also known as a rhytidectomy, involves surgically tightening the underlying muscles and tissues and removing excess skin to restore a more youthful facial contour. Incisions are typically made around the ears and along the hairline, allowing the surgeon to lift and reposition the skin smoothly over the tightened structures.
Even though facelift surgery has existed for decades, many misconceptions about the procedure persist. Perhaps the most common myth is that you’ll look like you’ve had “work” done. The best facelift surgeons ensure their patients look like themselves, about 10 years younger.
While both deep plane and traditional facelifts produce these excellent results, they differ significantly in how they’re performed, recovery after the procedure, and how long the results last. Understanding these differences is crucial in making the right choice for your facial rejuvenation journey.
What Is a Traditional Facelift?
Decades ago, a traditional facelift focused on removing excess skin, then pulling the remaining skin tight before closing the incisions. That approach led to results that didn’t look natural and fed the perception that you could always spot someone who had undergone a facelift.
Plastic surgeons soon recognized that repositioning the muscle and tissue underlying the skin—called the SMAS (superficial musculoaponeurotic system) layer—resulted in a more natural-looking appearance. When you read about a traditional facelift, it’s almost always referring to the SMAS technique. It’s an ideal procedure if you have excess facial skin and tissue, as well as if you are experiencing signs of aging, such as sagging or drooping facial features.
What Is a Deep Plane Facelift?
As the name suggests, this advanced facelift procedure targets a deeper layer of tissue. The technique involves a more comprehensive restructuring and repositioning of the SMAS layer. In this procedure, the surgeon works beneath the superficial SMAS layer, releasing ligaments and repositioning the entire facial musculature.
While the deep plane facelift has recently gained more popularity, the technique has been around for more than 20 years. It requires advanced training, which not all plastic surgeons have.
The deep plane technique may be the best option for you if your concerns include:
- Pronounced nasolabial folds that extend deep into the facial structure
- Sagging that affects not only the skin but also the deeper structures of the face
- A desire for long-lasting rejuvenation and are willing to undergo a more invasive procedure
Deep plane facelifts typically require general anesthesia and may take longer to perform due to their complexity. Traditional facelifts, on the other hand, can sometimes be done under local anesthesia with sedation.
Traditional (SMAS) vs Deep Plane Facelift Techinques
| Aspect | Traditional Facelift | Deep Plane Facelift |
| Target Areas | Primarily the lower face and neck, focusing on skin tightening. | Targets deeper facial tissues, including midface, nasolabial folds, and jowls. |
| Technique | Separates skin from the underlying SMAS layer and tightens them separately. | Repositions skin, muscles, and fat as a single unit without separating the layers. |
| Results | These are natural-looking results, but they are less effective for midface sagging. | Produces natural-looking results with restored volume in the midface; avoids an artificial look. |
| Longevity | Results typically last 5–10 years. | Results can last 10–15 years or longer due to deeper tissue repositioning. |
| Recovery Time | Recovery is generally shorter (1–2 weeks) with less swelling and bruising. | Recovery may take longer (3–4 weeks) with more initial swelling and bruising. |
| Complexity | Considered less invasive, focusing on superficial layers of the face. | More invasive, requiring advanced surgical skill to work on deeper tissues. |
| Effectiveness | Best for mild to moderate aging concerns like sagging skin and jowls. | Ideal for advanced aging concerns, such as deep wrinkles and significant tissue descent. |
| Cost | Generally less expensive due to simpler technique. | Higher cost due to complexity and specialized expertise required. |
How Much Does a Deep Plane Facelift Cost vs a Traditional Facelift?
In Arizona, deep plane facelifts may cost 50–70% more than SMAS facelifts. This is because deep plane techniques involve more intricate, deeper tissue work and longer operative times compared to the standard SMAS approach. However, the actual difference varies based on the surgeon’s expertise, the facility’s fees, and individual patient factors.
Traditional Facelift Recovery vs Deep Plane Facelift
Traditional Facelift Recovery
Initial Recovery: Approximately 1–2 weeks. Swelling and bruising generally subside within 10–14 days.
Full Recovery: Typically takes about 1 month to 6 weeks.
Deep Plane Facelift Recovery
Initial Recovery: Swelling and bruising can last up to 3 weeks.
Full Recovery: Final results are usually established after 2–3 months.
Remember, everyone heals differently. Following your surgeon’s post-operative instructions is crucial for optimal results, regardless of the technique. You can read more about recovering after a facelift in our earlier blog post.
How To Choose Which Facelift Technique Is Right for You
So, how do you decide? Consider these factors:
- Your age and the extent of sagging
- The areas you want to address (a deep plane facelift is best for improving the appearance of the mid face)
- How much downtime you can afford
It is important to consult with a board-certified plastic surgeon who is experienced in performing deep plane facelifts to get expert guidance.
Both the deep plane and traditional facelift techniques have their place. The traditional facelift remains an excellent option for many, especially those with primarily skin laxity issues. The deep plane facelift, while more complex, offers a comprehensive solution for those seeking dramatic, long-lasting results, particularly in the midface area.
To discuss your options at Advanced Plastic Surgery Institute, request a consultation using the online form or call us at (480) 466-7355 to schedule an appointment.
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