A deep plane face technique is a sophisticated surgical method that targets deeper facial tissues to offer natural, long-lasting rejuvenation. This technique lifts underlying muscles and tissues, unlike traditional approaches that pull the skin. This article explores how it works, its benefits, ideal candidates, and the recovery process.

Key Takeaways

  • The deep plane facelift technique targets deeper facial structures, offering more natural and longer-lasting results than traditional facelifts.
  • Candidates for deep plane facelifts are typically aged 45 to 65, in good health, and experiencing significant signs of aging, such as sagging and volume loss.
  • Deep plane facelift recovery is relatively quick, with most patients seeing significant improvement within three months. Compared to traditional facelifts, the recovery process involves less trauma and greater patient comfort. The procedure can also be combined with other surgical options for enhanced results.

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Understanding Deep Plane Facelift Surgery

The deep plane facelift surgery distinguishes itself from other facelift techniques by focusing on the deeper structures beneath the skin, rather than only tightening superficial layers. By doing so, it delivers a more naturally enduring improvement to facial features, including cheeks, jowls, and neck areas. Traditional facelifts sometimes appear overstretched. The deep plane method preserves natural facial volume and contours, while smoothing lines and wrinkles without sacrificing an authentic look. Due to its complexity, only highly trained plastic surgeons can perform the deep plane facelift.

A noteworthy advantage of deep-plane facelifts is their ability to heal with minimal scarring due to incisions that follow the creases of one’s natural skin contour. This careful placement ensures scars are less visible and supports tension-free healing for a more subtle post-operative aesthetic. It excels in reviving both mid-face and lower-face regions, and its rejuvenating effects make this approach widely favored among those seeking extensive facial renewal.

Due to its long-term results, the deep plane technique is regarded as superior among the various surgical methods available today for facelift procedures. Unlike SMAS application or vertical lift methods, which emphasize different lifting techniques, the deep plane facelift consistently delivers comprehensive enhancements that maintain a youthful appearance over time. This solidifies its reputation as the ideal choice for individuals seeking significant, age-defying transformations through surgery, rather than just minor improvements.

After interviewing 3 highly-regarded plastic surgeons in San Francisco, I chose Dr. Delgado to perform my eyelid and facelift surgery. I couldn’t be happier. Dr. Delgado is simply the best! He delivered the natural look I wanted. I look like me, only 10 years younger!
Thank you Dr. Delgado!!!

— S.T

Anatomy and Physiology of the Face

Understanding the intricate anatomy and physiology of the face is crucial for the success of a deep-plane facelift. The face comprises multiple layers, each playing a significant role in its structure and function. These layers include the skin, subcutaneous tissue, and deep tissue.

The outermost layer, the skin, acts as a protective barrier against environmental factors. Beneath the skin lies the subcutaneous tissue, which consists of fat, muscle, and connective tissue. This layer is essential for maintaining facial volume and contour. The deepest layer includes the facial bones, muscles, and nerves, vital for facial expressions and movements.

Key facial muscles, such as the zygomaticus major, orbicularis oculi, and buccinator, are responsible for various expressions and movements. The facial nerve, which controls these muscles, is divided into five branches, each governing a specific group of muscles. Careful consideration of these muscles and nerves is paramount to achieving natural and effective results without causing facial nerve injury during a deep plane facelift.

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Preparing for a Deep Plane Facelift

Proper preparation is essential for a successful deep plane facelift procedure. Patients should begin by discontinuing smoking and avoiding medications, vitamins, or supplements that thin the blood at least two weeks before the surgery. Additionally, it is crucial to refrain from eating or drinking after midnight on the night before the procedure.

On the day of the surgery, patients should arrive at the surgical facility with a trusted friend or family member, who can drive them home and provide care for the first 24 hours post-surgery. Wear comfortable clothing and avoid makeup, jewelry, or contact lenses.

During the pre-operative consultation, the surgeon will conduct a thorough examination of the patient’s face and neck to assess skin laxity and other features. This consultation is an opportunity to discuss aesthetic goals and expectations, ensuring that the patient is well-informed about the deep plane facelift procedure and its potential outcomes.

The Surgical Technique of Deep Plane Facelifts

The deep plane technique in facelift surgery is an intricate procedure aimed at lifting and repositioning the facial muscles and underlying structures vertically, resulting in a refreshed and natural look. This method goes beyond merely treating the skin, like other facelift techniques do. It works on deeper layers by freeing facial ligaments for outcomes that appear more natural.

In this operation, a skilled facelift surgeon meticulously navigates through areas around the mid-face, jawline, and neck. Instead of simply tightening or pulling these regions superficially, this advanced approach beneath the SMAS layer ensures that tissues are shifted back into positions reminiscent of youthfulness.

A significant benefit associated with utilizing the deep plane method for a facelift is its minimized risk of harming facial nerves—a testament to how precise this surgical procedure is. By skillfully aligning the supporting muscle groups and associated facial components during the surgical procedure, the results not only provide authentic enhancement, but also contribute to maintaining a youthful appearance over time.

Advanced Techniques in Deep Plane Facelift Surgery

Patient after a deep plane facelift, eyelid lift, brow lift, chin implant replacement, nasal tip-plasty, chemical peel.

Same patient at 9 months and the last photo 12 years later.

Advanced techniques in deep plane facelift surgery have revolutionized the field, offering patients more precise and natural-looking results. One such technique is the use of a composite flap, which involves elevating the skin and subcutaneous tissue as a single unit. This method allows for better control over facial tissues, resulting in a more harmonious and youthful appearance.

Another innovative approach is the integration of facial fat transfer with a deep plane facelift. This technique involves harvesting fat from one area of the body and injecting it into the face to restore lost volume. By combining these methods, surgeons can enhance the results of the deep plane facelift, creating a more balanced and rejuvenated look.

These advanced techniques underscore the importance of choosing a skilled and experienced facelift surgeon proficient in the latest methods of facial plastic surgery. The use of these techniques can significantly improve the outcomes of the deep plane facelift, providing patients with long-lasting and natural results.

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Benefits of Deep Plane Facelift

Before and after images showcasing the benefits of deep plane facelift with eyelid lift and brow lift.

Deep plane facelift surgery stands out for its longevity in providing facial rejuvenation. Deep plane facelift results offer dramatic and long-lasting improvements that can endure from 10 to as long as 15 years. This surpasses the duration of benefits offered by other facelift techniques, due to the deep plane approach’s focus on restructuring deeper facial tissues instead of just treating the superficial layers of skin.

Individuals who opt for deep plane facelifts gain significant benefits, achieving a youthful appearance that is both natural and striking. The technique preserves essential connections between muscle and skin, reducing surgical impact and leading to quicker recovery times. Following this procedure, patients commonly notice their skin appears smoother, while their facial contours are more defined—which greatly contributes to an enhanced youthfulness.

Addressing various regions like the jawline, cheeks, jowls, and neck is well within the scope of a deep plane facelift. By lifting these mid-facial areas strategically, while increasing volume where needed, effectively underlines cheekbones’ prominence. As such, it not only revitalizes, but also sculpts a younger-looking face shape, which substantially improves aesthetic appeal.

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Who are Ideal Candidates for Deep Plane Facelifts?

Before and after photo of deep plane lift with eyelid lift or blepharoplasty, eyebrow lift and chemical peel.

Ideal candidates for deep plane facelift surgery are generally between 45 and 65, as they typically show significant signs of aging while retaining adequate skin elasticity. This procedure is beneficial for individuals in their forties to seventies who experience sagging jowls and a loss of facial volume. Nevertheless, patients advanced in age may not possess the necessary skin thickness and pliability required for a successful outcome with a deep plane facelift.

Ensuring robust health is essential for prospective patients of deep plane facelift surgery. It’s important that candidates hold realistic expectations about the results and fully comprehend what the surgery entails. These aspects should be thoroughly discussed with a board certified facelift surgeon before proceeding.

Adhering to consistent skincare routines and safeguarding against sun exposure may delay facelift surgery for some individuals, compared to those who neglect such practices.

Timing Your Deep Plane Facelift

Before and after photo of deep plane facelift, fat grafting, eyelid lift and brow lift.

Choosing the right time for deep plane facelift surgery is a deeply personal decision, shaped by various individual factors. When considering deep plane facelift surgery, it’s essential to consider factors such as skin condition, age, and personal aesthetic objectives. It’s essential for individuals to carefully evaluate these factors and consult with an experienced facelift surgeon to determine the most appropriate timing for undergoing the procedure.

Following deep plane facelift surgery, patients typically notice progressive enhancements in their appearance throughout the initial three months after surgery. To ensure optimal outcomes, it’s imperative that individuals arrange their procedure with ample time for recuperation, while also taking into account any professional or personal obligations they may have.

Managing Risks and Complications

Before and after photo of deep plane facelift, eyelid lift and chemical peel 10 years later.

While deep plane facelift surgery is generally safe, it is not without risks and potential complications. These can include infection, bleeding, scarring, nerve injury, and asymmetry. To minimize these risks, it is crucial to choose a board-certified facelift plastic surgeon with extensive experience in deep plane facelift procedures. Such surgeons possess the expertise to navigate the intricate facial anatomy and employ meticulous techniques that reduce the likelihood of complications. Additionally, adhering to pre-operative and post-operative care instructions is essential for minimizing risks and promoting optimal healing.

Infection is a potential risk that can be mitigated by following the plastic surgeon’s guidelines on wound care and hygiene. Patients are advised to monitor for signs of infection, such as increased redness, swelling, or discharge, and to contact their surgeon promptly if any of these symptoms occur.

Bleeding, although rare, can occur during or after the procedure. Surgeons take precautions to control bleeding during the surgery, and patients are advised to avoid medications and supplements that can increase bleeding risk prior to the procedure.

Scarring is another consideration, though deep plane facelift techniques often result in less visible scarring due to the strategic placement of incisions. Surgeons aim to align incisions with natural skin creases, promoting discreet healing and minimizing scar appearance.

Nerve injury, while uncommon, is a serious complication that can affect facial movement. The deep plane facelift’s precision in targeting deeper facial tissues helps reduce the risk of nerve damage. Surgeons with a thorough understanding of facial anatomy are adept at avoiding nerve injury.

Asymmetry may arise if one side of the face heals differently from the other. Skilled surgeons take great care to achieve balanced results, but patients should be aware that slight asymmetry is a natural aspect of facial anatomy and can occur post-surgery.

Overall, the risks associated with deep plane facelift surgery can be effectively managed through careful planning, skilled surgical execution, and diligent post-operative care. By selecting an experienced facelift surgeon and adhering to recommended guidelines, patients can significantly reduce the likelihood of complications and enjoy the benefits of a rejuvenated appearance.

Recovery Process for Deep Plane Facelifts

Typically, the initial phase of deep plane facelift recovery involves managing pain over 3 to 4 days, with scheduled follow-up visits on the 3rd postoperative day. Pain is managed through a nerve block applied during the procedure, which makes discomfort manageable for most individuals—many do not need strong medication. These are critical steps in recovering from a deep plane facelift.

Postoperative swelling and discoloration are expected. These symptoms begin to subside within the first ten days following surgery. Swelling and bruising after deep plane facelifts tend to be less severe than those associated with other types of facelift surgeries, highlighting the advantage of less trauma. By approximately three months post-procedure, many patients observe substantial reductions in swelling and feel comfortable resuming regular activities without drawing attention.

Close monitoring of patients post-surgery is vital to ensure smooth and proper healing, while being vigilant for any complications, such as hematomas or issues with the facial nerve. Typically stitches are removed between day seven and ten post-surgery, followed by diligent support from Dr. Delgado’s team, ensuring excellent patient care throughout this time.

The comprehensive recuperation process culminates at around one year post-operation, when the final results of the deep plane facelift become evident, displaying full recovery effects.

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Dr. Miguel Delgado

Dr. Miguel Delgado: Expert in Deep Plane Facelifts

With over thirty years of experience in cosmetic surgery, Dr. Miguel Delgado is a leading specialist in facelift procedures. His expertise has earned him significant accolades, including being named San Francisco’s Best Plastic Surgeon by San Francisco Magazine, which underscores his esteemed standing in plastic surgery.

As a board-certified surgeon by the American Board of Plastic Surgery, Dr. Delgado brings exceptional surgical expertise, but also profound professionalism and dedication to ensuring patient satisfaction through deep plane facelifts and other cosmetic services at his Marin Cosmetic Surgery Center.

Prospective patients are invited to arrange face-to-face or virtual consultations with Dr. Delgado at one of his two practice locations: situated centrally in Union Square on 450 Sutter Street, San Francisco, or alternatively in Novato, located within Marin County. At Dr. Delgado’s practice, patients can expect personalized care and meticulous attention, resulting in consistently excellent outcomes following surgery.

Reviews and Testimonials for Dr. Delgado

Before and after photo after a deep plane facelift and eyelid lift.

Lori Harrison

Goggle Review 5 star

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“I had a lower facelift with jowl implants, plus upper and lower blepharoplasty. I could not be more thrilled with the results, and I’m only 6 weeks post op. I still look the same. His work is very natural looking, just a rejuvenated and more relaxed version of myself. Additionally, I had a pixie ear that needed correction from a botched neck lift by another surgeon, it’s now beautiful. Dr. Delgado is a skilled professional, and a true artist. I highly recommend his work. Also, big kudos to his professional and welcoming team! “

Dr. Delgado has received numerous outstanding patient reviews, as evidenced by his impressive 4.9-star rating from 284 Google reviews. He emphasizes the high satisfaction levels among his patients. Patients highly praise Dr. Delgado for his exceptional skill and artistic ability in cosmetic surgery, noting their improved appearance and satisfaction with the outcomes.

A recent review specifically thanked Dr. Delgado for rejuvenating facial features while maintaining a natural-looking skin tension post-surgery. Dr. Delgado is renowned for his thorough and detailed consultations prior to surgery, which play a crucial role in building patients’ confidence and preparing them for their procedures.

Additional Procedures to Enhance Results

Incorporating additional procedures with an extended deep plane facelift can significantly enhance the facial rejuvenation results achieved through various facial plastic surgery and facelift techniques.

Procedures often paired with a deep plane facelift are:

By integrating these cosmetic techniques, additional aging indicators can be addressed, leading to a more youthful transformation.

Utilizing your own body’s fat, facial fat transfer or fat grafting amplifies volume in regions such as cheeks and temples, thus complementing the youth-restoring effects yielded by a deep plane procedure. Surgeries focusing on correcting droopy eyelids or reducing puffiness under the eyes work well in conjunction with this approach. Similarly, a brow lift can elevate or adjust the position of the eyebrows, contributing to a youthful, rejuvenated appearance.

The integration of these techniques enables individuals to achieve highly satisfying results, significantly enhancing their aesthetic appearance. Dr. Delgado’s meticulous approach, which involves comprehensive planning and precise execution of each procedure, guarantees naturally beautiful results while maintaining low complication rates post-surgery.

Free consultation

If you’re considering a deep plane facelift or any type of cosmetic surgery to achieve a more youthful look, Dr. Delgado offers free consultations, which can be conducted in person or online. To embark on your journey toward rejuvenation, call 415-898-4161 now to set up your consultation.

During your consultation, Dr. Delgado will take the time to understand your goals, carefully evaluate your facial anatomy, and recommend the most suitable procedures to achieve your desired aesthetic enhancements. Dr. Delgado’s extensive expertise, combined with a personalized treatment plan, ensures the highest level of care and satisfaction for each patient he treats.

Summary

Before and after photo after a deep plane facelift and eyelid lift(blepharoplasty).

To summarize, the deep plane facelift technique is a superior option for those seeking facial rejuvenation that looks natural and maintains its effects over time. This technique targets the deeper layers of the face to achieve outstanding enhancements in appearance compared to traditional facelift methods, resulting in a more natural look. With the expert guidance of Dr. Miguel Delgado, patients receive personalized treatment plans that consistently deliver remarkable outcomes.

For individuals contemplating this method to regain a youthful appearance, it is advisable to arrange a complimentary consultation with Dr. Delgado. With his vast expertise in performing deep plane facelifts, an approach focused on patient satisfaction, and numerous positive testimonials, he represents an exemplary choice for your beautification needs. Take advantage of the opportunity to improve your appearance and boost your confidence with the expertise of a renowned specialist in cosmetic enhancement procedures.

Travel patient and places of interest in San Francisco

San Francisco is a vibrant city with diverse attractions, blending natural beauty, historical landmarks, and modern culture. Here are some top places of interest in the city:

  1. Golden Gate Bridge: One of the most iconic landmarks in the world, this suspension bridge offers breathtaking views of the Bay Area. Visitors can walk or bike across it, or enjoy scenic views from nearby parks like Crissy Field or Battery Spencer.
  2. Alcatraz Island: Located in San Francisco Bay, Alcatraz was once a notorious federal prison. Now a National Park, visitors can take a ferry to the island and explore its historical prison cells, gardens, and stunning views of the city skyline.
  3. Fisherman’s Wharf: A bustling waterfront area with shops, seafood restaurants, and street performers. Notable attractions here include Pier 39, home to sea lions, shops and entertainment options, and the San Francisco Maritime National Historical Park.
  4. Golden Gate Park: A massive urban park offering gardens, lakes, museums, and outdoor activities. Highlights include the Japanese Tea Garden, California Academy of Sciences, and the de Young Museum.
  5. Chinatown: One of the largest and most vibrant Chinatowns in the U.S., filled with markets, temples, and restaurants. Visitors can explore colorful streets, historic sites, and authentic Chinese cuisine.
  6. Start your gastronomic journey at the historic Ferry Building Marketplace, where you can sample artisanal cheeses, fresh seafood, and gourmet chocolates.

Dr. Delgado’s staff can direct you to convenient hotels and medical personnel to assist you with your stay. For those traveling from out of town, the team can provide recommendations for accommodations close to the surgical facility, ensuring a comfortable and stress-free experience. Additionally, they can arrange for post-operative care services, including professional nursing assistance, to support your recovery process. This comprehensive approach ensures that patients have access to all necessary resources, making their journey to facial rejuvenation as smooth and seamless as possible. Whether you’re seeking guidance on local dining options, transportation arrangements, or tourist activities, Dr. Delgado’s staff is committed to enhancing your experience while you focus on achieving your aesthetic goals.

Deep Plane Facelift Frequently Asked Questions

Who is an ideal candidate for a deep plane facelift?

How long will a deep plane facelift last?

What is the recovery time for a deep plane facelift?

Is a deep plane facelift more invasive?

Does a deep plane facelift give more natural results?

What additional procedures can enhance the results of a deep plane facelift?

Why choose Dr. Miguel Delgado for a deep plane facelift?

How can I schedule a free consultation with Dr. Delgado?

Who is an ideal candidate for a deep plane facelift?

An ideal candidate for a deep plane facelift is typically between 45 and 65 years old, in good health, and exhibiting sagging in the jowl area and volume loss. This demographic is best suited for the procedure to achieve optimal results.

How long will a deep plane facelift last?

Among various facelift methods, the deep plane technique typically delivers the most sustainable results. Depending on personal factors, such as skin condition and daily practices, recipients frequently experience visible enhancements for 10-15 years.

What is the recovery time for a deep plane facelift?

Typically, patients can expect to manage pain within the first 3 to 4 days after deep plane facelift surgery. A notable reduction is often observed at the three-month mark, and patients resume normal activities approximately three weeks after the procedure.

Is a deep plane facelift more invasive?

This approach requires working with deeper facial structures, including the SMAS (superficial muscular aponeurotic system) and connected tissue bands. Compared to traditional facelift procedures, it results in a more comprehensive surgical process and possibly extended healing periods.

Does a deep plane facelift give more natural results?

When performed by a skilled surgeon, a deep plane facelift aims to achieve a natural rejuvenation by lifting facial tissues without overly pulling or distorting the facial features. This advanced surgical technique targets deeper facial layers to create subtle, harmonious results that appear effortlessly youthful.

What additional procedures can enhance the results of a deep plane facelift?

Incorporating procedures such as facial fat transfer, eyelid surgery, brow lift, and laser treatments can significantly enhance the results of a deep plane facelift, leading to a more comprehensive facial rejuvenation. Consider these options to achieve optimal outcomes.

Why choose Dr. Miguel Delgado for a deep plane facelift?

Opting for a deep plane facelift with Dr. Miguel Delgado is an intelligent decision, given his three decades of surgical experience and board certification in the field. His dedication to patient care ensures remarkable outcomes and elevated levels of client satisfaction. The recognition he has garnered reinforces his proficiency in conducting facelift procedures.

How can I schedule a free consultation with Dr. Delgado?

To schedule a free consultation with Dr. Delgado, please call 415-898-4161. His team will help you find a suitable time for your discussion.

References

 Miguel Delgado, MD, is an ASPS Member plastic surgeon who is board certified by The American Board of Plastic Surgery. https://www.plasticsurgery.org/md/Miguel-Delgado-MD-San-Francisco-Plastic-Surgeon.html

Aesthet Surg J 2016 Mar 1;36(5):533–545. doi: 10.1093/asj/sjv250
Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting https://pmc.ncbi.nlm.nih.gov/articles/PMC4827655/

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