The deep plane facelift is an advanced surgical technique aimed at addressing the signs of aging by repositioning the deeper facial layers. This type of facial surgery improves the appearance of jowls and the neck to provide a more natural and long-lasting rejuvenation. By focusing on the underlying facial structure, the deep plane facelift offers comprehensive results that go beyond surface-level changes.
What Is a Deep Plane Facelift?
A deep plane facelift in San Francisco is an advanced surgical procedure designed to rejuvenate the face by addressing its deeper layers. Unlike traditional facelift techniques that primarily address the surface layers of the skin, a deep plane facelift involves repositioning the deeper tissues, including the facial muscles and fat. This advanced approach allows for a more natural and long-lasting result, as it addresses the root causes of aging, rather than just the superficial symptoms.
During a deep plane facelift, the surgeon carefully lifts and repositions the deeper facial structures to restore youthful contours and improve facial harmony. This technique can more effectively rejuvenate the middle third of the face than other facelift techniques. It is particularly effective in treating sagging skin, deep wrinkles, and loss of facial volume, providing a comprehensive rejuvenation that looks both natural and enduring.
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 facial skin, subcutaneous tissue, and deep tissue.
The outermost layer, the facial 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, which are vital for facial expressions and movements.
A key component in the anatomy of the face is the SMAS (Superficial Musculoaponeurotic System) layer, which plays a crucial role in the context of a deep plane facelift. The SMAS layer is a network of fibrous tissue and muscle that provides support and structure to the face, allowing for more effective and natural-looking results when manipulated during the procedure.
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.
Facelift surgery offers many benefits that extend beyond mere aesthetic improvements. Many men and women experience facial changes due to aging, prompting them to consider cosmetic surgery. Here are some key advantages:
Youthful Appearance: Facelift surgery can significantly reduce the signs of aging, giving you a more youthful and refreshed look. Additionally, a deep plane facelift helps restore facial volume, enhancing the overall youthful appearance.
Improved Facial Contours: Facelift surgery enhances facial contours and definition by addressing sagging skin and repositioning underlying tissues.
Reduced Sagging Skin and Jowls: The procedure effectively tightens loose skin and reduces the appearance of jowls, resulting in a smoother, more toned facial profile.
Enhanced Self-Confidence: Many patients experience a boost in self-esteem and confidence following facelift surgery, feeling more comfortable and satisfied with their appearance.
Long-Lasting Results: A deep plane facelift can last 10 to 15 years or more, making it a worthwhile investment in your long-term appearance.
Comprehensive Rejuvenation: Facelift surgery can be combined with other surgical procedures, such as eyelid surgery, brow lift, and neck lift, to achieve a more comprehensive facial rejuvenation.
Facelift Surgery Options
Facelift surgery options vary depending on individual needs and goals. A deep plane facelift is a popular choice for those seeking a more comprehensive and long-lasting result. This procedure involves repositioning the deeper layers of facial muscle and tissue, specifically the submuscular layer known as the “deep plane.”
Mini Facelift: A less invasive alternative to a traditional facelift, which addresses the lower parts of the face and eliminates jowls, accentuates the jawline, and smooths the bottom half of the face. This option is ideal for individuals with mild to moderate signs of aging who seek a faster recovery time.
Revision Facelift: A procedure that corrects unsatisfactory outcomes or complications from a prior facelift procedure. This surgery is tailored to address specific issues such as asymmetry, scarring, or incomplete rejuvenation, providing patients with the desired aesthetic results.
Preservation Facelift and Neck Lift: A modification or technique that limits trauma to the skin during surgery, aiming to achieve a faster recovery and enhanced result. This approach focuses on preserving the natural anatomy and minimizing disruption to the facial tissues, leading to a more natural and youthful appearance.
Each of these facelift surgery options offers unique benefits and can be customized to meet the specific needs and goals of the patient. Consulting with a qualified surgeon can help determine the most suitable approach for achieving optimal facial rejuvenation.
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 afterward. They should wear comfortable clothing and avoid makeup, jewelry, and contact lenses.
During the pre-operative consultation, Dr. Miguel Delgado will conduct a thorough examination of the patient’s face and neck to assess skin laxity and other features. He may also assess the neck for a potential neck lift procedure to achieve comprehensive rejuvenation. 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.
Who are Ideal Candidates for Deep Plane Facelifts?
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 of advanced age may not possess the necessary skin thickness and pliability required for a successful outcome with a deep plane facelift.
Prospective patients considering deep plane facelift surgery are usually healthy individuals and have realistic expectations about the procedure’s outcomes. Candidates must have realistic expectations about the results and fully comprehend what the surgery entails. Ideal candidates may also consider combining their deep plane facelift with other procedures, such as a brow lift, for a more comprehensive rejuvenation. Before proceeding, these aspects should be thoroughly discussed with a board-certified facelift surgeon like Dr. Delgado.
Adhering to consistent skincare routines and safeguarding against sun exposure may delay facelift surgery for some individuals, compared to those who neglect such practices.
The Deep Plane Facelift Procedure
The deep plane facelift procedure is meticulously designed to achieve optimal results with minimal visible scarring. Here’s a step-by-step overview of what the procedure typically involves:
Incisions: Dr. Delgado begins by making incisions in the hairline and around the ear. These strategic locations help minimize visible scarring and provide access to deeper facial tissues.
Repositioning Tissues: The deeper layers of the face, including the facial muscles and fat, are carefully lifted and repositioned. This step is crucial for restoring a youthful appearance and improving facial contours. The submuscular layer is also addressed during this process to enhance the overall structural support and longevity of the results.
Removing Excess Skin: Excess skin is removed to smooth out wrinkles and sagging skin, ensuring a tighter and more youthful appearance.
Closing Incisions: The incisions are then closed with sutures or staples, and the skin is allowed to heal naturally. The precise placement of incisions helps ensure discreet healing and minimal scarring.
Non-surgical Facelift Alternatives
Non-surgical facelift alternatives are available for those who prefer a less invasive approach or are not ready for surgery. These options include:
Injectables and facial fillers:Injectables can enhance areas like the cheeks, lips, and jawline for a subtle, facelift-like effect. Fillers work by adding volume and smoothing out wrinkles, providing a temporary but noticeable improvement in facial contours.
Laser skin resurfacing:SmartSkin®+ laser resurfacing tightens skin and smooths wrinkles but doesn’t alter facial contours. This procedure uses laser technology to remove damaged skin layers, promoting collagen production and resulting in a more youthful appearance.
Chemical peels: Dr. Delgado offers SkinMedica® skin peels, non-surgical exfoliating treatments that can improve skin texture and appearance. These chemical peels remove the outer layers of skin, reducing the appearance of fine lines, sun damage, and uneven pigmentation.
Microdermabrasion: A non-invasive exfoliating treatment that can improve skin texture and appearance. This procedure uses tiny crystals to gently exfoliate the skin, promoting cell turnover and revealing smoother, more radiant skin.
While these alternatives can provide some benefits, they may not match the results of a facelift for improving facial contours, the neck, and the jawline. Non-surgical options are best suited for individuals with mild to moderate signs of aging who seek a less invasive approach to facial rejuvenation.
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 factors. When considering the procedure, consider factors such as skin condition, age, and personal aesthetic objectives. The timing of the procedure can significantly impact facial harmony, aligning the results with the patient’s overall aesthetic goals. Individuals should carefully evaluate these factors and consult with an experienced facelift surgeon to determine the most appropriate time to undergo the procedure.
Following deep plane facelift surgery, patients typically notice progressive enhancements in their appearance throughout the first three months after surgery. To ensure optimal outcomes, it’s imperative that individuals schedule their procedure with ample time for recuperation and consider 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.
Following Dr. Delgado’s guidelines on wound care and hygiene can mitigate infection. Patients are advised to monitor for signs of infection, such as increased redness, swelling, or discharge, and to contact Dr. Delgado’s office promptly if any of these symptoms occur.
Although rare, bleeding can occur during or after the procedure. Surgeons take precautions to control bleeding during surgery, and patients are advised to avoid medications and supplements that can increase their risk prior to the procedure.
Scarring is another consideration, though deep plane facelift techniques often lead to less visible scarring due to the strategic placement of incisions. Dr. Delgado aligns 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 such as Dr. Delgado who have 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. In general, qualified plastic 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 three to four days, with scheduled follow-up visits on the third post-operative 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.
Post-operative swelling and discoloration are expected in facial surgery. 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 six weeks post-procedure, many patients observe substantial reductions in swelling and feel comfortable resuming regular activities without drawing attention. Patients will require some time off work to recover after facelift surgery, usually around one to two weeks, and exercise can begin at four to six weeks. Effective recovery requires minimizing sun exposure and following skincare routines.
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 around one year after the operation, when the final results of the deep plane facelift become evident, displaying full recovery effects. Many patients consider a facelift to match their youthful energy with their appearance.
Cost and Financing
The cost of a facelift in San Francisco depends on the surgeon’s experience, the specific techniques used, and the geographic location of the practice. On average, patients can expect to invest between $10,000 and $20,000 or more for a deep plane facelift.
To make this transformative procedure more accessible, many practices offer financing options. These can include payment plans, medical credit cards, and other financial arrangements that allow patients to spread the cost over time. It’s essential to discuss these options with your surgeon during the consultation to find a plan that fits your budget.
Dr. Miguel Delgado: Expert in Deep Plane Facelifts
With over thirty years of experience in cosmetic surgery, he 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, 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: 450 Sutter Street, San Francisco, in Union Square, or Novato, Marin County. At Dr. Delgado’s practice, patients can expect personalized care and meticulous attention, resulting in consistently excellent outcomes following surgery.
Choosing the Right Surgeon for Your Deep Plane Facelift
Choosing the right surgeon for your deep plane facelift is crucial for achieving the best possible results. When selecting a surgeon, consider the following factors:
Board Certification: Ensure the surgeon is board certified in facial plastic surgery or a related field. Board certification indicates that the surgeon has met rigorous standards of training, expertise, and ethical practice.
Experience: Look for a surgeon with extensive experience in performing deep plane facelifts. An experienced surgeon is more likely to deliver consistent and satisfactory results.
Qualifications: Check if the surgeon has received specialized training in deep plane facelift techniques. Specialized training ensures that the surgeon is well-versed in the latest advancements and best practices in the field.
Reviews and Testimonials: Research the surgeon’s reputation by reading reviews and testimonials from previous patients. Positive feedback from past patients can provide insight into the surgeon’s skill, professionalism, and patient care.
Consultation: Book a consultation to discuss your goals and expectations with the surgeon, assessing their communication style and bedside manner. A thorough consultation allows you to gauge the surgeon’s understanding of your needs and their ability to create a personalized treatment plan.
By carefully selecting a qualified and experienced surgeon, you can ensure a safe and successful deep plane facelift procedure that meets your individual needs and goals. Taking the time to research and choose the right surgeon is a critical step in achieving the desired aesthetic outcomes and enhancing your satisfaction with the procedure.
Reviews and Testimonials for Dr. Delgado
Before and after photo after a deep plane facelift and eyelid lift.
“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 is a master, and a true artist with incredible skill.
He is caring and a great listener.
I had a lower face and neck lift, and I’m so happy. I look like myself but 10 years back. There are no more vertical lines, jowls, and stringy necks. I don’t know how he did it, but my skin does not look pulled in any way. He even gave me back my little dimple that had turned into a very deep vertical line. Thank you Dr. D. I am forever grateful.“
“I recently had a lower facelift and neck lift. It’s only been two weeks and I can already see it’s going to look amazing. Dr Delgado is such a skilled surgeon. I felt confident in going to him and so glad I did! He’s a very caring physician and very thorough. I would highly recommend him for this procedure!“
Outstanding Reviews
Dr. Delgado and his team take great pride in the exceptional reviews they have received throughout the years. They have garnered a remarkable 4.9 rating on Google based on 290 reviews, an impressive 4.7 rating on Yelp with 151 reviews, a commendable 4.8 rating on Real Self from 266 reviews, and a perfect score of 5.0 on Birdeye with feedback from 238 individuals. These platforms are among the most popular review sites available. In recognition of Dr. Delgado’s proficiency in his field, he was voted the best plastic surgeon in San Francisco by San Francisco Magazine for 2022, an accolade that fills both him and his staff with immense honor. It is worth noting that Dr. Delgado has extensive experience spanning over three decades, specializing in facelift surgery in the San Francisco Bay Area.
VOTED BEST PLASTIC SURGEON IN SAN FRANCISCO BY SAN FRANCISCO MAGAZINE IN 2022
Additional Procedures to Enhance Facial Rejuvenation 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.
Book Your Free Deep Plane Facelift 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 facelift 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. During a facelift consultation, Dr. Delgado reviews the patient’s medical and surgical history. It is essential to disclose any medications taken during the facelift consultation. Dr. Delgado’s extensive expertise, combined with a personalized treatment plan, ensures the highest level of care and satisfaction for each patient he treats. Patients are often encouraged to bring photographs of themselves when they were younger to the consultation.
Deep Plane Facelifts in San Francisco and Marin County
Before and after photo after a deep plane facelift and eyelid lift (blepharoplasty).
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. The deep plane facelift offers natural rejuvenation by repositioning facial tissues to their youthful state without creating a stretched appearance. 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.
Out-of-Town Patients Traveling to 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:
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, or enjoy scenic views from nearby parks like Crissy Field or Battery Spencer.
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.
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.
Golden Gate Park: A massive urban park offering gardens, lakes, museums, and outdoor activities. Highlights include the Japanese Tea Garden, the California Academy of Sciences, and the de Young Museum.
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.
Ferry Building Marketplace: Start your gastronomic journey at this historic 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 three to four days after deep plane facelift surgery. Post-operative swelling usually begins to subside within the first two weeks. 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.
Why choose Dr. Miguel Delgado for a deep plane facelift?
Opting for a deep plane facelift with Dr. Miguel Delgado is a smart choice, 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 expertise 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 take the first step in complete facial rejuvenation.
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 415.898.4161.
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