Deep plane face-lift: Integrating safety and reliability with results

Abstract

The decision to perform a deep plane lift versus a previously traditional superficial musculoaponeurotic system (SMAS) elevation is based upon the patient's anatomy. This procedure is geared toward the middle-aged patient who is concerned about the relative flattening of the midface, due to decent of the malar fat pad and facial musculature, deepening of the nasolabial folds, decent of the jowl below the oral commissure, and presence of submalar fat in conjunction with loose submalar skin and obvious platysmal banding. The technique is discussed with preoperative evaluation, preoperative markings, anesthesia, technique, postoperative care, and possible complications.