Choosing the right facelift procedure can feel overwhelming with many options available. Understanding the key differences and benefits can help you make an informed decision about what is best for your aesthetic goals. I have had experience with a number of techniques. In this commentary I will explain my thoughts about their benefits and drawbacks and why I see the deep plane face and neck lift as the better and more versatile option.
There are ’S-Lifts’ which are skin only lifts. The results of these are underwhelming and even if a nice change is present early after the surgery, the outcomes do not last any longer than 3-6 months.
Traditional facelifts, such as the SMAS (Superficial Musculoaponeurotic System) lift can involved either plicating the SMAS (meaning overlapping it) or removing a section of the SMAS and stitching it (such as a lateral SMAS-ectomy). Both techniques can work to tightening loose skin and reducing sagging. Whilst the face and neck are lifted, the results may sometimes appear less natural or less long-lasting, especially in areas requiring deeper structural correction such as the cheeks or jowl area.
Mini facelifts may be used for younger patients or those with milder signs of skin sun damage. Mini face and neck lifts involve shorter incisions but may have the downside of a sweep of skin from the jowls to the front of the ear known as a ‘lateral sweep’. This procedure is less long lasting and the results are more limited than other techniques. The post-operative downtime is similar to other techniques despite what is often claimed.
The “deep plane facelift” is technically more challenging but is increasing in popularity due to its ability to achieve more natural and enduring results. This procedure involves lifting the deeper facial tissues, including the muscles and ligaments, not just the skin. By addressing the foundational structures that support the face, the deep plane facelift results in a more genuine and harmonious rejuvenation.
One of the significant benefits of the deep plane facelift is its ability to produce longer-lasting results. Because it repositions the deeper tissues that sag with age, patients often enjoy a more youthful appearance for many years following the procedure. Additionally, it minimizes the risk of a “pulled” or stiff appearance, common with more superficial lifts.
it provides a natural look. Patients typically report feeling and appearing more refreshed and youthful without the obvious signs of surgery. The technique also allows for better contouring of the jawline and neck, effectively addressing jowls and double chin issues.
A real benefit of the deep plane face and neck lift is the ability to customize the procedure based on individual facial anatomy and aging patterns. This means each patient achieves optimal, personalised results. Some patients are focused on the neck and jawline, others for the cheek area or for many patients they just want a nice balanced result which this delivers.
In my experience, recovery from a deep plane facelift is not much different to other techniques, but the results are well worth the investment.
In conclusion, if you’re seeking a long-lasting, natural, and comprehensive facial rejuvenation, the deep plane facelift is the best option. Not all surgeons will offer this approach as it relies on a solid understanding of facial anatomy and advanced surgical experience to be able to perform this procedure. It delivers results that look fresh, natural, and youthful—helping you feel confident in your appearance for years to come.
The insights from this update are based on years of experience but it is important to consult a Plastic Surgeon to get a specific plan tailored to your needs. Please remain open minded to other options as each individual is different and there may be reasons why some techniques may suit different situations.
Ng? mihi nui,
JW