If a facelift is required, I will typically perform a deep-plane facelift (also called a high-SMAS facelift). In certain cases, a mini-facelift is appropriate. The deep-plane facelift I perform is a more technical and advanced facelift procedure and it produces the best and longest-lasting results. It does take just a little longer to perform, but I find that the results and my patients are well worth the extra effort and time.
The deep plane facelift is well-known for delivering very natural-looking results because it involves release, repositioning, and tightening of the 'muscle layer.' Working at this level allows the skin and muscle layer to be repositioned in a tension- free manner. This is a very important point to consider. Other techniques rely on stretching the muscle layer – often in an unnatural direction –and applying excessive tension during skin closure. This can result in a pulled, unnatural appearance with the eventual migration of scars that become noticeable as the skin and muscle layer spring back.