The term deep plane refers to a specific type of facelift in which the SMAS, a layer of connective tissue underneath the skin and on top of the facial muscles, is lifted to tighten the cheeks, jawline, and neck. The SMAS is a durable layer that I often explain as the “frame” that support the skin and soft tissue above it. Deep Plane facelifts are so powerful and long lasting because they lift by re-suspending this durable natural framework, allowing the skin and soft tissues to be naturally repositioned in a more youthful contour.
What does SMAS facelift stand for?
SMAS, an acronym for superficial musculoaponeurotic system, is a layer of connective tissue between the skin and underlying facial muscles that can be lifted and tightened to lift and smooth the cheeks, jawline, and neck. The SMAS facelift addresses sagging skin as well as the face’s underlying structures likes the jowls and cheek fat.
What is a SMAS facelift?
Most modern facelift techniques involve some form of SMAS elevation and tightening. The SMAS is continuous with the platysma muscle in the neck (a thin sheet-like muscle that forms vertical bands in the neck when we clench our lower face). Thus, when the SMAS is lifted, the platysma is as well, producing a youthful, high neck contour and sharper jaw-line.
How long does the SMAS facelift last?
The effects of a facelift are not permanent. Despite the facelift, there will be changes in your face as you age. The length of time the benefits last is determined by many factors, such as overall health, age, smoking, sun exposure, and weight loss. In general, the effects last 10 to 12 years; some changes may last much longer.
Which technique gives the best results?
To a large extent, the best facelift results simply come from the best surgeons, regardless of technique. Surgeons will become adept at the technique they prefer and use commonly, using additional maneuvers and adjunctive procedures (like resurfacing, eyelid lifts, fat injection) to optimize the results.
However, surgeons who prefer the deep plane technique feel that it is superior to other techniques because of its ability to tighten the neck and jawline and improve the cheeks while preserving a natural, unoperated appearance. It seems to heal faster with less risk of problems, as noted. Nonetheless, this is a question that patients should ask their surgeons as they determine which procedure or procedures are best for them as individuals.
