Deep Plane Facelift

Excerpt

The deep plane facelift, originally described by Sam Hamra in 1990, utilizes a plane of dissection below the superficial muscular aponeurotic system (SMAS) of the midface, allowing for direct lysis of key facial retaining ligaments and maximum mobilization of the superficial soft tissue. By placing tension only at the level of the fascia, the deep plane technique creates a tension-free skin closure and ensures long-term results. Additionally, the deep plane technique can also address pseudo-herniated buccal fat contributing to jowling. With that said, the debate continues as to which facelift technique is superior. Nevertheless, a properly executed deep plane facelift can produce dramatic and sustainable rejuvenation to the lower face and the midface.