Deep plane facelift, also known as the sub-SMAS or SMAS-flap facelift, is a facelift technique that involves the repositioning of facial tissues to a more youthful position. By dissecting in the deep plane, beneath the SMAS layer and fascia, and repositioning the facial fat en bloc, this procedure aims to restore a more harmonious and attractive facial appearance.
Atlanta Deep Plane Facelift Anatomy
The deep plane facelift targets the dermal and subcutaneous layers, including the adipose tissue, which is the layer of fat that lies beneath the skin. This layer can become displaced due to the effects of gravity, muscle weakness, and loss of elasticity, giving the appearance of a sagging, aged face.
The SMAS layer, which is a fibrous layer of connective tissue, can also be weakened or thinned over time, compromising the facial structure. The deep plane facelift aims to address these changes by repositioning the facial tissues, which includes the skin, subcutaneous tissue, and SMAS layer, to a more youthful and harmonious position.
Preoperative Preparation
As with any surgical procedure, patients undergoing a deep plane facelift typically undergo a comprehensive preoperative evaluation. This includes
1. Medical history and physical examination to assess the overall health of the patient and identify any contraindications to surgery.
2. Photographs and biometric measurements to document the patient's facial topography and aesthetic concerns.
3. Consultation with a board-certified surgeon to discuss the patient's expectations, goals, and anesthesiology options.
Surgical Techniques
The deep plane facelift involves a combination of incisions and dissection techniques to reposition the facial tissues. The procedure typically includes
1. Preauricular incisions: made in the temporal region, these incisions provide access to the SMAS layer.
2. Facial fat mobilization: the subcutaneous tissue and SMAS layer are gently dissected from the underlying bone, allowing for a more comprehensive repositioning of the facial tissues.
3. SMAS resection: a portion of the SMAS layer may be excised to tighten the facial structure and eliminate excess tissue.
4. Dermal repositioning: the dermal and subcutaneous layers are mobilized to create a more youthful and harmonious facial appearance.
Postoperative Care
Following a deep plane facelift, patients typically undergo a comprehensive postoperative care plan to ensure optimal healing and minimize complications. This includes
1. Pain management: patients receive a comprehensive pain management plan to minimize discomfort and promote relaxation.
2. Swelling management: the surgeon may recommend medications or interventions to help manage swelling and promote fluid drainage.
3. Wound care and dressing changes: patients typically undergo professional wound care and dressing changes to ensure proper healing and minimize risk of infection.
4. Follow-up appointments: regular follow-up appointments are scheduled to assess the patient's progress, address any concerns, and remove sutures.
Results and Recovery
The results of a deep plane facelift can be dramatic, with improved facial definition, reduced sagging, and enhanced overall facial appearance. Patients typically report a high degree of satisfaction with their results, which can be attributed to the comprehensive nature of the procedure.
Recovery from a deep plane facelift is often characterized by moderate discomfort, swelling, and bruising at the surgical sites. Patients usually require a few days to a week to recover, during which time they are advised to avoid strenuous activities and minimize exposure to direct sunlight. With proper care and follow-up, patients can enjoy a rejuvenated and refreshed appearance that is sustained for many years to come.