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Michael Law MD Aesthetic Plastic Surgery


Deep Plane Vs High Smas Facelift in Raleigh NC

Facelift surgery is a popular cosmetic procedure that can help reverse the signs of aging by lifting and tightening the skin and underlying tissues of the face. However, with the numerous surgical techniques available to patients, choosing the right facelift procedure can be a daunting task.

The deep plane and high SMAS facelifts are two popular approaches that are effective in lifting and contouring the deeper structures of the face. While both procedures aim to achieve similar results, there are significant differences between them that patients should consider before making a decision.

Deep plane facelifts involve lifting and repositioning the deeper layers of facial tissue, including the muscles, fat, and connective tissue, while high SMAS facelifts address the superficial musculoaponeurotic system (SMAS) layer of the face. It’s important to understand the key differences between these two approaches to determine which one is the best fit for your unique needs.

Deep Plane Facelift Surgery Raleigh

Approaches for Rejuvenation

Approaches for rejuvenation in facelift surgery involve deep plane and high SMAS procedures that can be customized for each individual patient based on their preoperative anatomy.

The deep plane facelift involves dissection beneath the SMAS layer to lift the deep structures of the face, while the high SMAS facelift involves lifting and repositioning the SMAS layer.

Both approaches can be combined with a lateral subplatysmal dissection for a youthful jawline and central neck definition via an incision below the chin to remove excess fat and reduce salivary gland prominence.

The choice between a deep plane and high SMAS facelift depends on the individual patient’s facial anatomy and aesthetic goals.

The high SMAS facelift is preferred for patients with moderate midface aging who still have a relatively well-defined jawline, while the deep plane facelift is recommended for patients with significant sagging and descent of the midface and jowls.

It is important to choose a Raleigh board-certified plastic surgeon who can provide a thorough preoperative evaluation and explain the surgical plan to achieve the most natural-appearing, youthful, and long-lasting result.

Differences between Procedures

One important factor to consider when choosing between these two surgical techniques is the extent of skin dissection and incisions made during the procedure.

The high SMAS facelift involves lifting and repositioning the SMAS layer, with incisions made high on the cheek and in front of the ear. This approach allows for moderate to significant lifting of the midface and jowls, while maintaining a well-defined jawline. However, the high SMAS facelift may not be as effective for patients with significant neck laxity or excess skin, as it does not directly address the platysma muscle.

In contrast, the deep plane facelift involves dissection beneath the SMAS layer, allowing for greater access to the deeper structures of the face. This approach can provide more significant lifting of the midface, jowls, and neck, with improved contour and definition. The incision for the deep plane facelift runs along an imaginary line connecting the outer corner of the eye to the lateral angle of the jaw, and extends more laterally for additional neck contouring. However, the deep plane facelift may have a longer recovery time and may be associated with higher rates of sensory nerve injury.

Ultimately, the choice between these two procedures should be based on each individual patient’s specific anatomy and aesthetic goals.

Choosing a Surgeon

When considering a facelift procedure, it is important to choose a board-certified plastic surgeon with experience and a personalized approach. The most significant factor that determines a natural-appearing, youthful, long-lasting face and neck lift result is the skill and experience of the surgeon performing it. Therefore, it is essential to research potential surgeons thoroughly and seek out before and after images of their work.

During the consultation process, the surgeon should provide a thorough preoperative evaluation and explain the surgical plan. It is crucial to find a surgeon who individualizes the surgical plan for each unique patient, taking into account their preoperative anatomy and desired outcomes.

By selecting a highly qualified surgeon, patients can feel confident and secure in their decision to undergo a facelift procedure and achieve the best possible results.

Frequently Asked Questions

What is the recovery time for a deep plane or high SMAS facelift?
The recovery time for a Deep Plane Facelift is similar to the recovery time of a high SMAS facelift. At Blue Water Plastic Surgery we implement many techniques and tools to significantly speed the recovery. The most important is the protocols implemented intra-operatively, but supplements, facial treatments, lymphatic drainage treatments before and after plastic surgery and laser treatments to accelerate healing are all part of our process. Most people are comfortable enough to work from home just a few days after surgery, and many are comfortable in public as soon as a week after surgery. We always advise patients to give yourself at least a month or more for people who work as on-camera talent, or for those who will be photographed for special occasions like a wedding.

Are there any non-surgical alternatives to these facelift procedures?

There are non-surgical alternatives to Deep Dlane and high SMAS Facelifts. Treatments like PRF, microneedling, laser skin tightening and other treatments can enhance the look and health of the skin. They can delay the need for a Deep Plane facelift These non-surgical services can actually make the skin, and therefore the result of the facelift look better. However, these alternatives may not provide the same level of improvement and longevity as surgical procedures.

What are the potential risks and complications associated with these facelift procedures?
At Blue Water Plastic Surgery, we carefully screen patients to help ensure a patient is in excellent health and is a good candidate for a Deep Plane Facelift. Anesthesia is administered by a board-certified MD anesthesiologist, so a patient undergoing a Deep Plane Facelift has two physicians tending to their care for the duration of surgery. Most patients recover quickly, and actually leave the recovery room pain free and with a smiling face.

How long do the results of a deep plane or high SMAS facelift typically last?

The results of a deep plane, may not be able to be described as permanent, but a Deep Plane Facelift will turn back the clock. Patients who practice good skin care, and healthy habits maintain maintain a youthful appearance for many years

How much does a deep plane or high SMAS facelift cost on average?

The cost of a deep plane or high SMAS facelift varies depending on factors. No two facelifts are exactly alike as no two patients are exactly alike. Facelifts can range from $10,000 to $100,000 or more. Sometimes the extra high prices may be a bit of a marketing tactic. However, no one should be looking for a discounted facelift. There are plenty of ways to save money. But plastic surgery on your face is not one of them.

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