"A Deep Plane Facelift is an advanced form of traditional facelift that can make a person look 10-15 years younger! It helps achieve tighter, younger, defined jawline and cheekbones as well as reduce elasticity in the neck."

• According to the American Society of Plastic Surgeons, more than 230,000 surgical facelifts and other forms of facelift were performed in the United States alone in 2020.
• Aging is a natural process although signs of aging can be delayed. An expert board-certified facial plastic surgeon can ensure that one approaches the process more gracefully. 
• A Deep Plane Facelift restores a youthful glow, making the skin appear youthful by repositioning underlying layers of tissue, releasing specific ligaments, and remodeling deeper attachments of the face. 
• A Deep Plane Facelift aims at thoroughly lifting certain areas of the face without over-tightening the tissues. Thus, it requires a plastic surgeon's utmost precision, expertise, and experience. 
• The results of a Deep Plane Facelift surgery are much longer than that of a traditional one. 

Dr. Parag Telang (MS, MCh, DNB, FCPS) is a celebrity plastic surgeon in Andheri West, Mumbai, who specializes in Deep Plane Facelift.

Dr. Parag Telang also practices at Burjeel Day Surgery Center, Abu Dhabi, and is recognized as the most sought-after facial plastic surgeon in Dubai, UAE.

At his cosmetic surgery center in Mumbai i.e. Designer Bodyz, people from across the globe, especially from the UK, USA, Australia and several Gulf countries, visit Dr. Parag for customized facial plastic surgeries and Deep Plane Facelifts top this list.

What is a Deep Plane Facelift? 

A Deep Plane Facelift is a facial plastic surgery performed to address aging in underlying layers of tissue along with superficial layers of skin. In some specific cases, based on one's goal and problem status, a facelift may be paired with other cosmetic surgeries for a more comprehensive result, such as:

• Brow lifts
• Eyelid surgery
• Cheek implants
• Fat grafting 
• Dermal fillers 

Some key points of the Deep Plane Facelift are:

• A deep plane is a term used to describe the anatomic plane between the superficial muscular aponeurotic system or the SMAS-platysma complex and the deeper layer of muscles that lifts and repositions the skin and underlying tissues of the face, allowing more permanent and aesthetic outcomes. 
• The Deep Plane Facelift helps achieve tighter skin and defines facial features with the contoured jawlines. 
• It reduces elasticity in the neck and addresses facial skin sagging. 
• It restores cheek areas and improves the hollowness in the lower eyelid. 
• A Deep Plane Facelift helps enable tension-free movement and avoid creating the stretched look you may associate with traditional facelifts.
• Deep Plane Facelift surgery can make you look 10-15 years younger than your actual age. 
• It is technically challenging, so only proficient, board-certified facial plastic surgeons can perform Deep Plane Facelifts. 
• With his extensive years of plastic surgery career, Dr. Parag Telang has developed a specific approach to the Deep Plane Facelift and shared it with other plastic surgeons, especially in India, Dubai (UAE), and globally. 

Deep Plane Facelift at a glance:

• Surgery time: 1-3 hours
• Hospital stay: Day case
• Reasonable mobility: After 2 days
• Sexual activity: After 6 weeks
• Full recovery: 6-8 weeks
• Strenuous activities: After 6 weeks
• Results longevity: Deep Plane Facelifts can last about 10-15 years or even longer. 

Why do people have Deep Plane Facelift?

A Deep Plane Facelift is a technically demanding procedure, which is why less than 5% of plastic surgeons can produce unmatched aesthetic results. Since the procedure helps address many signs of aging in one step, it is categorized as a cost-effective facial procedure that saves time, money, and energy from unwanted cosmetic sessions. 

One should opt for a Deep Plane Facelift, as it can address noticeable signs of aging in just one intervention, such as:

• Volume loss
• Double chin
• Crepey neck skin
• Jowls
• Saggy/ excess skin
• Deep wrinkles and folds/ static wrinkles. 

What to Expect?

A. The Consultation: 

The one-on-one consultation with a plastic surgeon is inevitable to know the realistic goals, possible outcomes, feasible technique and required key candidacy to achieve facelift surgery. Since Deep Plane Facelift addresses sagging skin and visible signs of aging from the deeper layers and restores youthful contour, it is essential to evaluate the aging status of the patient so that they can achieve the utmost benefits of the surgery. 

During the consultation session, one may ask the following questions from the facial plastic surgeon:

• Am I the right fit for the procedure?
• What are the achievable goals in my specific case? 
• Do they have 'after-and-before' photographs?
• What is recovery like?
• What to expect in the post-procedure and healing period? 

Am I a Suitable Candidate for a Deep Plane Facelift? 

• Good physical and psychological health.
• Ideal body weight.
• Realistic expectations.
• Those seeking facial rejuvenation and want to restore the contours of the face and neck.
• Those wanting a long-lasting solution for static aging concerns. 

B. Leading up to Procedure:

Those who are considering a Deep Plane Facelift and ready to proceed with surgery, the pre-procedure guidelines are as follows:

• Stop/discontinue smoking cigarettes at least six to eight weeks before surgery, as smoking can cause healing hindrances and compromised results. 
• Inform the surgeon about ongoing medication and stop taking any blood thinning medicines.
• Six hours before surgery, one is advised not to consume any food or drink other than clear fluid, i.e., water, black coffee, or black tea (which are allowed up to two hours before admission). 

C. On the day of surgery:

How is a Deep Plane Facelift performed?

•  A Deep Plane Facelift surgery is designed to target the deeper layers of facial tissue and helps restore the youthful contour of the face while also improving skin tone and texture. The procedure involves dissecting multiple layers of tissues in the midface or both the midface and neck areas for a more comprehensive outcome. During the procedure, an incision is made typically within the hairline and skin crease just in front of the ear. An expert facelift surgeon creates an incision in such a way that it can be perfectly camouflaged. Then, facial and neck skin is separated from deeper tissues, resulting in proper visualization of SMAS. 
• As discussed earlier, SMAS is a layer of connective tissues underneath the skin, made up of elastin, collagen, and fat cells that usually drapes over facial organs. The SMAS-platysma complex (the muscle and fascia of the face) extends from the neck to the forehead, and the deeper layer of muscles allows one to make facial expressions, such as smile, sad, or angry. And SMAS is lifted in Deep Plane Facelift surgery. 
• After identifying the SMAS layer, it is separated from deeper tissues, and the SMAS layer is carefully lifted to meet the Deep Plane Facelift goals. Further, multiple stitches are placed to anchor the SMAS, and then meticulous suturing is done to close all the incisions. Lifting the SMAS layer helps address the sagging skin of the cheeks, jowls, and neck, resulting in a youthful facial appearance and improved skin tone and texture.

D. What is Recovery like? 

• A complete Deep Plane Facelift surgery can take longer than usual because it is more invasive than a typical facelift procedure.
• It is common to experience swelling and bruising lasting up to 3-6 weeks. 
• One can expect bruising of some facial and neck skin areas for 2-3 weeks, whereas swelling can last longer this period. 
• Swelling will start improving in two weeks but will take six weeks to subside entirely.
• During the first one to two weeks following the Deep Plane Facelift, one is instructed to wear a compression garment, neck support, and drain to help with swelling and easy recovery.
• One should take off work for at least two weeks and refrain from strenuous activities/ exercise for six weeks to allow healing.
• Returning to work depends on the nature or type of job, as one can resume an office job sooner than a public servant, which requires significant physical activity.
• If experiencing prolonged bruising or swelling, it is inevitable to visit the clinic regularly to ensure that one heals perfectly. 

What are the Benefits of Deep Plane Facelift surgery?

• A Deep Plane Facelift reduces deep-seated wrinkles and addresses static wrinkles and creases because it elevates the midface vertically.
• It restores volume to the cheek area and improves skin tone and texture. However, patients undergoing Deep Plane Facelift surgery do not need fillers or fat grafting to complement the procedure.
• A Deep Plane Facelift treats multiple signs of aging in one step, such as deep wrinkles and folds, saggy skin, volume loss, double chin, crepey neck skin, and saggy jowls. It improves overall facial symmetry by restoring balance to the underlying muscles and ligaments. 
• It enhances the structure of the face by redistributing fat, correcting droopy eyes, and addressing the concerns of sunken cheeks by restoring lost volume. 
• It gives a younger, brighter, and enhanced facial appearance by restoring tightness and smooth skin to the face and neck with the utmost natural and longer-lasting outcomes. 

How much does a Deep Plane Facelift cost in Mumbai & UAE?

A Deep Plane Facelift costs depend on several factors that influence the procedure externally and internally. Various factors may include the factors associated with the patient's problem status, surgical suite facilities, or plastic surgeon's expertise. However, the cost of a Deep Plane Facelift may vary from patient to patient and clinic to clinic. The introductory consultation with a facial plastic surgeon is inevitable to know whether the clinic can provide payment plans or a care credit card, as the insurance company does not cover cosmetic surgical procedures. 

• Deep Plane Facelift Cost in Mumbai: INR 3,00,000 to INR 5,00,000 (Designer Bodyz, Mumbai, India)
• Deep Plane Facelift Cost in UAE: AED 7000 to AED 18000 (Burjeel Day Surgery Center, Abu Dhabi)

Furthermore, the cost may vary from one patient to another, as every individual is unique and has customized surgical goals that require custom-tailor operations that may add other adjunctive facelift procedures based on one's goals and problem status. 

Some factors that influence the cost of Deep Plane Facelift surgery are:

1. Board-certified, expert facial plastic surgeon
2. The extent of the procedure, including length and involvement of other adjunctive facelift procedures
3. Location of the clinic
4. Anesthesia costs
5. Pre-and-post-procedure preparations and follow-ups. 

FREQUENTLY ASKED QUESTIONS

Q. Why choose a Deep Plane Facelift over an SMAS facelift?

A Deep Plane Facelift surgery provides more excellent definition to the cheekbones, jawline, and neck and improves overall facial appearance by reducing the signs of noticeable aging. It corrects wrinkles, static wrinkles, and other problem areas before they become more challenging to address and results in more natural but permanent change. On the other hand, a traditional or SMAS facelift is suggested when a patient does not require such extensive surgery, and SMAS may be enough to achieve the results they are looking for. A one-on-one consultation with a board-certified plastic surgeon like Dr. Parag Telang can help one determine the best option based on his/her aesthetic goals and realistic expectations.

Q. Will my scars be visible?

Our expert, board-certified facial plastic surgeon, Dr. Parag Telang, can create the incision so that hair can grow and scars are not visible. The precisely placed incisions are hidden around the ears and within the hairline. The scars/ incisions may become virtually undetectable over the passing years. 

Q. How long does a Deep Plane Facelift last?

A Deep Plane Facelift surgery gives longer-lasting results, and the effects should last between 8-12 years. Since aging is a natural process and we cannot stop the process, individual factors that may vary from patient to patient can affect the longevity of results. However, factors like genetics, sun exposure, lifestyle, sleeping patterns, and skin quality are all at play in aging and can influence the longevity of the results. Our plastic surgeon recommends patients maintain a healthy lifestyle and practice a good skin care regimen post-procedure to ensure longer-lasting outcomes. 

Q. How to find an experienced Deep Plane Facelift surgeon? 

Choosing the best facial plastic surgeon is a critical job beforehand to avoid the risks of compromised results. However, there are specific parameters that a prospective patient must evaluate while selecting the right plastic surgeon for the procedure. 

Questions to ask a plastic surgeon during the introductory consultation are as follows:

• Does the surgeon elevate the platysma muscle in the neck along the jawline to get a more effective release?
• Does the surgeon have 'after-and-before' photographs?
• How many years of experience does the surgeon have in performing facial plastic surgery, especially the deep plane?
• Can they remove the buccal fat pads through the deep plane approach? 
  

Q. What will my face look like right after a Deep Plane Facelift?

Right after the Deep Plane Facelift surgery, the face will likely be swollen or bruised, lasting up to a few weeks. It is instructed to apply ice packs to minimize swelling. One may have a drain placed and need basic assistance for the first 3 to 4 days post-op. Once the swelling subsides, which may take up to 4-5 weeks, the person will begin to see the facelift results. Most individuals resume normal routine activities after 2-3 weeks, including returning to work, running, and even light physical workout. Strenuous exercise can be resumed at around 6-7 weeks following the Deep Plane Facelift surgery. 

Q. Why select Dr. Parag Telang for Deep Plane Facelift surgery?

Dr. Parag Telang is a board-certified facial plastic surgeon with a skilled authority on facial anatomy and an aesthetic mastery in facial plastic surgery. Dr. Telang can highlight a person’s natural beauty while maintaining aesthetic facial structures, expression, and unique identity. He has expertise in offering virtually undetectable scars and allowing a hassle-free recovery without undue downtime. 

• CONTACT DR. PARAG TELANG TODAY