Deep Plane Facelift in Turkey

What is Deep Plane Facelift?

Deep plane facelift is an advanced surgical technique that targets the lower layers of the face most affected by aging. In this method, not only is the skin tightened; the underlying connective tissues, muscle structures, and the SMAS (Superficial Musculoaponeurotic System) layer—the primary supporting structure of the face—are also released and repositioned to their natural anatomical location.

This results in:

• Elimination of sagging cheeks
• More defined cheekbones
• Smoothing of nasolabial lines (grooves between the nose and mouth)
• A more defined jawline
• Looseness in the neck is tightened

Deep surface facelift does not simply create temporary tension on the skin; it deeply repositions the facial structure. Therefore, the results are both more natural-looking and longer-lasting.

Who is a good candidate for deep surface facelift?

This technique is ideal for patients whose facial aging has reached an advanced stage and cannot be treated with superficial procedures alone. Individuals with the following characteristics are suitable candidates for this procedure:

• Individuals over the age of 45
• Severe sagging of the cheeks and lower face
• Deepening of the nasolabial folds
• Loss of definition in the jawline
• Excess skin and laxity in the neck area
• Individuals who have previously undergone a facelift and are dissatisfied with an unnatural appearance
• Patients seeking natural and long-lasting results

Note: Even in advanced age when skin elasticity is completely lost, dramatic and natural results can be achieved with the deep surface technique.

Pre-operative Preparation Process for Deep Surface Facelift Surgery

Since this is a major surgical procedure, the patient's overall health must be thoroughly evaluated. The preparation process includes the following steps:

1. Detailed Examination and Facial Analysis

The surgeon assesses the facial muscle structure, skin quality, degree of sagging, and patient expectations. Photographs are taken for pre-operative planning.

2. Medical Tests

Pre-operative blood tests, EKG, and anesthesia suitability checks are performed.

3. Lifestyle Adjustments

• Smoking and alcohol should be stopped at least 2-3 weeks in advance.
• Blood thinners should be discontinued with a doctor's approval.
• Skin care is recommended, and exposure to the sun should be avoided.

The preparation process directly affects the safety and success rate of the surgery.

How is Deep Surface Facelift Surgery Performed?

The surgery is usually performed under general anesthesia and can take an average of 4 to 6 hours. The duration may vary depending on the surgeon's technique, the patient's facial structure, and the presence of additional procedures.

Surgical Stages:

1. Placement of Incisions
   • Aesthetic incisions are made starting from the front of the ear and extending to the back of the ear and hairline.
   • These incisions are hidden in the scalp and natural creases to minimize scarring.
2. SMAS and Deep Tissue Release
   • The connective tissue and muscle layer of the face are separated from the skin and lifted upward.
   • The deep layers are moved to their natural positions and secured.
   • This step restores the face to its youthful anatomy.
3. Removal of Excess Skin
   • The skin is placed without creating tension on the deep tissues.
   • The excess is cut and sutured so as not to leave any scars.
4. Neck Lift and Fat Injection if Necessary
   • If there is sagging in the chin and neck areas, tightening can be performed during the same procedure.
   • Fat injection can be applied to the cheekbones or hollow areas.

Thanks to this technique, not only a tight skin but also a natural facial expression that is compatible with facial expressions is achieved.

Deep Surface Facelift Post-Operative Recovery Process

Since this surgical procedure involves deeper layers than traditional methods, the recovery process may take a little longer. However, patients are generally satisfied with the results, which are permanent and natural.

First 3 Days:

• Swelling, bruising, and tightness in the face are normal.
• Rest with your head slightly elevated.
• Mild pain can be controlled with prescribed medication.

1st Week:

• Swelling begins to subside gradually.
• Bandages are removed, and stitches are taken out.
• Social life can be resumed slowly.

2–3 Weeks:

• Facial contours begin to settle.
• Bruising largely disappears.
• Light makeup can be applied.

1–3 Months:

• Final results begin to appear.
• Facial expressions settle and become natural.
• Scars fade significantly.

Protecting the skin from the sun, avoiding strenuous exercise, and refraining from smoking and alcohol consumption are of great importance throughout the healing process.

Advantages of Deep Surface Facelift Surgery

There are many valid reasons why this method is increasingly preferred in aesthetic surgery:

• Natural Appearance:The face is not artificially stretched. The structures under the skin are returned to their anatomical positions.
• Permanent Results:The effect is longer lasting than other face lift methods.
• Deep Tissue Architecture: Not only the skin but also the SMAS, fat tissue, and muscle systems are reshaped.
• Preservation of Facial Expressions: The face retains its natural appearance. There is no appearance of excessive tightness.
• Comprehensive Rejuvenation: A noticeable rejuvenation is achieved in the entire face and neck area.

Thanks to these advantages, deep plane facelift is considered the gold standard, especially for individuals in the advanced stages of aging.

Deep Surface Facelift Longevity

Deep surface facelift surgery is one of the most long-lasting facial rejuvenation techniques. The surgeon's experience, technique, the patient's skin structure, and lifestyle all influence longevity.

Generally:

• It provides effective results for 7 to 15 years.
• A healthy lifestyle, skin care, and sun protection can extend this period.

In some cases, minor touch-ups or supportive procedures in later years can help maintain the results for even longer.

Frequently Asked Questions (FAQ)

What is the difference between deep plane facelift and classic facelift?

This article only describes deep surface facelift surgery. In classic methods, only the skin and SMAS are tightened, while in deep surface facelift, these structures are completely released and repositioned. This results in a more natural and long-lasting outcome.

Will my face look very tight after the surgery?

No. Since the procedure focuses on deeper tissues, excessive tension is not applied to the skin surface. The results appear more balanced and natural.

Will there be any scars?

Incisions are hidden in the hairline and along the natural contours around the ears. Mild redness may occur in the first few months, but scars fade over time.

How often can this surgery be repeated?

Deep surface facelift is typically performed once and provides long-lasting results. If necessary, minor revisions can be performed in subsequent years.

When can I return to work and social life?

You can typically return to social life within 10–14 days. However, full healing and the natural appearance may take 1–3 months.