Are there many and/or often complications?
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Is a deep plane facelift safe?
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2 UpVoted this answer
Deep Plane facelift is a broad name for different procedures done under the so called "SMAS" layer of the face. These procedures are: Sub-SMAS, Zygo-orbicular facelift, different SMAS flaps facelift and Subperiosteal facelift. To avoid confusion I have classified the face lift procedures based on the depth of dissection in: Superficial (under the superficial fatty layer), Intermediate (procedures done under the SMAS and over the periostium -the layer that covers the bone-) and Subperiosteal. The fact is that the motor nerves of the face and the muscles that provide the mimics to the face are located in that intermediate layer. Therefore the Intermediate layer techniques are more at risk for nerve and muscle injury) The safest planes are the Superficial and the Subperiosteal facelift techniques. The Subperiosteal is better suited to treat the central oval of the face where you can not do a superficial dissection where the Superficial technique is better for the periphery of the face and the neck where you cannot do subperiosteal dissection. So to answer your question the "deep plane "facelift can be risky or safe depending of the layer where the surgery is carried out.
2 UpVoted this answer
1 UpVoted this answer
A deep plane facelift is an alternative term for a facelift that tightens the layer beneath the skin. This is the SMAS layer or Superficial muscular aponeurotic system. Most surgeons realize that skin does not hold tension for a prolonged period. Thus it is important to suspend the facelift with deeper stronger tissue. Skin-only facelifts reduce excess skin, but results are temporary. Sub-SMAS facelifts provide longer lasting results, but surgery requires a longer period and recovery is lengthier. Additionally, the risk to nerve injury is slightly higher, but in experienced hands, complications should be rare.
Good luck!!
Good luck!!
1 UpVoted this answer
A deep playing facelift is safe in the hands of a board-certified plastic surgeon who has extensive experience in this procedure. Most board-certified plastic surgeon's perform a facelift technique called a SMAS facelift and during this procedure the dissection is above the level of the facial nerve. A deep plane facelift is dissected below the level of the facial nerve and there is a higher incidence of facial nerve injury and in some studies a longer recovery period. A consultation with a board-certified plastic surgeon is essential.
1 UpVoted this answer
It is the surgeon rather than the procedure in most cases that leads to a great result and in a safe manner. Always pick the best board certified plastic surgeon. See the following link for tips on how to do this: http://drnichter.com/find-best-plastic-surgeon-dr-right/
1 UpVoted this answer
A true deep plane facelift is safe in the hands of those doctors that perform it properly. Technically however, many surgeons don't even know what a true deep plane facelift is: by definition, the skin is lifted only a very small amount - an estimate of what will be in excess and the entire skin and "deep plane" is elevated or rotated as a unit.
In contrast many surgeons work in and with the plane but also lift a standard skin flap giving the flexibility to elevate or rotate the SMAS layer independently of the skin and establish contour with with SMAS layer. This technique is properly know as an extended SMASplasty technique.
It is very technical sounding but the short answer is that a true deep plane facelift can be done safely but surgeons with enough experience and may be preferable in patients that smoke or have conditions that reduce blood supply to the face.
Good question
In contrast many surgeons work in and with the plane but also lift a standard skin flap giving the flexibility to elevate or rotate the SMAS layer independently of the skin and establish contour with with SMAS layer. This technique is properly know as an extended SMASplasty technique.
It is very technical sounding but the short answer is that a true deep plane facelift can be done safely but surgeons with enough experience and may be preferable in patients that smoke or have conditions that reduce blood supply to the face.
Good question
1 UpVoted this answer
A facelift done by someone with the proper training and experience (ie. a board certified plastic surgeon) is safe understanding that all surgical procedures have a certain level of risk associated with them. Consider your own health status, the experience level and training of your surgeon, and the setting where the procedure is being done.
The deep plane is a far more extensive procedure than a normal SMAS facelift -- it does not give a better result and has a longer recovery period and there is a greater incidence of nerve damage. In VERY experienced hands is can be safe. I personally don't offer it, in New York, people want to be back at work quickly, they don't have 3 months to recover.