Deep plane face lifting for midface rejuvenation

Abstract

The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with nonsurgical techniques, delivering accurate, direct treatment of deeper anatomic aspects of facial aging. The well-vascularized deep-plane flap minimizes complications. Outcomes can be maximized because tension exists “invisibly,” only at the fascia level. Consistent, natural,and long-lasting aesthetic results are achieved.

Keywords: Aesthetic surgery; Aging face; Deep plane; Facelift; Midface; Rhytidectomy.