The superficial musculoaponeurotic system (SMAS) layer is the critical layer in the face involved in ageing, and also in facelift surgery. Traditional facelift techniques use a variety of methods to lift this layer in an attempt to restore a youthful look.
In a deep plane facelift, the surgical dissection happens deep to the SMAS layer, allowing the deep retaining ligaments of the face to be released, something that is not possible in other types of facelift. Once these ligaments are fully released the face can be lifted without tension and restored to a natural, youthful, and long lasting position.
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There are many different types of face and neck lift and careful evaluation of your face and discussion of your needs is essential in selecting the most appropriate technique.
The different types of face lift will give different results and it is therefore essential to appreciate what each procedure will and, more importantly, what it won’t do.
Deep plane surgery in the neck allows for the reduction of structures not accessible using other facelift approaches such as fat, much and glands. This results in far greater definition of the neck and jaw.
Extended deep plane face and neck lift surgery is performed by very few surgeons however some members of the Coppergate team have visited leading surgeons around the world to ensure they are able to provide the gold standard in facial rejuvenation surgery to our patients.
As the needs and concerns of each patient are unique, a detailed consultation with a consultant plastic surgeon is essential prior to undergoing any surgical procedure. During the consultation, your surgeon will take this opportunity to discuss any problem areas, desired improvements, options available (including no treatment at all) and expected outcomes.
Hair may be carefully washed the day after surgery using a mild shampoo and lukewarm water. It is helpful to sleep with a couple of extra pillows behind your shoulders to help the healing process. Our highly experienced medical team will be on hand to offer advice in the weeks following surgery.
Wound check and suture removal is typically 7-10 days after surgery. Return to work is 2-3 weeks after surgery, exercise can commence around week 4, and the final results are visible at about 12 weeks.
Most of our patients don’t want to look radically different after facial surgery, they just want to look fresher and natural. This is the outcome we aim for.
In a deep plane facelift the neck and jaw is tightened to provide greater definition, whilst the face is restored to a natural youthful appearance.
Deep plane facelift surgery will reduce the amount of skin laxity by removing skin and tightening musculoskeletal and ligaments. It will not change the quality of the skin long term and other treatment options should be explored. Fine lines may be improved with dermabrasion and skin crepiness may be reduced with dermal conditioning, HA fillers, or fractional laser/micro-needling.
Skin stretches, and whilst this is a desirable property of the skin in breast reconstruction where we want the skin to relax, it is undesirable in facial rejuvenation surgery, where we want the skin to remain tight forever. Inevitably, therefore, the skin will relax a little after surgery. However, after a couple of weeks it will stabilise and the result will then be maintained.
A deep plane facelift typically sets the ageing clock 7-15 years back. After that the face will continue to age, only from an earlier point in time. Surgeons believe that the tension free lift of a deep plane lift ensures maximum longevity.
Male facial surgery presents the surgeon with several challenges. The hairline tends to be higher, with the hair being shorter and thinner. This makes placing scars more difficult and can compromise the vector of pull. The hairline may not be stable, and with advancing years the hairline may recede. The beard may help or hinder scar placement. Conventional techniques may be used, with scars being placed around the ears and within the hairline.
At consultation, the various options for scar placement will be discussed with you; with the pros and cons of each approach made clear. The principles of surgery are the same as for the female facelift discussed above.
Another option for a man who is more concerned about the neck area is a Z Plasty Neck Lift.
Cheeks
Mid and Lower Face
Neck
Jaw
Surgery is usually performed under twilight anaesthesia (sedation) or under a general anaesthetic to ensure the client’s total comfort for the duration of the procedure. Local anaesthetic is also used to ensure comfort immediately after the procedure, and patients will be discharged with suitable pain killers.
4+ hours
Releasing the ligaments in the deep plane allows tissues of the face to be lifted and repositioned without tension, giving a long lasting natural look. It also allows the deep structures of the neck, such as fat and glands, to be reduced to provide optimal definition of the neck and jaw.
The neck and jaw is tightened to provide greater definition, whilst the face is restored to a natural youthful appearance.
Wound check and suture removal is typically 7-10 days after surgery. Return to work is 2-3 weeks after surgery, exercise can commence around week 4, and the final results are visible at about 12 weeks.
Facelift surgery resets the ageing clock typically by 7-15 years. After that the face will continue to age, just from an earlier point in time. Surgeons believe that the tension free lift of a deep plane lift ensures maximum longevity.
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