Deep Plane Facelift vs SMAS Facelift

How the two techniques differ in plane of dissection and ligament release.

Plane of Dissection

A traditional SMAS facelift typically involves plication or imbrication of the SMAS layer with separate skin redraping. A deep plane facelift dissects beneath the SMAS, releases retaining ligaments, and repositions skin and SMAS as a single unit.

Why the Distinction Matters

Releasing the retaining ligaments allows the midface to be elevated meaningfully — something a more superficial SMAS technique cannot always achieve. Because tension is on deeper tissue rather than skin, the result often appears more natural and tends to last longer.

Trade-Offs

The deep plane technique is more technically demanding and requires surgeon experience. Both techniques are valid in the right hands; the right choice depends on anatomy, goals, and surgeon training.

See the full comparison at Deep Plane vs Traditional Facelift. Results vary.

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Last reviewed: June 2026. Educational content only — not medical advice.

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