What Is a Deep Plane Facelift?
An anatomic overview of a sub-SMAS surgical technique.
The Anatomic Concept
A deep plane facelift dissects beneath the superficial musculo-aponeurotic system (SMAS) and releases the facial retaining ligaments, allowing the cheek fat pad and SMAS to be repositioned together as a composite flap. Because the skin is not separated from the SMAS, blood supply to the skin envelope is preserved.
How It Differs From a Skin-Only or SMAS Facelift
A skin-only lift relies on skin tension and tends to produce a pulled appearance and shorter-lived results. A traditional SMAS lift addresses the superficial fascia but does not always release the retaining ligaments. The deep plane approach moves deeper tissue as a unit, which can produce a more natural-looking elevation of the midface and a durable jawline.
What It Addresses
Midface descent, deep nasolabial folds, jowling, and neck laxity. It does not by itself restore lost volume — fat grafting or fillers may be considered in combination.
Important Caveats
Results vary. The deep plane approach is technically demanding and is not appropriate for every patient. Candidacy requires consultation with a qualified plastic surgeon.
Last reviewed: June 2026. Educational content only — not medical advice.