Rafael Mérola
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Anatomy · 6 min read

What is a Deep Plane Facelift, really?

Why repositioning deep structures is different from pulling the skin — and what that means for a natural result.

Facial ageing does not happen only on the surface. Over time, fat compartments descend, the retaining ligaments lose support and the SMAS — the superficial musculoaponeurotic system — follows that movement.

A matter of plane

In a traditional facelift, correction relies mostly on skin tension or SMAS plication. In the deep plane, dissection takes place beneath the SMAS, releasing the retaining ligaments so the tissues can be repositioned as a single unit.

Vertical vectors

Moving the tissues in a predominantly vertical direction restores midface volume and redefines the jawline without the 'pulled' look associated with horizontal vectors.

Individual indication

Not every face needs a Deep Plane. The indication depends on skin quality, degree of laxity, bone structure and each patient's expectations — which is why the consultation is always the first step.

Concierge

A careful conversation before any decision.

The consultation is the moment to understand your anatomy, your expectations and whether surgery makes sense for you.