Rafael Mérola
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Procedure

Deep Plane
Facelift

A technique that repositions the deep structures of the face instead of pulling the skin — for natural, long-lasting results.

The technique

Reposition, don't stretch.

In the deep plane, dissection takes place beneath the SMAS. The retaining ligaments — zygomatic, masseteric and mandibular — are released, allowing skin, fat and SMAS to be repositioned together.

In a traditional facelift, correction relies more on skin tension or SMAS plication, which can limit midface correction and create surface tension.

◦ Placeholder — Anatomical illustration of the facial planes

Structural benefits

What the approach aims to restore.

Vertical vectors

Tissues moved in the opposite direction to natural descent.

Midface

Support for the cheek area and softening of the nasolabial fold.

Jawline contour

A defined jawline without an artificial look.

Indication

Who it may be suitable for.

  • — Moderate to advanced laxity of the face and neck
  • — Loss of jawline definition
  • — Midface descent
  • — A wish for a natural, long-lasting result
  • — Good general health
  • — Expectations aligned after consultation

The final indication always depends on an individual, in-person assessment.

Frequently asked questions

Common questions.

Swelling and bruising tend to subside within the first two weeks. Social recovery usually takes 14 to 21 days, varying between patients.

The procedure is performed in a hospital, with anaesthesia defined together with the anaesthesia team according to each patient's clinical profile.

Because it works on deep structures, the technique tends to deliver long-lasting results. Natural ageing continues, and individual factors influence longevity.

Incisions are planned in natural areas around the ear and the scalp, aiming for maximum discretion.

Concierge

In-person or remote consultation.

Patients from other cities and countries can start with a remote preliminary guidance step.