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Lifting du Visage

Face Lift

Deep Plane Facelift - Natural Rejuvenation

The Deep Plane Facelift represents the gold standard in facial rejuvenation surgery. Unlike traditional facelifts that simply pull and tighten skin (creating that telltale "windswept" look), the deep plane technique repositions the entire SMAS (Superficial Musculoaponeurotic System) - the layer of muscle and fascia beneath the skin - to restore youthful facial contours naturally.

Results last 10-15 years (vs 5-7 years traditional) precisely because we address the root cause of aging: sagging deep tissue structures, not just loose skin.

What Deep Plane Facelift Fixes

  • Sagging Jowls: Redefine jawline
  • Nasolabial Folds: Soften deep smile lines
  • Marionette Lines: Lift drooping mouth corners
  • Mid-Face Descent: Restore cheek volume
  • Loose Neck Skin: Tighten turkey neck
  • Platysmal Bands: Smooth neck cords
  • Double Chin: Sharpen jawline angle
  • Hollow Temples: Restore fullness

Deep Plane vs Traditional Facelift

✓ Deep Plane (Our Method)

  • ✓ Lifts SMAS muscle layer
  • ✓ No skin tension - natural look
  • ✓ Lasts 10-15 years
  • ✓ Softens deep folds dramatically
  • ✓ Preserves facial nerves better
  • ✓ Look like younger self, not "done"

Traditional SMAS Facelift

  • • Only tightens SMAS superficially
  • • Relies on skin tension
  • • Lasts 5-7 years
  • • Limited effect on deep folds
  • • Higher nerve risk
  • • Can look pulled/artificial

The Surgery Procedure

Step 1: Incision Placement

Incisions hidden in hairline above ears, following natural ear contour, and behind ears extending into posterior hairline. When healed, scars are virtually invisible - even with hair pulled back.

Step 2: Deep Plane Dissection

Surgeon releases the SMAS layer from underlying structures, preserving facial nerve branches. This creates a continuous flap of skin + SMAS that can be repositioned as one unit.

Step 3: Vector Repositioning

SMAS is lifted vertically (not horizontally like old techniques) to restore youthful facial proportions. Jowls move up to jawline, cheeks regain fullness, nasolabial folds soften.

Step 4: Neck Contouring (if needed)

Platysma muscles tightened, excess fat removed via liposuction, loose skin trimmed. Creates sharp jaw-to-neck angle.

Step 5: Skin Redraping

Skin gently redraped over new foundation WITHOUT tension. Excess trimmed. This is why deep plane looks natural - skin is not pulled tight.

Step 6: Closure

Multi-layer closure with dissolvable sutures. Drains placed to prevent fluid accumulation. Bandages applied.

Recovery Timeline

Day 1-3

Most Critical: Bandages on, drains in. Significant swelling and bruising (looks worse than feels). Sleep elevated 30 degrees. Pain well-controlled with medication. Cannot shower yet.

Day 3-7

Drains removed day 2-3. Bandages off day 5-7. First look can be shocking - very swollen and bruised. This is temporary! Gentle hair washing allowed.

Week 2

Sutures removed. 60-70% of swelling/bruising resolved. Can return to work with makeup and strategic hair styling. Looking "refreshed" not "surgical".

Week 3-6

90% healed. Resume normal activities including light exercise. Residual swelling only you notice. Can style hair normally, use makeup freely.

Month 3-6

Final swelling resolves. Tissues fully settle into new position. Scars fading from pink to white. True result visible.

Year 1+

Final Result: Scars virtually invisible. Face looks naturally youthful. Can resume all activities including high-impact sports.

Often Combined Procedures

Facelift addresses lower 2/3 of face. To achieve complete rejuvenation, patients often add:

  • Brow Lift: Corrects forehead wrinkles, droopy brows
  • Blepharoplasty: Removes excess eyelid skin, under-eye bags
  • Fat Grafting: Restores volume to hollow areas (temples, cheeks)
  • Neck Lift: Enhanced neck contouring beyond what facelift provides
  • Laser Resurfacing: Improves skin texture, fine lines, pigmentation
  • Chin Implant: Balances facial proportions, strengthens jawline

Am I a Good Candidate?

Ideal candidates:

  • Age 45-70 with moderate to severe facial sagging
  • Good skin elasticity (snap-back test)
  • Non-smoker or willing to quit 4 weeks before/after
  • Realistic expectations - improvement not perfection
  • Overall good health, no bleeding disorders

Not suitable if: Under 40 with minimal aging (try non-surgical first), Active smoker (triples complication risk), Unrealistic expectations ("make me look 20 again")

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Facelift Longevity

Deep plane facelift results last 10-15 years on average. You will continue aging, but from a better baseline. Factors affecting longevity:

  • Sun Protection: Daily SPF 50+ essential - UV accelerates aging
  • Skincare: Retinoids, Vitamin C maintain skin quality
  • Healthy Weight: Significant fluctuations affect results
  • Genetics: Some age faster than others
  • Lifestyle: Smoking, alcohol, stress accelerate aging

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