DEEP PLANE FACELIFT
Dr Marcells prefers the Deep Plane Facelift for facial rejuvenation.
Understanding the different types of Facelift:
Tightening the “SMAS” layer (a musculo-fibrous layer of the face attached to the skin and subcutaneous fat) is the key to all facelift procedures. Traditional facelifts such as “SMAS lifts” and more recently “S-Lifts” are limited in their ability to produce optimum results. They require wide undermining of the skin and separate it from the underlying lymphatics, which can lead to delayed swelling.
In a traditional facelift the SMAS layer is not freed from the deeper tissues and can only be tightened by a minimal degree. This leads to several problems:
- The power of the lift is restricted.
- Severe tension is placed on the skin, causing problems with wound healing which may lead to stretched scars that are often lumpy and red for a prolonged period.
- The lift does not last long early revision is often sought.
Little improvement is gained in the midface, which is rarely addressed at all. This can lead to a mismatch of healing which in turn may cause a “pulled” look and an unnatural appearance.
These difficulties can occur even in the best hands, and while some surgeons have become skilled at minimising these problems, results are limited by the surgical technique itself.
The Deep Plane Difference
The Deep Plane Face and Neck lift offers the best solution to many of these problems. It involves limited dissection under the skin, preserving the lymphatics, and minimising swelling. The surgeon then dissects below the SMAS layer, releasing it completely from the underlying muscles. Even the midface fat is freed completely by dividing the zygomatic (cheek) ligaments, which tether it to the cheekbones beneath.
Once this is done, the whole face can be lifted vertically. The now mobile SMAS layer can then be very solidly re-anchored higher up the face.
The advantages of this are:
- The lift is more powerful, creating a superior long-lasting improvement of the jawline, neckline and cheekbones.
- There is no pulled appearance, since the whole face is evenly lifted and the look is completely natural.
- There is absolutely no tension on the skin. The incisions heal quickly, and unsightly scarring is extremely unlikely.
Deep Plane Face and Neck lift Surgery is technically more difficult to perform, and most surgeons lack the expertise. Dr Marcells, with his background as an ENT and Head and Neck Surgeon as well as his further Facial Plastic Surgery Fellowship Training has an intimate knowledge and understanding of the facial anatomy required for such surgery.