In my practice, I focus almost exclusively on deep plane face and neck lift surgery. Many patients I see are in their 40s, 50s and beyond, seeking to address structural changes in the face and neck that occur over time, with genetics playing a role.
For over two decades, a significant part of my practice was dedicated to rhinoplasty, including both primary and revision procedures, many of which involved complex structural considerations. I now prioritise deep plane face and neck lift surgery, encompassing the same structural principles and in-depth knowledge of the facial tissues.
A Focused Approach
In many cases, assessing the face and neck together is crucial as changes in one area often affect the other. My practice is limited to a defined number of procedures allowing for detailed planning and individual assessment. The principles of precision, structural understanding and careful tissue handling are consistent across both areas of surgery.
For many patients, the goal isn’t to look different but to address changes over time while maintaining their individual features. While the term “deep plane facelift” is becoming more familiar, the procedure’s details are often less understood by patients and even other surgeons. During consultations, I commonly discuss ten key points with patients.
1. The Procedure Addresses Deeper Structures
A common misconception is that facelift surgery focuses primarily on the skin. In a deep plane approach, I work below the level of the SMAS (superficial musculoaponeurotic system), within the deeper plane of the face where the soft tissues are supported.
2. Ageing Involves Descent of Tissue
Changes in facial appearance over time are largely related to the gradual descent of soft tissue, and skin and ligament laxity. This technique allows repositioning of these structures to a more supported position.
3. The Midface Can Be Included
This approach may allow treatment of the cheek area through the same surgical plane, influencing areas such as the nasolabial folds and the transition between the lower eyelid and cheek.
4. The Face and Neck are Commonly Treated Together
In my practice, deep plane face and neck lift surgery is almost always performed as a combined procedure. I generally recommend addressing the neck at the same time as the face, as the relationship between the two plays an important role in overall facial balance. Addressing one area alone is likely to create a mismatch.
This may involve contouring beneath the chin and management of the platysma muscle, subplatysmal fat, digastric muscles, and submandibular salivary glands.
Recommendations are always based on individual assessment and patient goals.
5. Preserving Facial Expression is Central
An important consideration in any facial procedure is maintaining normal facial movement. The aim is to improve contour while preserving individual expression.
6. Outcomes Vary Between Individuals
Every patient presents with different anatomy, skin quality, and healing characteristics. Outcomes vary, and no specific result can be guaranteed.
7. The Procedure is Technically Complex
Deep plane face and neck lift surgery requires a detailed understanding of facial anatomy, including structures related to facial nerve function.
I was the first ENT, Head and Neck surgeon in Australia to perform this technique and remain involved in surgical education, contributing to professional meetings and training.
8. Recovery is Individual
Swelling and bruising are expected following surgery. The duration and experience of recovery vary between patients and is discussed in detail prior to proceeding.
9. It May Be Combined with Other Procedures
Depending on individual goals, this surgery may be performed alongside procedures such as eyelid or brow surgery. Non-surgical treatments may also form part of a broader plan.
10. Careful Consultation is Essential
A thorough consultation allows time to assess suitability, discuss goals, consider alternatives, and understand the potential risks and recovery involved.
A Considered Approach
I take a measured approach to facial plastic surgery. Rather than focusing on trends or isolated features, I consider the relationship between different areas of the face and neck when developing a surgical plan.
This often involves working with deeper anatomical structures rather than relying on surface-level adjustments. While more technically involved, this approach allows for a more comprehensive assessment of facial balance.
This focused scope of practice allows for detailed planning and a considered approach to each patient.
Find Out More
If you’re considering Deep Plane Face and Neck Lift Surgery – or simply exploring your options – please book a consultation (with a referral from your GP). I’ll provide you with a thorough, honest, and personalised assessment.
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All surgeries on this page are performed by Dr George Marcells and are published with the consent of his patients. There is no guarantee that your results will be similar as surgical outcomes vary. All content on our page is general in nature and does not imply a guarantee of similar outcomes or act in substitute of professional medical advice. Any surgery or invasive procedure carries inherent risks and has recovery time. For more information, please see our website www.drgeorgemarcells.com.au. Dr Marcells is a Specialist Head and Neck Surgeon, expert in Facial Plastic Surgery FRACS (Registration: MED0001133270)
