Lift and Redefine Your Facial Contours

A deep plane facelift is a procedure that lifts and repositions deeper facial tissues rather than relying on skin tightening. Dr. DeRosa carefully releases key retaining ligaments and elevates the deeper tissue layers as a unit, helping restore youthful contours through the cheeks, jawline, and lower face while minimizing tension on the skin. Dr. DeRosa tailors this technique to your anatomy and concerns, with the ultimate goal of creating natural-looking rejuvenation that preserves the features that make you look like yourself.

Do I Need a Deep Plane Facelift?

You may consider a deep plane facelift if age-related changes in your cheeks, lower face, and jawline have become more noticeable and nonsurgical treatments no longer provide the degree of rejuvenation you want. Dr. DeRosa evaluates your facial anatomy, concerns, health, and goals to determine whether this approach is appropriate for you.

You may be a candidate if:

  • You have sagging or descent through the cheeks and midface.
  • You notice increasingly prominent jowls or reduced jawline definition.
  • You are concerned about deeper folds around the nose and mouth.
  • You want meaningful rejuvenation without looking tight, pulled, or noticeably “done.”
  • You have realistic expectations about what facial surgery can achieve.
  • You are generally healthy enough to undergo surgery and anesthesia safely.
  • You can avoid smoking and nicotine as directed before and after your procedure.

How Is Deep Plane Facelift Performed?

Dr. DeRosa performs your deep plane facelift in our private, on-site QUAD A-certified surgical suite. Through carefully positioned incisions around the ears and within the hairline, she works beneath the SMAS, releasing key retaining ligaments so the skin and deeper facial tissues can be mobilized together. She may also use endoscopic techniques, including an endoscopic deep plane approach, when appropriate for your anatomy and surgical goals.

Dr. DeRosa then repositions the deeper tissues to restore cheek contours, soften facial folds, improve jowls, and redefine your jawline. Rather than pulling the skin tightly, she redrapes it naturally and conservatively removes excess skin before closing your incisions. Your surgical plan may also incorporate complementary face or neck procedures to create balanced, individualized rejuvenation while preserving your recognizable features.

What Are the Benefits of Deep Plane Facelift?

  • Repositions deeper facial tissues rather than relying primarily on skin tightening
  • Lifts sagging cheeks and midface tissues for more youthful facial contours
  • Softens prominent facial folds caused by age-related tissue descent
  • Improves jowls and jawline definition for a smoother lower-face profile
  • Reduces tension on the skin by lifting the deeper structural layers
  • Creates natural-looking rejuvenation without an overly tight or pulled appearance
  • Comprehensive correction of multiple age-related facial changes in one procedure

Endoscopic Deepest Plane Facelift

Dr. DeRosa offers an endoscopic deepest plane facelift that uses advanced visualization technology and deep-plane surgical techniques to rejuvenate the face through smaller, strategically placed incisions. The procedure allows the surgeon to access and reposition underlying facial tissues and supporting ligaments, restoring youthful contours, enhancing volume distribution, and refining the jawline. By working beneath the superficial layers of the face, this approach can provide natural-looking, enduring rejuvenation while minimizing visible scarring and supporting a more efficient recovery.

Deep Plane Facelift FAQs:

How Is a Deep Plane Facelift Different From a Traditional Facelift?

A deep plane facelift works beneath the SMAS, releasing specific facial retaining ligaments so the deeper tissues can be repositioned together. Traditional facelift techniques may involve different planes of dissection and methods of tightening the SMAS. Dr. DeRosa selects the approach based on your anatomy, degree of aging, and desired outcome.

Will I Still Look Like Myself After a Deep Plane Facelift?

That is central to Dr. DeRosa’s approach. Your surgery is planned to restore tissues that have descended with age without fundamentally changing the features that make you recognizable. The goal is not to look different, but refreshed and rejuvenated: You, only better.

What Is an Endoscopic Deep Plane Facelift?

An endoscopic deep plane facelift uses a small camera and specialized instruments to help Dr. DeRosa visualize and access the deeper facial structures through strategically placed incisions. When appropriate for your anatomy and goals, this technique can facilitate precise release and repositioning of deeper tissues while supporting an individualized surgical approach.

How Long Is Recovery After a Deep Plane Facelift?

Your recovery varies depending on the extent of your surgery. Swelling, bruising, tightness, and temporary changes in sensation are expected. You will receive individualized postoperative instructions, and Dr. DeRosa will closely monitor your healing during follow-up visits before advising you when to resume work, exercise, and other activities.

Look and Feel Your Best.

DeRosa Facial Plastic Surgery is dedicated to helping you age beautifully while looking unmistakably like yourself. Double board-certified facial plastic surgeon Dr. Jaimie DeRosa takes time to listen to your concerns and develops an individualized surgical plan focused on subtle, natural-looking rejuvenation. With deep plane and endoscopic deep plane techniques available, her approach aims to restore rather than reinvent. If you are considering facial rejuvenation, schedule your consultation for a deep plane facelift in Boston’s Back Bay.

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