Description:
Before and after: woman in her early 50s, 12 months after surgery.
Lower facelift with deep plane facelift and deep neck lift, including buccal fat pad resection, plus Morpheus8 radiofrequency microneedling to the face and neck.
About the deep plane facelift. The advantage of the deep plane technique is that very little skin is lifted on its own, so seromas and hematomas are less likely. The dissection is extensive. All the retaining ligaments are divided (zygomatic, masseteric, mandibular, cervical, platysma-auricular and parotid cutaneous), and it extends to the nasolabial folds and marionette lines. The buccal fat pad can be removed or repositioned through this same approach. In this patient it was removed.
About the deep neck lift. The work is done through two well-hidden incisions, one under the chin and one behind the ear. Through them:
- The fat just under the skin is removed
- The deeper fat beneath the platysma muscle is removed
- The submandibular glands are reduced or removed if they protrude
- A portion of the digastric muscle is removed, and the digastric muscle and platysma are plicated at the midline
- The platysma is usually divided to prevent banding, then pulled back behind the ear
About Morpheus8. This treatment pairs microneedling with radiofrequency to tighten the skin and treat fine lines and wrinkles. It is often combined with nano fat or Ariessence PDGF.
Individual results vary. These photos show one patient’s outcome and are not a guarantee of results.



