Description:
Before and after: woman in her early 50s, 12 months after surgery.
Deep plane lower facelift and deep neck lift with buccal fat pad resection, followed by Morpheus8 radiofrequency microneedling to the face and neck.
What makes it deep plane? Instead of elevating a large area of skin by itself, we lift the deeper layer together with the skin, which decreases seromas and hematomas. This extensive dissection divides all the retaining ligaments (zygomatic, masseteric, mandibular, cervical, platysma-auricular and parotid cutaneous) and reaches the nasolabial folds and marionette lines. Through this approach the buccal fat pad can also be removed or repositioned. Here it was removed.
How the deep neck lift works. Two incisions are used, one under the chin (submental) and one behind the ear, and both are easily hidden with a deep plane facelift. We remove the external fat below the skin and the deep neck fat underneath the platysma. When the submandibular glands protrude, we reduce or remove them. We remove a portion of the digastric muscle and plicate the digastric muscle and the platysma at the midline. The platysma is usually divided to prevent banding and is then pulled back behind the ear.
Morpheus8, explained. Radiofrequency microneedling for skin tightening and for fine lines and wrinkles, often done together with nano fat or Ariessence PDGF.
Individual results vary. These photos show one patient’s outcome and are not a guarantee of results.



