Description:
Before and after: woman in her early 50s, 12 months after surgery.
Lower facelift using a deep plane technique, combined with a deep neck lift and buccal fat pad resection.
The deep plane advantage. A deep plane facelift avoids elevating a lot of skin on its own, and that decreases seromas and hematomas. We perform an extensive deep plane dissection, dividing all the retaining ligaments (zygomatic, masseteric, mandibular, cervical, platysma-auricular and parotid cutaneous), all the way to the nasolabial folds and marionette lines. The same approach gives access to the buccal fat pad, which can be repositioned or removed. In this case it was removed.
What a deep neck lift involves. The incisions sit under the chin and behind the ear, where a deep plane facelift hides them easily. The steps:
- External fat, the layer below the skin, is removed
- Deep neck fat under the platysma is removed
- Protruding submandibular glands are reduced or removed
- Part of the digastric muscle is removed, then the digastric muscle and the platysma are plicated at the midline
- The platysma is usually divided so bands do not form, and it is pulled back behind the ear
Individual results vary. These photos show one patient’s outcome and are not a guarantee of results.
