Who is not a candidate for deep plane facelift?
While the deep plane facelift has seen a surge in popularity in recent years—largely due to social media—it was actually first introduced in the 1990s. Today, it is considered one of the most advanced and effective techniques for comprehensive facial rejuvenation. At PERK Plastic Surgery in Beverly Hills, Dr. Michelle Lee is regarded as one of the leading experts in deep plane facelift surgery. Although this technique is one of the most frequently performed procedures in her practice, she emphasizes that it is not appropriate for every patient.
What Is a Deep Plane Facelift?
Unlike traditional facelifts that primarily address skin laxity, the deep plane facelift lifts and repositions the SMAS layer (superficial musculoaponeurotic system) and releases the facial retaining ligaments. This deeper structural adjustment allows the overlying skin to move with the lifted tissues, eliminating the need to place tension on the skin. The result? A naturally refreshed appearance—never pulled or overly tight.
When Is a Deep Plane Facelift Not Recommended?
For the deep plane facelift technique to be successful, the patient must have a robust and well-preserved SMAS layer to support the repositioning of facial tissue. Unfortunately, some individuals may not have the ideal anatomy or history to benefit from this procedure. Common factors that may disqualify a patient include:
- Multiple Previous Facelifts
Patients who have undergone several prior facelift surgeries may have severely compromised SMAS tissue. Repeated surgical manipulation can lead to thinning or scarring of this vital layer, making it too delicate to support another deep plane procedure. - Naturally Thin or Fragile Tissue
Some individuals are genetically predisposed to having thin or delicate skin and deeper soft tissues. In these cases, the facial structures may not be resilient enough to withstand deep plane manipulation, limiting the potential benefits of the technique. - Extensive Nonsurgical Treatments
Patients who have undergone years of nonsurgical facial treatments—such as Sculptra® injections, thread lifts, or energy-based skin tightening devices—may experience internal scarring that complicates surgical dissection. These treatments can leave behind fibrosis that makes a deep plane facelift more technically challenging and less predictable. In such situations, it is crucial to consult with a facelift specialist like Dr. Lee, who has the experience to navigate these complexities. - History of Parotid Gland Surgery
Patients who have had surgery to remove the parotid gland are generally not candidates for a deep plane facelift. The proximity of the facial nerve to the surgical site significantly increases the risk of nerve injury during the facelift procedure.
Consult with a Deep Plane Facelift Expert
Determining candidacy for a deep plane facelift requires a thorough consultation with a highly experienced facial plastic surgeon. Dr. Michelle Lee combines her meticulous surgical skill with a deep understanding of facial anatomy to evaluate each patient’s unique features and surgical history. At PERK Plastic Surgery, patient safety and natural-looking results are always the highest priority. Schedule a consultation today to see if you are a deep plane facelift candidate.
