How Is a Deep Plane Facelift Different From a SMAS Facelift?
Both facelift techniques address the Superficial Musculoaponeurotic System (SMAS). This network of connective tissue runs under the skin but over the facial muscles to form the face’s framework. Tightening the SMAS produces significant, long-lasting facial rejuvenation. However, there are critical differences in how the SMAS is elevated during a traditional facelift versus a deep plane facelift.
A SMAS facelift pulls and stretches the SMAS layer using sutures. Pulling or overstretching this layer can produce an overdone or “pulled” appearance that patients want to avoid. Alternatively, the deep plane facelift elevates the SMAS from the underlying muscles and releases the ligaments that anchor the SMAS near the mouth folds. As a result, the SMAS is “lifted” without tension rather than “pulled” as with a SMAS facelift. Here are some other ways in which the two facelift techniques differ.
SMAS Facelift
The SMAS facelift expertly addresses the muscle and soft tissue near the ear, where the incisions are made. However, it does not address the jowls or the folds around the mouth as effectively as a deep plane facelift.
During a SMAS facelift, four deep ligaments anchor the lifted muscle and connective tissue layer down to the face. These ligaments continue to hold down and anchor the forward part of the jowls and mouth folds.
Because the SMAS facelift is superficial, the results last only a short time, unlike those of a deep plane facelift. SMAS recovery is longer than the deep plane facelift recovery period, while the deep plane facelift appears more natural.
Deep Plane Facelift
The deep plane facelift uses similar incisions to those of a SMAS facelift. However, it releases and lifts the deeper facial muscles and connective tissues near the jowls and the folds around the mouth. The deep plane lift begins from the back of the jawline up to the corner of the eye, where the soft tissue is prone to sagging.
Additionally, a deep plane facelift releases the four ligaments that anchor the muscle and connective tissue, allowing the face to be resuspended for more natural results. While the SMAS facelift can be considered “stretching” the face because the ligaments continue anchoring, the deep plane facelift is an actual anatomical “lift” and redraping. A deep plane facelift lasts longer than an SMAS facelift, providing noticeable improvement for up to 15 years. The deep plane facelift recovery time is shorter than the SMAS recovery period, and the rejuvenating results appear more natural.