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Facial Plast Surg 2003; 19(1): 095-106
DOI: 10.1055/s-2003-39133
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

The Deep Plane Facelift

Ramsey Alsarraf1 , Wyatt C. To2 , Calvin M. Johnson, Jr.2
  • 1The Newbury Center, Cosmetic Facial Plastic Surgery, Boston, MA
  • 2Hedgewood Surgical Center, New Orleans, LA
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Publication History

Publication Date:
09 May 2003 (online)

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ABSTRACT

The goal of any cosmetic facial plastic surgery procedure is to obtain a natural-appearing result that is not overdone or obviously operated upon. This is the case whether the background of the operating surgeon is in facial plastic and reconstructive surgery, general plastic surgery, dermatology, or oculoplastic surgery. To satisfy this goal, the surgeon must apply those techniques that consistently achieve effective but understated results rather than experimenting with every new innovation or fad. More and more surgeons are moving away from some of the so-called advances of the last decade, including the use of lasers for skin resurfacing and the application of endoscopic approaches to the face, in the search for the best results possible. Sometimes this means utilizing older techniques that have proven the test of time, such as the coronal browlift and chemical peels, whereas other times this means embracing those newer techniques that clearly represent major advances in our specialty, such as the transconjunctival approach to lower lid blepharoplasty. The deep plane facelift is one such advance. In contrast to traditional, skin or short-SMAS flap techniques, the deep plane facelift allows the surgeon to consistently obtain a natural-appearing result that not only addresses the key areas of concern in the aging face but also proves to be longer lasting as well. The deep plane technique also results in fewer complications, an improved ability to address the melolabial region and jowls, and increased anatomic appeal for the operating surgeon.

KEYWORDS

Rhytidectomy - deep plane facelift - aging face

REFERENCES

  • 1 Johnson C M, Alsarraf R. The Aging Face: A Systematic Approach. Philadelphia, PA: WB Saunders 2002
    Google Scholar
  • 2 Hamra S T. Composite Rhytidectomy. St. Louis, MO: Quality Medical 1993
    Google Scholar
  • 3 Godin M S, Johnson C M. Deep-plane/composite rhytidectomy.  Facial Plast Surg . 1996;  12(3) 231-239
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Alsarraf R, Johnson C M. The facelift: technical considerations.  Facial Plast Surg . 2000;  16(3) 231-238
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Larson D L. An historical glimpse of the evolution of rhytidectomy.  Clin Plast Surg . 1995;  22(2) 207-212
    PubMedGoogle Scholar
  • 6 Baylis H I, Goldberg R A, Shorr N. The deep plane facelift: a 20-year evolution of technique.  Ophthalmology . 2000;  107(3) 490-495
    CrossrefPubMedGoogle Scholar
  • 7 Lassus C. Cervicofacial rhytidectomy: the superficial plane.  Aesthet Plast Surg . 1997;  21(1) 25-31
    PubMedGoogle Scholar
  • 8 Franco T. Face-lift stigmas.  Ann Plast Surg . 1985;  15(5) 379-385
    PubMedGoogle Scholar
  • 9 Becker F F. The pre-auricular portion of the rhytidectomy incision.  Arch Otolaryngol Head Neck Surg . 1994;  120(2) 166-171
    PubMedGoogle Scholar
  • 10 Johnson C M, Godin M S. The anterior extension face-lift.  Arch Otolaryngol Head Neck Surg . 1995;  121(6) 613-616
    PubMedGoogle Scholar