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Facial Plast Surg 2024; 40(06): 723-730
DOI: 10.1055/a-2274-0586
Original Article

The Nuances and Techniques of Deep Plane Face and Neck Lifting to Maximize the Defined Neck and Jawline and Obtain a Sharp and Beautiful Neck Contour

Benjamin Talei
1   Beverly Hills Center for Facial Plastic Surgery, Beverly Hills, California
,
Ritu Chopra
2   Plastic Surgery Institute, Beverly Hills, California
,
Hedyeh Ziai
1   Beverly Hills Center for Facial Plastic Surgery, Beverly Hills, California
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Abstract

This article seeks to expand on our understanding of lifting by utilizing the benefits of deep plane release and repositioning. The deep plane is a more logical and natural approach to lifting of the face and neck, lifting along the natural anatomic glide planes. Deep plane face and neck lifting have demonstrated superior results in the authors' experience with less dependence on ancillary measures such as fat grafting or implantation for midface volumization. The deep plane technique allows for the face and neck to be treated and lifted as a single composite unit, providing a more natural and long-lasting result and less distortion of underlying structures (i.e., mimetic muscle function). Among facelift surgeons, there is still debate and discussion over treatment of various regions including submandibular gland prominence, jowling and deepened prejowl sulcus, anterior digastric prominence, and a low hyoid. In this article, given the opportunity to share personal experiences, we seek to provide additional insight on the merits of deep plane release in rhytidectomy and our novel approaches to avoiding surgical failures.

Keywords

deep plane - face lift - neck lift - rhytidectomy - SMAS


Publication History

Accepted Manuscript online:
22 February 2024

Article published online:
11 April 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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