As we age, facial volume shifts, skin loses elasticity, and more profound structural changes lead to sagging along the cheeks, jawline and neck. A deep plane facelift is an advanced surgical technique that rejuvenates the face by lifting and repositioning the deeper tissues—not just the skin—resulting in natural, long-lasting transformation without a pulled or overdone look.
What Is a Deep Plane Facelift?
Unlike traditional facelift techniques that focus on tightening skin, the deep plane facelift lifts and repositions the SMAS (superficial musculoaponeurotic system) layer and deeper facial tissues as a single unit. By releasing specific ligaments in the face, this method allows for a more comprehensive lift of the midface, lower face and jawline—without creating tension on the skin itself.
This technique:
- Softens deep nasolabial folds (smile lines)
- Repositions fallen cheek fat pads for youthful volume
- Refines the jawline and lifts jowls
- Creates elegant, natural results that don’t look tight or “done”
- Offers longer-lasting results than more superficial facelift techniques
Who Is a Good Candidate?
Ideal candidates for a deep plane facelift are healthy individuals experiencing:
- Sagging in the midface or lower face
- Jowling or loss of jawline definition
- Deep lines around the mouth and nose
- A desire for comprehensive yet natural facial rejuvenation
This procedure is most commonly performed on individuals in their 40s to 70s, but the best time depends on your anatomy and aesthetic goals.
How Is It Performed?
A deep plane facelift is performed in an accredited surgical center, typically under general anesthesia or deep IV sedation. Dr. Carolyn Montes carefully makes incisions hidden around the ears and hairline. Through these access points, she lifts and repositions the deep facial layers, releasing tension and restoring youthful contours.
Because the lift occurs beneath the facial muscles, less tension is placed on the skin, leading to more natural movement, smoother healing and better scar concealment. Fat grafting, lip lift, eyelid surgery or skin resurfacing may be combined for a full-face transformation.
What To Expect During Recovery
- Week 1: Swelling, tightness, and bruising are most noticeable in the first few days. You’ll wear a dressing and may have small drains in place temporarily. Mild discomfort is expected and managed with medication.
- Week 2: Swelling and bruising begin to subside. By the end of this week, most patients feel comfortable returning to light activity or work.
- Weeks 3–4: You’ll look and feel more like yourself. While some residual swelling may remain, you’ll start seeing a refreshed, lifted version of yourself.
- 6+ Weeks: Final results become more visible, with natural movement and refined contours. Scars continue to fade and can be easily concealed with hair or makeup.
Dr. Montes will provide detailed aftercare instructions and monitor your healing every step of the way.
Why Choose Dr. Carolyn Montes?
As a fellowship-trained facial plastic surgeon with expertise in both cosmetic and reconstructive techniques, Dr. Carolyn Montes takes a highly individualized, detail-oriented approach to every facelift. She combines surgical precision with an artistic eye to ensure that your results are natural, elegant and uniquely you.
Considering Facial Rejuvenation?
Schedule a consultation with Dr. Montes to learn whether a deep plane facelift is the right approach to restore your most confident self.
Call San Diego ENT at (858) 926-7010 for more information or to schedule an appointment.