Facelifts have long been considered the gold standard in facial rejuvenation. But not all facelifts are created equal. In recent years, a newer technique known as the deep-plane facelift has gained traction among board-certified facial plastic surgeons for its natural-looking, longer-lasting results. So, what’s the difference between a traditional facelift and a deep-plane facelift—and more importantly, which one is right for you?
Whether you’re exploring your first facial procedure or considering a revision to a previous surgery, understanding these two methods can help you make an informed, confident decision. At Zandifar MD, we specialize in both techniques, always tailoring the approach to your unique anatomy and aesthetic goals.
What Is a Traditional Facelift?
A traditional facelift, also known as an SMAS (Superficial Musculoaponeurotic System) facelift, focuses on tightening the skin and the layer of tissue just beneath it. This technique has been widely used for decades and has helped countless patients achieve smoother, more youthful skin.
How It Works
During a traditional facelift, incisions are typically made around the hairline and ears. The surgeon lifts and repositions the skin and underlying SMAS layer, then removes excess skin to smooth out wrinkles and sagging. The goal is to create a refreshed, tighter appearance—especially around the jawline and cheeks.
Pros of Traditional Facelifts
- Shorter surgery and recovery time
- Effective for moderate signs of aging
- Well-understood, time-tested technique
Limitations to Consider
While traditional facelifts offer good results, they primarily address surface-level aging. Because the deeper structures of the face remain largely untouched, the outcome may appear tighter but sometimes less natural. In some cases, patients may notice that the results fade more quickly, or that their facial expressions feel slightly restricted.
What Is a Deep-Plane Facelift?
The deep-plane facelift is a more advanced and comprehensive surgical technique that goes beneath the SMAS layer to release and reposition the deeper ligaments and muscles of the face. Rather than pulling the skin tight, the deep-plane method repositions the entire facial structure for a more natural lift and contour.
How It Works
In a deep-plane facelift, the surgeon lifts the skin and underlying SMAS as a single unit, allowing for deeper tissue adjustment. This technique addresses volume loss, drooping, and sagging by repositioning facial fat pads and muscles, especially in the midface and jawline.
Benefits of a Deep-Plane Facelift
- More Natural Results: Because it lifts the deeper structures of the face rather than just tightening the skin, the results look more authentic and age-appropriate.
- Longer-Lasting Outcome: The deep adjustments mean the improvements last significantly longer—often 10–15 years or more.
- Greater Midface Rejuvenation: Ideal for correcting hollow cheeks, nasolabial folds, and sagging jowls.
- Minimal Skin Tension: Less tension on the skin can lead to better healing and reduced risk of scarring.
Are There Any Downsides?
As with any advanced surgical technique, deep-plane facelifts require greater expertise and training. Not all plastic surgeons are qualified or comfortable performing them. It’s essential to work with a board-certified facial plastic surgeon who has extensive experience with deep-plane methods—like Dr. Hootan Zandifar at Zandifar MD.
Traditional vs. Deep-Plane: Which One Should You Choose?
The right type of facelift depends on your anatomy, goals, and how advanced your signs of aging are.
Traditional Facelift Might Be Right If:
- You’re in your late 40s to early 60s with mild-to-moderate skin laxity
- You’re looking for a shorter procedure and faster recovery
- Your midface volume is still relatively intact
Deep-Plane Facelift May Be the Better Option If:
- You have more advanced facial aging (sagging cheeks, deep folds, visible jowls)
- You want longer-lasting and more natural-looking results
- You’ve had a previous facelift and are looking for a revision with better support
In many cases, a consultation reveals that the best approach may involve combining techniques—such as adding eyelid surgery or fat grafting—to ensure harmony across the face.
Why Your Surgeon’s Experience Matters More Than Ever
Deep-plane facelifts require not just surgical skill but deep anatomical knowledge and an artistic eye. Choosing a board-certified facial plastic surgeon ensures you’re in the hands of someone who has met rigorous training standards and continues to uphold best practices in patient safety and aesthetics.
Dr. Zandifar, double-board certified in both Otolaryngology–Head and Neck Surgery and Facial Plastic and Reconstructive Surgery, brings an elite level of specialization to each procedure. His ability to customize each facelift ensures that patients not only look younger—but still look like themselves.
Real Patients. Real Confidence.
At Zandifar MD, patients often describe the outcome of a deep-plane facelift not as looking “pulled” or “tight,” but as looking well-rested, refreshed, and naturally youthful. It’s not just about appearance—it’s about confidence, expression, and feeling aligned with how you see yourself on the inside.
Many of our clients return years later not for revisions, but simply to say thank you—for restoring their natural beauty without compromising expression or individuality.
The Final Verdict
Both traditional and deep-plane facelifts have a place in modern facial plastic surgery. The key difference lies in how each addresses aging at different facial depths. A traditional facelift smooths and tightens effectively for mild-to-moderate cases. The deep-plane facelift, however, redefines what’s possible for aging faces by going deeper—literally and figuratively.
When performed by an expert, the deep-plane technique achieves results that are both longer-lasting and remarkably natural. At Zandifar MD, every facelift is customized to your unique facial structure, ensuring results that are subtle yet transformative.
Conclusion:
Choosing the right facelift isn’t just a cosmetic decision—it’s a personal one. Your face is your identity, your presence, your confidence. Whether you need subtle enhancement or comprehensive rejuvenation, trust your journey to a surgeon who understands that difference.
Dr. Hootan Zandifar is a nationally recognized facial plastic surgeon who has helped hundreds of patients across Los Angeles rediscover their best selves. With his dual board certifications and commitment to natural beauty, Dr. Zandifar offers both traditional and deep-plane facelifts tailored to your goals.
Book your consultation today at ZandifarMD.com and experience the expertise that sets Dr. Zandifar apart. It’s not just about turning back the clock—it’s about moving forward with confidence.
