Choosing Between Deep Plane and SMAS Facelift: What You Need to Know

Deep Plane Facelift vs SMAS Facelift: Which One is Better? 

When considering a facelift, patients often wonder about the differences between a deep plane facelift and a SMAS facelift. Understanding these techniques can help you make an informed decision about which option might be best for you.

What is a SMAS Facelift?

The SMAS facelift focuses on two separate layers: the skin and the underlying muscle layer called the Superficial Musculo Aponeurotic System (SMAS). In this procedure, the surgeon lifts the skin and the SMAS layer separately, allowing for precise adjustments. This method is beneficial for targeting the lower face and neck areas, helping to restore lost volume and reduce sagging. Some variations, like SMAS plication and SMASectomy, offer even more tailored results.

What is a Deep Plane Facelift?

A deep plane facelift, on the other hand, treats the skin and SMAS as one single unit. The surgeon lifts both together, working at a deeper level of tissue. Advocates of this technique believe it provides a more natural look by lifting the entire face in harmony, especially in the upper cheek area and around smile lines. It’s also suggested that this method may improve blood circulation, potentially leading to faster healing with less bruising. However, it’s important to note that some people may feel this technique could result in a ‘windswept’ appearance, though this depends on the individual’s concerns and goals.

Which One is Better?

There isn’t a one-size-fits-all answer. Some surgeons specialize in one technique, while others may offer both. The best approach for you will depend on your facial structure, the areas you want to target, and your desired outcome. While the deep plane facelift is gaining popularity, that doesn’t necessarily mean it’s better for everyone. Both techniques have advantages, and discussing these with your surgeon during your consultation is crucial.

Ultimately, the most important factor is choosing a surgeon with experience and a good track record in the technique you prefer. By understanding the differences and having an open conversation with your surgeon, you’ll be better equipped to choose your facelift.

Summary

SMAS Facelift:

• Lifts skin and underlying muscle (SMAS) separately.
• Effective for addressing sagging and volume loss in the lower face and neck.
• Variations like SMAS plication and SMASectomy allow for customized results.

Deep Plane Facelift:

• Lifts skin and SMAS together as one unit.
• Believed to offer a more natural look, especially in the upper cheeks and smile lines.
• May lead to better circulation, faster healing, and less bruising.

SMAS Facelift:

Advantages:

• Customizable Results: Allows for precise lifting in different directions, tailored to individual needs, especially for the lower face and neck.
• Effective for Volume Loss: Particularly beneficial for individuals with significant volume loss in the lower face and neck areas.
• Proven Technique: Widely used and well-documented, with many surgeons experienced in this method.

Disadvantages:

• Limited Impact on Upper Cheeks: Less effective at lifting the upper cheek area; may require additional procedures like fat grafting.
• Longer Recovery Time: Recovery may be slightly longer compared to a deep plane facelift, with more noticeable swelling and bruising.
• Risk of Visible Scarring: Depending on the technique used, there may be a risk of more visible scars.

Deep Plane Facelift:

Advantages:

• Natural-Looking Results: Provides a more harmonious lift by treating the skin and SMAS as a single unit, particularly effective for the midface and smile lines.
• Improved Circulation: This may promote better blood circulation, leading to faster healing and less bruising.
• Reduced Recovery Time: Potential for shorter downtime, with less noticeable bruising and swelling.

Disadvantages:

• Increased Risk of Nerve Injury: Due to the deeper level of dissection, there is a slightly higher risk of temporary facial nerve injury, though permanent damage is rare.
• 'Windswept' Appearance Risk: Some patients may be concerned about a stretched or unnatural look, though this depends on the surgeon’s technique and the patient’s facial structure.
• Less Customizable: Less flexibility in adjusting different facial areas separately compared to the SMAS technique.

Comparison:

• No one-size-fits-all answer; both techniques have unique benefits.
• A deep plane facelift is becoming more popular but may not be ideal for everyone.
• The best choice depends on facial structure, target areas, and desired results.
• Consultation with an experienced surgeon is crucial to decide the most suitable option.