What is deep plane face and neck surgery?

Our focus on surgical rejuvenation of the face and neck is what is called ‘Deep plane’ face and neck lift. This is definitely a buzzword/term these days in facial aesthetic surgery. 

There are many terms and versions of a face and/or neck lift, and patients quite rightfully do some pre- consult research. This can be confusing, and so we hope this page helps de-mystify some concepts.

Let’s begin by exploring where the term ‘deep plane facelift’ comes from, and what it means by the definitions of today. 

What is a ‘Deep Plane Facelift’?

A deep plane facelift is an advanced facial rejuvenation procedure that lifts and repositions the deeper structures of the face, rather than simply tightening the skin.

This technique works beneath the surface layer known as the SMAS (superficial muscular aponeurotic system). This releases key attachments so the underlying tissues can be repositioned more naturally. 

As a result, the skin moves with the deeper structures, which in turn helps to avoid an overly tight or artificial appearance. The repositioning of the deeper anatomy here can lead to more natural-looking results than more traditional techniques. 

What is the SMAS layer?

The SMAS is a layer of tissue that sits beneath the skin and above the deeper facial structures. It plays a key role in facial movement and expression. 

As we age, this layer begins to descend, which contributes to sagging in the cheeks, jawline and neck.

In facelift surgery, repositioning the SMAS is essential.

Here are some points about the SMAS, and our fascination with it as facelift surgeons:

• SMAS stands for sub muscular aponeurotic system
• It is like a flexible plastic sheet that largely sits under the facial skin and has connections to the skin. There are many ways to try to modify the position of the SMAS in face-lifting surgery
• These connections are complex and are stronger in certain parts of the face
• Some surgeons (like me) like going under it – the Deep plane – and lifting it from its attachments to allow it to be moved – because moving the SMAS, if done correctly, moves the skin above it without creating abnormal appearances
• Moving the SMAS in the deep plane permanently changes the position of the SMAS, meaning it likely gives you the best chance of longevity in the lift
• The SMAS is the same layer as the sheet muscle we have in our neck called the Platysma, which is also best lifted when going under it and releasing it to pull it tight

Several small refinements enhance expertise in this procedure, and we recommend seeking a surgeon who performs a high volume of these procedures.

Deep Plane Facelift vs SMAS Facelift

A deep plane facelift and a SMAS facelift are closely related techniques, but there are subtle differences between the two. The main difference lies in how this layer is handled during surgery.

In a SMAS facelift, the SMAS layer is typically tightened, folded, or repositioned without fully releasing it from the deeper tissues beneath. This approach focuses on adjusting the layer itself to create lift and improve facial contours.

Whereas, in a deep plane facelift, the surgeon works beneath the SMAS layer, releasing its attachments to the deeper structures before repositioning it. This allows the SMAS to move more freely as part of a composite unit with the overlying skin and soft tissues, rather than being adjusted under tension alone.

Because of this difference in approach, the deep plane technique is often associated with a greater degree of repositioning. 

Where Does the Term ‘Deep Plane Facelift’ Come From?

The term deep plane facelift was popularised by Andrew Jacono in New York. He and many others across the world described what we feel are the current versions of face and neck lift that afford maximal longevity and natural results.

Actually, deep plane facelift surgery was originally coined by a surgeon called Sam Hamra many years ago, which was a major innovation at the time. The reason terminology has morphed over time is that most things go full circle, and although Sam Hamra’s deep plane differs from today’s, it is important to acknowledge his major contribution in this area.

What should your deep plane face/neck lift consult include?

A consultation for deep-plane facelift or deep-plane neck lift surgery should be thorough and transparent. It should allow both you and your surgeon to fully understand what the procedure involves, the results that may be achievable, and whether you are a suitable candidate for surgery.

During the consultation for your face and neck lift surgery treatment at the Beverley Clinic, you should expect the following elements to be covered:

Comprehensive facial and neck assessment

• A detailed assessment of your face, jawline and neck anatomy

• Evaluation of skin laxity, facial volume loss and soft tissue descent

• Identification of areas that may benefit from deep plane facial rejuvenation.

Skin quality evaluation

• Assessment of skin thickness, elasticity and overall skin quality

• Discussion of how skin conditions may influence surgical planning and outcomes

Scar placement and surgical planning

• Images or diagrams showing where facelift or neck lift scars are typically placed

• Explanation of why incisions are positioned in specific areas to minimise visibility

Realistic examples of results

• Before-and-after examples of deep plane facelift results in patients with similar anatomy

• A focus on cases that closely resemble your facial structure and starting point

Because every face ages differently, it is important that the results shown reflect patients with similar facial characteristics, rather than examples that are not relevant to your anatomy.

Discussion of surgical experience

Your surgeon should be open about their experience performing deep plane facelift and neck lift procedures, including:

• Primary deep plane facelift – patients undergoing the procedure for the first time

• Revision surgery – correcting or adjusting a previous procedure performed by the same surgeon

• Secondary or tertiary facelift surgery – performing surgery on patients who have previously had a facelift by another surgeon or earlier in life

Recovery timeline and healing process

• Explanation of what to expect at different stages of deep plane facelift recovery

• Indicative results shortly after surgery, during healing, and many months or years later

Transparency around outcomes and risks

A responsible surgeon should openly discuss:

• Their complication rates

• Their revision rates, meaning how often additional procedures are required

• The possibility of minor adjustments or touch-up procedures

No surgical procedure is entirely risk-free, and every surgeon worldwide will encounter occasional unsatisfactory early results. Honest discussions around outcomes and expectations are an important part of choosing the right surgeon.

Touch-up or “tweak” procedures

• Some surgeons may discuss their rate of minor adjustments or “tuck-up” procedures

• These are small refinements that may occasionally be needed due to natural healing variations or internal scar tissue

A detailed consultation ensures that you fully understand the deep plane facelift procedure, recovery process and expected results, allowing you to make an informed decision about facial rejuvenation surgery.

Benefits of a Deep Plane Facelift

A deep plane facelift is widely considered one of the most advanced techniques for facial rejuvenation. By repositioning deeper facial structures rather than simply tightening the skin, this approach can produce natural-looking, longer-lasting results that restore youthful facial contours.

For many patients, the benefits of a deep plane facelift extend beyond cosmetic improvement. The procedure works with the underlying facial anatomy to lift and reposition tissues that have descended with age, helping the face appear refreshed rather than artificially tightened.

Key deep plane facelift benefits include:

Natural-looking rejuvenation

Because the deep plane technique lifts the deeper facial layers rather than pulling the skin alone, results typically appear softer and more natural. This reduces the risk of the “over-tight” or “wind-swept” appearance sometimes associated with older facelift techniques.

Longer-lasting results

By repositioning the SMAS layer and supporting structures beneath the skin, the deep plane facelift can provide longer-lasting improvements compared to skin-only lifts. Many patients enjoy results that remain noticeable for many years.

Improved jawline definition

Sagging skin and soft tissue along the jawline can create jowls and loss of definition. A deep plane facelift lifts and repositions these structures, helping restore a sharper, more youthful jawline.

Midface and cheek lifting

One of the key advantages of the deep plane technique is its ability to elevate the midface. By releasing deeper attachments in the cheek area, the procedure can restore volume and contour to the cheeks and reduce heaviness around the nasolabial folds.

Reduction of jowls and lower face sagging

Jowls develop as facial tissues descend with age. Deep plane lifting allows surgeons to reposition these tissues back to a more youthful position, smoothing the lower face and improving overall facial balance.

Improved neck contour

When combined with a deep plane neck lift, the procedure can also tighten the platysma muscle and improve the contour of the neck. This helps reduce loose skin, neck bands and fullness beneath the chin.

More comprehensive facial rejuvenation

Unlike some facelift techniques that primarily target one area, the deep plane approach can address multiple signs of ageing at once, including the cheeks, jawline and neck.

Results that move naturally with facial expressions

Because the underlying structures are repositioned rather than simply tightened at the surface, facial movement typically remains natural. Patients can smile, speak and express emotion without the stiffness sometimes associated with superficial lifts.

For patients seeking facial rejuvenation while maintaining a natural appearance, these deep plane facelift benefits make the procedure an increasingly popular choice in modern aesthetic surgery.

What to look for in a face and neck lift expert?

Choosing the right surgeon is one of the most important decisions when considering deep plane facelift or neck lift surgery. This is a technically demanding procedure that requires a high level of expertise, experience and specialised training. When researching a surgeon, there are several factors worth considering.

Experience and procedural volume

• Does the surgeon have a particular interest in deep plane facelift and neck lift procedures?

• Do they perform these surgeries regularly and have a high procedural volume?

Education and specialist training

Many experienced deep plane facelift surgeons in the UK will typically have:

• Fellowship training in aesthetic or facial plastic surgery

• Registration on the specialist register for a surgical discipline related to aesthetic surgery

Plastic surgeons often receive comprehensive training in aesthetic procedures, while specialists in ENT, OMFS, ophthalmic or breast surgery may also perform facial rejuvenation surgery depending on their training and experience. Some highly skilled surgeons may have trained internationally and follow different but equally rigorous training pathways.

Recognition within the surgical community

Evidence that a surgeon is recognised by their peers can be another indicator of expertise. This may include:

• Invited lectures or conference presentations

• Invited to teaching or surgical training roles

• Visits from other surgeons who observe their techniques

• Educational roles within aesthetic or facial plastic surgery

Professional affiliations

It can also be reassuring if the surgeon is affiliated with national bodies, royal colleges or professional organisations that focus on patient safety, surgical standards and education in aesthetic surgery.

Trust and communication

Surgeons may have different combinations of the above qualifications and experience. Ultimately, one of the most important factors is whether you feel comfortable with your surgeon and confident in their approach. 

Establishing trust and clear communication is essential before embarking on any facial rejuvenation surgery journey.

Your Face and Neck Lift, Guided by Specialist Expertise

Deep plane facelift and neck lift surgery is highly technical, and outcomes depend heavily on the skill and experience of the surgeon performing it. At Beverley Hospital, our face lift and neck lift surgeons have a specific interest and high procedural volume in deep plane techniques, giving you confidence that your care is in genuinely specialist hands.

We take the time to understand your facial anatomy, your goals, and what a natural result should look like for you. So if you’re exploring a primary procedure or need guidance following previous surgery elsewhere, every consultation is built around honest conversation rather than a sales pitch.

Recovery is just as important as the surgery itself. Our team stays involved at every stage, from your first consultation to your long-term results, so you always know what to expect and never feel unsupported along the way.

Speak with one of our surgeons with no obligation

Have questions about deep plane facelift or neck lift surgery? Our team is on hand to talk you through your options and help you decide what’s right for you.

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