Deep Plane Facelift
Lower Manhattan, New York, NY
A deep plane facelift is the most sophisticated technique in facial rejuvenation surgery, repositioning the deeper muscle, fat, and ligament layers of the face to restore a naturally youthful appearance. Dr. Pierce Janssen uses this advanced approach to comprehensively address midface descent, deep nasolabial folds, jowling, and neck laxity while preserving each patient's unique facial character. By restoring the structural integrity of the face rather than simply tightening overlying skin, we achieve results that are both durable and authentically you.
Corrects midface sagging, deep nasolabial folds, jowling, and neck laxity as a unified structural correction.
Releases deep retaining ligaments and repositions the superficial musculoaponeurotic sytstem (SMAS) and fat layers as a single composite unit.
Most patients return to social activities within 10 to 14 days. Final results continue to refine over 3 to 6 months.
Widely regarded as the gold standard technique. Results typically last 10 to 15 years.
The deep plane facelift differs fundamentally from traditional 'skin-only' lifts and even from standard SMAS procedures. Rather than simply tightening the superficial layers and relying on skin tension, this technique involves surgically releasing deep retaining ligaments — the zygomatic cutaneous ligaments, masseteric cutaneous ligaments, and cervical retaining ligaments — that anchor facial and tissues in a downward, aged position. Once freed, Dr. Janssen vertically repositions the facial tissues as a single composite unit. The result is a soft, naturally voluminous midface, a defined jawline, and a smooth neck — without the tightness or 'wind-tunnel' distortion associated with antiquated techniques. Patients consistently report that colleagues and family members notice they look rested and refreshed rather than 'done.' The deep plane approach is also typically combined with a neck lift, brow lift, fat grafting, or eyelid surgery for comprehensive facial renewal.
The procedure begins with carefully placed incisions hidden within the natural creases surrounding the ear and extending discreetly into the hairline. Dr. Janssen then enters the deep plane — the anatomic space beneath the SMAS — to methodically release the deep ligamentous attachments and elevate the structural facial tissues into a more youthful position. Because the skin remains attached to these deeper layers throughout the process, the blood supply is preserved, which promotes smoother healing and more natural contour. Once the deep layers are secured in their new position, excess skin is precisely trimmed without tension, and all incisions are closed with fine sutures designed to minimize visible scarring. The procedure is typically performed under general anesthesia.
Ideal candidates are typically in their 40s to 70s and have noticeable midface descent, heavy jowls, deep nasolabial folds, and neck laxity that non-surgical treatments can no longer adequately address. During your consultation at our 111 Broadway office, Dr. Janssen will perform a thorough facial assessment and discuss whether a deep plane facelift, a combination approach, or a different procedure best meets your goals.
The primary advantage is that results look entirely natural because the rejuvenation is achieved through repositioning deep tissues — not by pulling the skin. This eliminates the telltale signs of an 'overdone' facelift: the swept hairline, distorted earlobe position, and tight skin. The deep plane also addresses the structural causes of aging, which is why results last significantly longer than traditional or mini-facelifts.
Most patients experience swelling and mild bruising during the first week, which is easily managed with the post-operative protocol Dr. Janssen provides. Drains and hemostatic net sutures are typically removed on day two after surgery. By day 10-14, the majority of patients feel comfortable appearing in public or returning to professional settings with light makeup. Strenuous physical activity is restricted for approximately four weeks. Dr. Janssen's team provides attentive follow-up support throughout every phase of your recovery.
Your transformation will be appreciated immediately after surgery. Early sustained results become visible as the primary swelling resolves around two weeks post-operatively. The tissues continue to settle, soften, and integrate over the following three to six months, at which point the full, refined result is apparent. Many patients find that their appearance continues to improve subtly even beyond this window as residual swelling resolves completely.
