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Best Facelift: Deep Plane vs. SMAS

Dr. Lawrence Bass, New York City Plastic Surgeon · 2024-09-03 · 14 minutes

From the channel

No two faces are the same, so no two face lifts should be the same. Each procedure should be carefully customized to individual facial features. Face lifts have come a long way. In the beginning, doctors simply tightened the skin. In the 1970s, they discovered that lifting and repositioning the deeper layers of muscle and connective tissue, called the SMAS, gave much better, longer-lasting results

Deep-plane facelift

A deep-plane facelift releases the ligaments that hold the cheek down and lifts the skin, cheek fat and underlying muscle layer together as one flap, to treat sagging cheeks, jowls and a soft jawline. Hamra described the operation in 1990, and no study since has shown that it lasts longer than other SMAS facelifts.

The technique, its anatomy and the papers behind it

New research on deep plane facelift

Recent studies on the subject of the video, each with a plain summary where one is written.

2026
Conservation facelift: The mesoface
Quinodoz P, Scampa M, Belhaouari L · JPRAS Open · PMID 42630822 · Plain summary
2026
Tunneled Deep-plane Lift: A Novel Approach to Lower Facial and Neck Laxity
Stanford N, Ramírez B, Varela A · Plast Reconstr Surg Glob Open · PMID 42719910 · Plain summary
2026
Deep Plane Facelifts: A Systematic Review and Meta-Analysis of Outcomes
Koroma P, Reji N, Burridge I, Shah M, Gopi P, Lee K, et al. · Aesthetic Plast Surg · PMID 42576065 · Plain summary