If you’ve been researching facial rejuvenation, you’ve likely come across the term “Deep Plane Facelift.” It’s become one of the most talked-about techniques in aesthetic surgery. But behind the hype, patients often ask an important question: does the surgical plane actually matter?
At SARA Surgery, we believe in education over marketing. Let’s break it down.
What Is the SMAS — and Why Is It Important?
All modern facelift techniques address the SMAS layer. The SMAS (Superficial Musculoaponeurotic System) is the foundational support structure of the face. It is this layer that contributes to:
- Sagging around the mouth
- Jowl formation
- Loss of jawline definition
- Lower eyelid hollowing and midface descent
If the SMAS is not treated, lifting the skin alone will not create a natural or long-lasting result. Every contemporary facelift technique — whether labeled Deep Plane, High SMAS, SMAS flap, or SMAS plication — involves addressing this deeper structural layer.
What Is a Deep Plane Facelift?
A Deep Plane Facelift refers to dissection and elevation of tissue below the SMAS layer, allowing the surgeon to release certain retaining ligaments and reposition the face more extensively.
It is a powerful technique. But here’s what’s important:
There has been no high-quality study demonstrating a clear difference in longevity or outcomes between traditional SMAS techniques and Deep Plane SMAS dissection.
The current conversation is largely marketing-driven rather than evidence-driven.
No Facelift Technique Has Been Proven Superior
While many excellent results are attributed to the Deep Plane approach, those outcomes often include additional procedures such as:
- Fat grafting
- Eyelid lifts
- Lip lifts
- Laser resurfacing
These adjuncts significantly enhance overall rejuvenation — and they can absolutely be combined with traditional SMAS techniques as well. The facelift alone is only one component of facial harmony.
There is no “one size fits all” facelift.
It’s the Surgeon — Not the Buzzword — That Matters
The most important factor in facelift success is not the name of the technique. It is the experience, judgment, and artistry of the surgeon.
Dr. Sara Dickie performs:
- Deep Plane facelifts
- High SMAS lifts
- SMAS flap techniques
- SMAS plication facelifts
Each approach is selected based on the patient’s anatomy, aging pattern, skin quality, and personal goals. Some patients benefit from deeper dissection. Others achieve beautiful, long-lasting results with alternative SMAS techniques.
The goal is not to follow a trend. The goal is to choose the right operation for the right face.
Trust Through Transparency
At SARA Surgery, we encourage patients to review dozens of before-and-after facelift photos. Real results, across different ages and anatomies, tell the true story.
Our philosophy is simple:
- Build trust through education
- Support patients through thoughtful consultation
- Customize the surgical plan
- Deliver natural, balanced outcomes
If you are considering facial rejuvenation and want a surgeon who understands every modern technique — not just the trending one — schedule a consultation at SARA Surgery. Dr. Dickie will guide you through what truly matters and help you determine the best approach for your face.
Because in facelift surgery, skill outweighs slogans every time.
