Dr. Sieffert is a highly-skilled plastic surgeon who understands that science and beauty are not just skin-deep. Facelifts are a plastic surgeon’s best tool for addressing facial sagging, but for many, the lifts are simply “skin only”. This is an overly-simplistic approach — facial anatomy is complex, and the deep tissues that are responsible for holding your skin in place are also affected by gravity and aging. The deep plane facelift technique, performed at Donaldson Plastic Surgery, addresses not only the skin layer but also the underlying structures, making it Dr. Sieffert’s preferred method for exceptional facelift results!
A deep plane facelift is an advanced surgical facelift procedure designed to tighten the underlying layer of connective tissue beneath the skin known as the SMAS (superficial musculo-aponeurotic system), while simultaneously lifting, draping, and tightening the skin covering the cheek and lower face.
This method is, without a doubt, the most effective way to comprehensively correct facial sagging in the mid-to-lower face (more specifically, from the top of the cheekbone to the jawline where the first signs of aging are most likely to appear). Dr. Sieffert can perform advanced deep plane facelift surgery for men and women who would like to see the most significant and long-lasting improvement in these areas and want the best technique available to refresh their features.
Imagine for a moment the anatomy of the face is separated into 2 layers, or “planes.” The facial skin is the outer-most layer, and beneath that is the connective tissue and muscle layer known as the SMAS. A “deep plane” facelift means the mechanism of action is occurring at the SMAS plane.
A deep plane facelift is chosen to correct concerns related to marionette lines, nasolabial folds, and jowls along the jawline. While it primarily focuses on the cheeks and lower face, it is often paired with fat grafting to address loss of volume throughout the face, and a neck lift to address the chin, neck, and submental region (under the chin). There is no one-size-fits-all approach to this method. Your deep plane surgery is completely customizable to fit your goals and needs.
On the day of your surgery, you will meet with Dr. Sieffert before surgery to confirm the procedure plan and address any final questions you may have. Then you will be put under general anesthesia so you are comfortable through the procedure.
After you are resting comfortably under anesthesia, your surgical team will prep and drape the surgical field to begin. Any fat grafting that is indicated will be done first in order to replace lost volume throughout areas such as the temples, nasolabial folds, cheeks, lips, and even ear lobes. In cases where a neck lift is being performed, that procedure is done first. Then the facelift is addressed.
Incisions will be made starting at the hairline in front of the ear and will continue down in front of the upper ear, behind the tragus, underneath the earlobe, behind the ear in the crease, and into the hairline behind the ear to varying degrees. The skin is then dissected off the deeper tissues for greater exposure. Then, a portion of the SMAS is lifted up, excess is removed, and the deeper structures are repositioned.
“I utilize a multi-vector approach with the SMAS, which means that tissues are moved in multiple directions to give you the most natural-looking results,” Dr. Sieffert explains.
The SMAS muscle is secured with permanent sutures so the deep muscle structures help the facelift last. After that, Dr. Sieffert will re-drape your skin and remove the redundant skin at the point of incision. After the skin is excised, it’s time to close. Closure is performed with mostly absorbable sutures, and a few that need to be removed in the office.
After the procedure, you will come into the office 48 hours after so we can check on the quality of skin healing. You’ll come back at one week for your next follow-up to remove any remaining sutures. Then you will come back for regular follow-ups at one month, three months, and beyond.
Dr. Sieffert is known for her incredibly natural facelifts, partly due to the fact that fat transfer to the face is included. The temples, cheeks, nasolabial folds, and lips all receive a small amount of your body’s own fat (grafted using liposuction through a small incision usually on the abdomen). Combining a fat transfer with a facelift helps your results to look more natural. It provides a youthful contour that complements the deep plane facelift.
The face and neck age together and are considered by Dr. Sieffert to be, “A single anatomical unit”. Because of this, a facelift and necklift are often performed together in a single surgery. Ignoring aging in the neck can lead to a discordant appearance and may lessen the effects of surgery at the jawline. In these combined surgeries, the facelift elevates and repositions tissues between the cheek and the jawline and the necklift repositions tissues between the jawline and the collarbones.
An ideal candidate for a deep plane lift is primarily looking to correct significant signs of aging & loose skin in the lower face. More often than not, this candidate will have visible folds in the skin as a result of volume loss in the cheeks and around the mouth. The most common complaints that lead to seeking facelift surgery are marionette lines, jowling, and loss of jawline contour. To be a good candidate, one will will be in good health and have realistic expectations about the experience and outcomes of surgery. Age, lifestyle, and other influences on skin laxity are also important considerations for a deep plane lift. Your surgeon will help you determine if the deep plane technique is right for you!
That said, it’s important to note that there is no right age for a facelift — everyone ages at a different rate and feels the desire for rejuvenation at different times in life. A younger candidate who has skin laxity to a lesser degree may be best suited for another version of a facelift, such as a mini facelift.
Considering a deep plane facelift isn’t always about looking decades younger, or a desire to emulate reality TV stars. Many of our patients’ reasons for getting a facelift are about aging gracefully, and more importantly, at their own pace. We recognize everyone’s reasons for a facelift as unique as they are.
Not sure how to verbalize your goals? We can help you figure that out during a consultation!
The technique that a plastic surgeon uses is left primarily up to their training and experience, so you will want to research and compare surgeons based on their credentials and comfort in performing the procedure in question. Not all surgeons perform the deep plane facelift technique. Asking about your surgeon’s methods and techniques may help you to determine which surgeon(s) you’ll meet with. During your consultation, listen to what your surgeon recommends. Although the decision to receive a facelift is up to you, you should allow their experience to help guide your decision.
We caution choosing (or even consulting with) a facelift surgeon based on price. Due to the nature of this particular procedure, facelifts are best left to plastic surgeons known for their commitment to safety and achieving exceptional results.
Board-certified plastic surgeons are the only kinds of surgeons you should be researching to perform your surgery. Surgeons who are certified by the American Board of Plastic Surgery are in good medical standing and have met the requirements and standards set out by the ABPS, the leading authority in the field of plastic surgery. Transparency is of the utmost importance here — if your surgeon does not have verified certification, they are not considered a board-certified plastic surgeon.
Not ready for surgery? No problem! Today, there are a number of aesthetic solutions that don’t require surgery and can be done right here in our office. Fillers, Ultherapy, Laser Skin Resurfacing, Microneedling & Advanced Microneedling with PRP (commonly referred to as the “Vampire Facial”) are all great options for tightening the skin non-surgically, without the need to go under anesthesia or deal with downtime or recovery!
Dr. Sieffert has perfected her deep plane facelift technique during her tenure at Donaldson Plastic Surgery and her specialty training at Wright State University’s Division of Plastic & Reconstructive Surgery. With an eye toward technical excellence, her mission is to inspire confidence and help every patient feel good in their own skin. She has taken extensive training to perform advanced plastic surgery techniques such as the deep-plane facelift.
We welcome patients from all over the Midwest & beyond to visit our practice here in Columbus, Ohio. Our Donaldson Plastic Surgery Patient Coordinators are here to help you meet with our highly-qualified plastic surgeons and start you on your journey. Call us today or contact us to request your own personal consultation.