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Deep Plane Facelift

The facelift remains to be the gold standard in facial rejuvenation, and for good reason. It is a "one and done" procedure that helps patients achieve dramatic anti-aging results. With a single surgery, patients with prominent signs of aging can enjoy youthful improvements that are long-lasting. This tried-and-true facial procedure features various techniques, allowing surgeons to tailor the facelift to each patient's unique needs. The deep plane facelift, offered at Dr. Philip Miller's plastic surgery clinic in Manhattan, New York, is one variant of the standard facelift, delivering superior results for the right patient.

Dr. Miller also customizes his facial surgeries through the NatraLook® Process. This unique approach provides a reassuring, supportive, and positive environment for patients exploring their aesthetic confidence. It ensures that patients undergo an enriching experience in which they achieve rewarding results in both physical and emotional ways. 


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What is a Deep Plane Facelift?

before and after results of a deep plane facelift surgery performed in NYC, NY A deep plane facelift corrects midface sagging, jowls, and the double chin. This procedure accomplishes all that the traditional facelift does and more, making it a great option for certain patients looking for more extensive improvement. As its name suggests, a deep plane facelift cuts deeper into the tissue for facial rejuvenation. Instead of removing and pulling the skin, it focuses on the release and movement of muscle and fat layers. By performing the tightening process at deeper levels, the deep plane facelift enables internal manipulation of the underlying tissue to produce natural, longer-lasting results.  

Deep Plane Facelift vs. Traditional Facelift

 The SMAS (superficial musculoaponeurotic system facelift) is the most common type of facelift performed today. The skin and some of the superficial supporting ligaments are repositioned and re-attached during this procedure, eliminating sagging skin and wrinkles, but in the wrong patient, can ultimately lead to a pulled or half lifted face. In contrast, a deep plane facelift involves releasing all of the superficial supporting  ligaments allowing the entire face, not just a portion of it, to be repositioned.  The procedure repositions the entire system as a single unit. 

A deep place facelift can accentuate the cheekbones, jaw, and neck while avoiding a pulled effect. The outcome is more natural-looking and longer-lasting, creating results that may be superior to those of a standard facelift in patients that require more correction than a traditional facelift can offer. To learn more about deep plane facelifts, please visit

Conditions Treated With a Deep Plane Facelift

A deep plane facelift targets the following age-related concerns:

  • Fine lines and wrinkles
  • Marionette lines
  • Facial volume loss
  • Facial skin laxity
  • Sagging jowls
  • Double chin
  • Neck wrinkles and crepey skin

What to Expect From a Deep Plane Facelift

deep plane facelift before and after results from Dr. Miller in NY, NY Dr. Miller performs a deep plane facelift under general anesthesia. It may take around 4 hours, depending on how extensive the procedure needs to be. 

Similar to a traditional facelift, the incision lines begin at the temple hairlines, continuing in front and behind the ears and extending up into the hairline or scalp. Through the incisions, the surgeon lifts the deeper layers of skin and muscle together as one unit and repositions it. 

Based on the patient's customized procedure plan, the surgeon may also perform liposuction of the neck and jowls and fat transfers. Once completed, the incisions will be securely closed. The results reverse the advanced signs of aging and tighten soft tissues, rejuvenating the face and restoring youthful contours.

How Painful is a Deep Plane Facelift?

Patients are often pleasantly surprised at how little discomfort they experience after surgery. Dr. Miller will prescribe pain medications for a few days post-surgery, and patients may take pain relievers such as Tylenol after that. Patients may experience a tight sensation under the chin area, along with mild soreness along the neck's sides. They may also feel some skin numbness as the area heals.

Deep Plane Facelift Complications

Most potential risks and complications are similar to SMAS facelift procedures. However, since the deep plane facelift involves a more extensive release of the ligaments it carries a slightly increased risk of facial nerve injury compared to a traditional SMAS technique.  

Other complications are similar to most type of facelifts: 

  • Facial pain, numbing, bruising, and prolonged swelling
  • Injury to facial nerves
  • Facial asymmetry
  • Bleeding and infection
  • Adverse reaction to anesthesia

A deep plane facelift is an advanced and complicated surgical procedure best handled by an experienced and highly skilled surgeon. Other ways to avoid complications include: 

  • Disclosing all health issues and medications before the surgery
  • Precisely following all pre-and post-procedure instructions
  • Immediately reporting any abnormal side effects as soon as they occur

Alternatives to Deep Plane Facelift

deep plane facelift surgery results provided by Dr. Miller in New York City There are other types of facial rejuvenation procedures, including non-surgical treatments that each target a different portion of your facial structure or varying degrees of skin laxity:

  • Micro Lift – This less invasive lift involves shorter incisions through which skin and tissue are pulled in the same direction, mimicking movement when making a ponytail. Excess skin and tissue are carefully trimmed, resulting in fewer lines, more defined cheeks, and a refreshed eye area.
  • Neck lift - This procedure removes excess fat and skin from the neck to improve visible signs of aging in the neck and jawline, creating a more elegant profile.
  • The Miller Lift – This liquid facelift uses a combination of fillers and neuromodulators to soften lines and wrinkles, restore youthful volume and create a more lifted appearance. 
  • FaceTite - This non-surgical treatment lifts and tightens facial areas using Body-Tite™'s patented radiofrequency assisted liposuction (RFAL) technology. Face-Tite™ can be used to tighten loose skin and contour areas like the lower eyes, brow, cheek, neck, and jowls for a smoother, more youthful look.
  • MyEllevate - This minimally-invasive procedure uses a suture support system to lift sagging skin and tissue for a more youthful appearance without anesthesia or significant downtime. 

Deep Plane Facelift Recovery

Recovery after a deep plane facelift is similar to other facelift procedures. Because the surgery repositions soft tissue as a single unit, less trauma occurs under the skin's surface. Patients should plan to take two weeks off from work to recover from the procedure.

After surgery, a head dressing will be applied, and drain tubes may be inserted under the skin to remove accumulated fluid. You can expect extensive bruising and swelling. Sleeping in an inclined position and applying cold compresses should help reduce any swelling. To heal faster, avoid strenuous activities for about six weeks. However, most patients can return to work in about 10-14 days.

Learn More About Facelift Procedures Offered at Our Plastic Surgery Clinic

If you are considering facial rejuvenation surgery, the Deep Plane Facelift is just one of many options for you to discuss in consultation with a qualified, board-certified plastic surgeon such as Dr. Miller, who is well-versed in the technique. To learn more about facelifts or find out if you're a good candidate, contact Dr. Miller's Manhattan, New York plastic surgery clinic to schedule a consultation.

Settle for Nothing But the Best Facial Plastic Surgery

Facial Plastic Surgery

Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:

Eyelid Plastic Surgery

Dr. Miller and Kaylyn Plum, PA-C provide patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:

Rhinoplasty (Nose Jobs)

Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:

Skin Care Treatments

Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.

Services >

Aesthetic Confidence®

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

The Plastic Surgery Podcast

  • Episode 44: My First Time

    8 min
  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 42: Osteomas & Lipomas

    11 min
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Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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