Deep Plane facelift is a technique for selected lower-face and midface changes. It can improve jowls, jawline definition and certain patterns of tissue descent, but it is not a universal “gold standard” and does not automatically treat the brow, eyelids, skin texture, volume loss or every neck problem.
What the technique involves
The surgeon enters beneath the SMAS in selected regions and releases specific retaining ligaments so deeper tissues can move as a connected unit. Dr. June Favarin’s lower-face approach uses an anatomy-based, often more vertical vector rather than relying on skin tension. The exact extent is individualized.
| Potential benefit | Requirement | Limitation |
|---|---|---|
| Improve jowls and jawline | Appropriate lower-face tissue descent | Cannot overcome every skeletal limitation |
| Reposition selected deeper tissues | Precise ligament release and fixation | More extensive release is not automatically better |
| Reduce reliance on skin tension | Sound deep-tissue support and redraping | Scars and skin-healing risks remain |
| Influence selected midface areas | Anatomy that can benefit from the chosen dissection | Does not replace video-assisted upper-face surgery |
Why execution matters
Facial nerve branches travel near areas of deep dissection, and their depth changes by region. Safe execution requires knowledge of these transitions, controlled visualization and appropriate traction. Hematoma prevention, blood-pressure management and postoperative observation are also central to safety.
Who may not need Deep Plane?
Patients with limited laxity, primarily superficial skin concerns, isolated volume loss or a problem located in the brow, eyelid or neck may need another approach. SMAS techniques can be appropriate in selected lower faces. The procedure should not be chosen because it is popular on social media.
Risks and recovery
Risks include hematoma, infection, skin compromise, visible scars, hairline or earlobe distortion, prolonged swelling, asymmetry, sensory changes and temporary or permanent motor nerve injury. Most swelling improves progressively, but final settling takes months. Surgery cannot guarantee a scar-free or perfectly symmetrical result.
Previous injectables and international planning
Fillers, biostimulators, threads and permanent products may change tissue planes or contribute to edema. Dermatologic ultrasound may be recommended. International patients generally need at least 15 days in Brazil after major facial surgery and should fly only after clearance.
Belvivere coordinates surgery at Hospital São José and provides international concierge support. Compare facelift approaches and read about facial nerve safety before choosing a technique.
