Deep Plane Facelift | Cleveland, Ohio | Dr. Harmych

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Deep Plane Facelift in Cleveland, Ohio

Deep Plane Facelift is one of the most common facelift procedures performed by Dr. Harmych in Cleveland, Ohio. Deep plane facelift tightens and repositions the SMAS tissue (superficial musculoaponeurotic system) or deep tissues (muscle and facia) and skin of the face and neck.

While traditional facelift improves neck definition, jawline contour and nasolabial folds, deep plane facelift involves more extensive repositioning of the midface tissues, allowing for more much better rejuvenation of the midface, cheeks and nasolabial folds.

Deep plane facelift is often the most effective procedure for older patients with more advanced aging. Dr. Harmych uses deep plane facelift technique for most of his facelift procedures, which allows for natural looking, significant and permanent results.

Dr. Harmych uses deep plane facelift technique for all facelift procedures, allowing for improvement beyond the results expected with traditional facelift.

Deep Plane Facelift Benefits

  • Improvement of sagging skin in the neck
  • Improves jowls and jawline definition to a greater degree
  • Superior improvement for the cheeks and nasolabial folds
  • Preservation of midface (cheek) volume and shape, without the need for fat grafting
  • Improves the lower eyelid and undereye area
  • Shorter incisions


Deep Plane Facelift vs. SMAS Facelift

Deep Plane FaceliftSMAS Facelift
IncisionsIncision often shorter as deep plane facelift relies less on skin removal for improved resultsIncisions typical longer than deep plane facelift incisions.
RecoveryOften less bruising and swelling as the deeper plane of dissection has a more robust blood supply.More likely to bruise and swell due to the more superficial plane of dissection.
ResultsDeep plane facelift results are more profound, with more dramatic improvement in the central face, especially the malar area, cheeks, jowls and nasolabial folds than SMAS facelift.Modest to moderate improvement in neck, jawline and cheeks.
Less significant correction in the malar cheeks, jowls and nasolabial folds.
DurationResults from deep plane facelift lasts much longer than SMAS facelift results. Results are often more natural and more significant.Results from SMAS, or traditional facelift, are expected to last 10-15 years.
Surgical techniqueRelease of the 4 retaining ligaments of the face and neck allow for more vertical lifting and reduced tension compared to SMAS facelift, resulting in significantly more natural-looking results.Retaining ligaments are not released and the vector of lifting is more horizontal.


Deep Plane Facelift Before & After Photos


Deep Plane Facelift. This is a deep plane facelift before and after photo showing a middle-aged patient with long brown hair and brown eyes. The image shows improvement in the cheeks, nasolabial folds, jowls and neck.

Deep Plane Facelift

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Additional deep plane facelift before and after photos can be found here 

What are the Different Types of Facelift?

The common types of facelift are:

  • Deep Plane Facelift
  • SMAS Facelift (includes lateral SMAS facelift and high lateral SMAS facelift)
  • Revision Facelift
  • Mini Facelift
  • Nonsurgical Facelift

What is the difference between Deep Plane Facelift and SMAS facelift?

The main difference between deep plane facelift and SMAS facelift is the location of the SMAS dissection. The deep plane is the potential space that exists between this SMAS layer and the layer of the face containing the muscles of facial expression. Deep plane facelift procedures involve dissection in this plane, or space.

All effective facelift procedures address the SMAS tissues to some degree. Although, traditional SMAS facelift address the SMAS tissues more laterally (or closer to the ear) and more superficially (closer to the skin surface). In contrast, deep plane facelift allows for treatment of the deeper tissues more medially, near the area of greatest concern, and allows for additional improvement in the cheeks, neck, and midface. Additionally, deep plane facelift frees and mobilizes the SMAS from four separate retaining ligaments.

Deep plane facelift: Key differences

  • Deep plane facelift involves release of retaining ligaments
  • Less dissection under the skin, therefore, less wound healing issues
  • Less tension on the incisions due to complete mobility and elevation of the facial structures
  • Improved appearance of the deep plane facelift incisions
  • Deep plane facelift restores cheek volume
  • Deep plane facelift conserves fat and SMAS tissue, restoring facial volume
  • Less recovery time with deep plane facelift


Who is a Candidate for Deep Plane Facelift in Cleveland Ohio?

The best candidates for deep plane facelift are healthy non-smokers with realistic expectations who have moderate to severe age-related cheek, face and neck sagging. Patients in their 40’s and early 50’s  with mild facial aging are often candidates for more minor facelift procedures, such as a SMAS facelift or mini facelift.

Dr. Harmych’s deep plane facelift patients enjoy a natural, healthy, and rejuvenated result.

Deep plane facelift does not stop the aging process; it simply turns back the clock a few years. While the aging process naturally continues the face will always appear younger and more youthful.

How is Deep Plane Facelift Surgery Performed?

Deep plane facelift is usually performed with general anesthesia. Incisions are hidden within the hairline and behind the ear. A small amount of skin is elevated from the underlying tissues around the ears. The deep plane is entered through the SMAS tissue at a point between the lateral canthus (point where the upper and lower eyelid meet) and the angle of the mandible (jaw). The deep plane tissues, located just beneath the SMAS fascia are carefully dissected toward the nasolabial fold, corner of the mouth, and jowl area.

By separating the key facial retaining ligaments, the tissues of the deep plane are carefully mobilized from the layer of facial muscles. The freely mobile SMAS tissues and overlying skin are carefully repositioned to a more youthful, rejuvenated position. The skin is closed in a tension-free fashion which allows for optimum healing. A soft cotton head wrap dressing is placed.

To achieve the best results, facelift may be performed in conjunction with other neck and jawline rejuvenation procedures such as chin augmentation, chin implant and jaw augmentation, neck liposuction and neck lift.

What is the cost of deep plane facelift in Cleveland Ohio?

The average cost of deep plane facelift is $20,694 with a range of $8,000 to $50,000 according 2023 data from RealSelf.

Dr. Harmych’s deep plane facelift patient can expect the cost to be within this range. The complexity of the case, length of case, additional facial plastic procedures, and type of anesthesia will effect the cost.

The cost can also vary based on geographical location. Other sources consistently report the average cost of deep plane facelift as $20,000 to $30,000.

Important points about recovery

  • The deep plane facelift procedure is performed in the outpatient setting.
  • A gentle cotton dressing is used for the first 24 hours and is removed by Dr. Harmych on the day after the deep plane facelift.
  • Deep plane facelift is not painful. Prescription medicines are sometimes used for the first few days.
  • Drains are often not used because the skin is dissected less than traditional facelift.
  • Mild discomfort, numbness, tightness and bruising may last several weeks.
  • Patients return to most activities in about 10 days.
  • Most facelift and neck lift patients resume full physical activity in 3-4 weeks.


How long will the results last?

The results of deep plane facelift are permanent. Although your face will continue to age, you will always look younger. Deep plane facelift can set the clock back so that you always appear younger, even as you continue to age.

Double board-certified and fellowship-trained facial plastic surgeon, Dr. Harmych, is a deep plane facelift specialist in Cleveland, Ohio. His practice is solely dedicated to facial plastic surgery. In fact, facelift, deep plane facelift, deep plane neck lift, mini facelift, and neck lift comprise a large proportion of Dr. Harmych’s facial plastic surgical practice.

Deep Plane Facelift Photos

When reviewing Dr. Harmych’s facelift before and after photos, note that there is often additional improvement in the lower neck, temporal area, lower eyelids, and malar cheeks. This additional improvement is achieved by employing more advanced techniques beyond SMAS facelift and deep plane facelift, or extended deep plane facelift. Dr. Harmych, an experienced deep plane facelift surgeon, will provide you with a thorough assessment of your unique anatomy and explain which facelift procedure would be most appropriate to achieve your goals.


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deep plane facelift

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Read what Dr. Harmych’s deep plane facelift patients say about the experience

Read additional reviews here.

Facial Plastic Surgery in Cleveland, Ohio

Harmych Facial Plastic Surgery performs procedures and treatments on all areas of the face and neck including:


Where should I go for Deep Plane Facelift in Cleveland Ohio?

Harmych Facial Plastic Surgery is located in Beachwood, Ohio. Schedule a consultation at our Beachwood location and see if Facelift is a good option for you.

Harmych Facial Plastic Surgery
29225 Chagrin Blvd. #285
Beachwood, Ohio 44122


Additional Information on Deep Plane Facelift

The before and after photographs presented in the deep plane facelift and neck lift before and after page and gallery depict actual patients of Cleveland, Ohio facial plastic surgeon Dr. Brian Harmych and have been used with written permission. Please note that our before and after gallery is provided in order to help you visualize the natural results that can be achieved at our practice. The before and after facelift photos are limited to patients who have agreed to allow their photos to be shared. Additional before and after deep plane facelift surgery photographs are available in our Cleveland, Ohio office. You will have an opportunity to view additional pre- and postoperative photographs that may be shared only in our office during your personal consultation. 

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Best Rhinoplasty and Neck Lift Surgeon in Cleveland, Ohio
Brian Harmych, MD

Double board-certified facial plastic surgeon, Dr. Brian Harmych, M.D. is the best rhinoplasty, neck lift, facelift, mini faceliftdeep plane faceliftearlobe repair surgeon in Cleveland, Ohio. He is one of the few double board-certified facial plastic surgeons in Ohio and focuses exclusively on facial plastic surgery, such as rhinoplasty, nose reshaping and revision rhinoplasty.