Related Experiment Video
Updated: Apr 20, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Deep plane face lifting for midface rejuvenation
Neil A Gordon1, Stewart I Adam2
1Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, Yale Physicians Building, 4th Floor, 800 Howard Avenue, New Haven, CT 06510, USA; New England Surgical Center, The Retreat at Split Rock, 539 Danbury Road, Wilton, CT 06897, USA.
Abstract:
The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with nonsurgical techniques, delivering accurate, direct treatment of deeper anatomic aspects of facial aging. The well-vascularized deep-plane flap minimizes complications. Outcomes can be maximized because tension exists “invisibly,” only at the fascia level. Consistent, natural,and long-lasting aesthetic results are achieved.

