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A Long-term Evaluation: Deep Plane versus High SMAS Face Lift
Marta Mariani1, Mariachiara Fabbri1, Pietro Luciano Serra2
1Department of Plastic and Reconstructive Surgery, Catholic University of Sacro Cuore, University Hospital A. Gemelli, Rome, Italy.
Facial Plastic Surgery : FPS
|January 17, 2025
Summary
The Deep Plane Face Lift (DPFL) may show long-term drawbacks. The High SMAS Face Lift (HSFL) offers an alternative to address these issues, improving patient outcomes.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
- Aesthetic Surgery
Background:
- The Deep Plane Face Lift (DPFL) has recently surged in popularity among plastic surgeons.
- Despite its advantages, the DPFL technique may present long-term aesthetic challenges.
- The High SMAS Face Lift (HSFL) has been a preferred method for the senior authors for many years.
Purpose of the Study:
- To critically analyze the long-term implications and potential drawbacks of the Deep Plane Face Lift.
- To demonstrate the advantages of the High SMAS Face Lift technique in addressing DPFL's limitations.
- To provide insights into improving long-term facial rejuvenation outcomes.
Main Methods:
- Comparative analysis of Deep Plane Face Lift and High SMAS Face Lift techniques.
- Review of long-term patient outcomes and aesthetic results.
- Clinical experience and surgical practice observations.
Main Results:
- The study identifies specific long-term undesirable features associated with the DPFL.
- The HSFL technique demonstrates efficacy in mitigating the identified long-term issues of DPFL.
- Sustained aesthetic improvements are observed with the HSFL approach.
Conclusions:
- The Deep Plane Face Lift may have significant long-term disadvantages.
- The High SMAS Face Lift is presented as a viable alternative for superior long-term facial rejuvenation.
- Plastic surgeons should consider the long-term effects when selecting a facelift technique.

