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Systematic Approach to Deep Plane Facelift
Boris M Ackerman1, Nirav B Savalia2
1, Newport Beach, CA, USA. ackerman92660@gmail.com.
Aesthetic Plastic Surgery
|March 26, 2025
Summary
A novel Deep Plane Facelift technique enhances safety and efficiency through a systematic, multi-step approach. This method incorporates unique dissection and fixation strategies for reproducible facial rejuvenation results.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Surgery
Background:
- Deep Plane Facelift is a complex procedure requiring specialized techniques.
- The senior author has over 20 years of experience in facial rejuvenation surgery.
Purpose of the Study:
- To present a systematic and reproducible approach to Deep Plane Facelift.
- To detail novel elements of the technique for improved safety and efficiency.
Main Methods:
- A three-step dissection process with a unique suture fixation method.
- Incorporation of the lateral orbicularis muscle into the composite cheek flap.
- Advancement of the cheek flap in a superior vector with specific fixation.
Main Results:
- The described technique allows for safe, efficient, and reproducible Deep Plane Facelift.
- Novel elements include compartmentalized dissection and "monobloc" flap manipulation.
- Positive feedback from visiting surgeons indicates the technique's benefit.
Conclusions:
- The presented systematic approach offers a beneficial method for Deep Plane Facelift.
- The technique's novel elements contribute to its efficiency and safety.
- Long-term results demonstrate the effectiveness of this approach for facial rejuvenation.

