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Awake Rejuvenation With the Deep Plane Face Lift and Extended Deep Neck Contouring
Richard Brannon Claytor1, Grace C Tolan1,2, Patricia M Fuentes3
1From the Claytor Noone Plastic Surgery, Main Line Health, Philadelphia, PA.
Plastic and Reconstructive Surgery. Global Open
|March 9, 2026
Summary
The deep plane face lift effectively rejuvenates facial aging signs with minimal pain. This invasive procedure under tumescent local anesthesia offers excellent outcomes and fewer complications than general anesthesia.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
- Anesthesia
Background:
- Deep plane face lift addresses age-related soft tissue sagging and neck laxity.
- Patient preference is shifting towards minimally invasive procedures under local anesthesia.
- Limited data exists on deep plane face lifts performed with tumescent local anesthesia.
Purpose of the Study:
- To demonstrate the safety and efficacy of deep plane face lifts under tumescent local anesthesia.
- To highlight the excellent aesthetic results achievable with this technique.
Main Methods:
- Retrospective review of 200 patients undergoing deep plane face lift.
- Procedures performed between January 2020 and January 2024.
- Data collected included demographics, operation length, concomitant procedures, and complications.
Main Results:
- 8.5% of patients experienced minor complications (wound infection, hematoma), all resolved conservatively.
- No mortalities, permanent motor nerve damage, xerostomia, or sialoceles were reported.
- No instances of lidocaine toxicity occurred.
Conclusions:
- Deep plane face lift yields superior results for facial rejuvenation.
- The procedure is safely performed with minimal pain under tumescent local anesthesia.
- This approach reduces risks associated with prolonged general anesthesia.
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