How does deep plane facelift surgery work?

Mrinal Supriya explains how deep plane facelift surgery works

Laura Livesey: I think it would be interesting and important to know if I have a concern around my face, maybe my jowls, maybe my neck, and I come to you to have a treatment. How does it work? How does the whole process work?

Mrinal Supriya: For the deep plane facelift, it is important for you to remember that it is virtually a painless procedure for you.

It is done under general anaesthesia. It is a very delicate surgery. The surgeon has to be very confident, working around the nerves of your face. So it is not something that one can do in a hurry. It takes on average three to four hours to do both the face and the neck on both sides.

Once you are asleep under anaesthesia, the surgeon places some cuts on your skin, which are hidden, either within your hair or behind your ears. And from there, we go slightly under the skin. And then the distinct part of a deep plane facelift is that we go under a layer, what we call it is mass, so this is the layer that your muscles work on…

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Mrinal Supriya: We go deep to that layer, and then we release the ligament which is holding it in place. We go right ahead in front of your face to make sure that this whole layer is completely released. And then I pull it back and anchor it with some deep sutures in a much more natural uplifted position.

The difference from a skin lift is that in this thing, I have not pulled the skin as such. I have pulled the underlying tissue in an elevated position.

And then the excess skin is trimmed off, and then the face is closed. We often combine this with the removal of excess fat from the neck, which is done through a small 2-centimetre incision under your chin.

And from there, we do the same thing on the neck. We remove the excess fat and then sew off your neck. After the surgery, you will usually wake up with a very small tube, a drain, which is removed the next day. You have a head bandage. You are given some medication to keep yourself comfortable. And, that is the end of surgery…

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Mrinal Supriya: Most people, or almost all the patients, are very comfortable after surgery. They do not complain of any significant pain. They are able to eat and drink, and even walk the same day as of the surgery.

Next day after the operation, we remove all the dressing. We give you a special garment to keep things in place, and we remove all the stitches next week after the surgery.

You can virtually go back to your normal day-to-day activity by the end of seven to 10 days.

Read more about deep plane facelift

I’m an expert in this area and have all of the answers to any questions you might have. However, If you’d like to continue learning about facelifts, open up the toggles below to read more.

Here is an interesting abstract about the benefits of the deep plane facelift incision entry points compared to other facelifts. Click here for more information.

Here is a general overview of the deep plane facelift treatment. Click here for more information.

The American Society of Plastic Surgeons wrote a great post regarding deep plane facelifts and how patients look five years after treatment. Click here for more information

The American Society of Plastic Surgeons has provided a brief history of the facelift procedure and the various treatment options available. Click here for more information.

About the expert

Mr Mrinal Supriya | Facial Cosmetic Surgeon


Mr Mrinal Supriya is a Consultant ENT Head and Neck Surgeon with a special interest in facial cosmetic surgery. He is among 30 cosmetic surgeons who are members of the Royal College of Surgeons’ voluntary registration scheme – a professional body that works to advance surgical practice and patient care.

Mr Surpriya has previously worked in top hospitals around the world including the UK, Australia and the USA. He has also spent time with Dr Andrew Jacono who has been named one of the top plastic surgeons in the USA.

In the UK, Mr Supriya has worked as an ENT Consultant at Northampton General Hospital & St. George’s University Hospital, London as well as Ninewells University Hospital, Dundee.

Mr. Supriya’s clinical interests are minimal-access facial cosmetic procedures with a further expertise in Deep Plane Facelift and Rhinoplasty. By focusing his cosmetic practice solely to the face, Mr Supriya has developed super-specialised skills and achieved extremely reliable results with high patient satisfaction.

Mr. Supriya is able to provide comprehensive expertise that can only come from super specialisation: eyelid rejuvenation, nose job, endoscopic brow, face and neck lift, lip rejuvenation, cheek rejuvenation, ear surgery, chin surgery, buccal fat pad resection and skin treatments.

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