What are the advantages and disadvantages of deep plane facelift surgery?

Mrinal Supriya discusses the advantages and disadvantages of deep plane facelift surgery

Laura Livesey: There are several different kinds of facelifts. I think it’d be interesting to look at a deep plane facelift. We’ve talked about the deep plane being very suitable if you’re 45 and older. Let’s look at the advantages and disadvantages of deep plane facelift surgery.

Mrinal Supriya: The advantage of deep plane is that it gives you a very natural elevation, so you still look the way you are.

Still, you look much livelier, fresher, not artificial, not someone who has gone through plastic surgery in that sense.

The disadvantage of a facelift is only if it is done by someone who is not real well-trained into doing it. It takes longer, it requires a greater degree of surgical expertise, simply because we are working very close to the nerves that supply your face…

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Mrinal Supriya: Most surgeons do not feel comfortable working in that area. Therefore, what you’ll find is that what is called a facelift on most surgical websites actually is not this deep plane facelift. What it refers to is either just pulling the skin or the SMAS lift, which is just addressing the side part of your face. The disadvantage, to reiterate it once again, is not having the correct comprehensive deep plane facelift done by someone who is well-trained into doing it.

Otherwise, in the hand of an expert, someone who is experienced and well-trained in doing a deep plane facelift, there are virtually minimal risks involved.

As I said, most patients who have deep plane facelift have an excellent outcome, and they are able to achieve the result that they had in their mind.

The deep plane facelift is the facelift which will give you a natural lift without significant recovery time, and with the least risk of surgical complications.

Laura Livesey: Okay. I suppose there must be cost differences between, which we’ll talk about in another video, but I suppose it must escalate. If you have just a skin facelift that’s going to be a lower price, is that right?

Mrinal Supriya: Yes. The price difference is reflected because of two main reasons. First is the time. A deep plane facelift will roughly take double the amount of time as a normal skin, or a SMAS lift will take. The second is the expertise and the surgeon’s input required. We are doing a much more extensive and a deep surgery, and the surgeon needs to be very well-trained to work just over the nerves that supply your face. So these two factors combine to increase the price of getting a deep plane facelift…

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Laura Livesey: You mentioned that it’s not that common. I certainly haven’t seen that many experts. So is it sort of 10% of surgeons do a deep plane facelift?

Mrinal Supriya: If that. I think the proportion of surgeons who do the true deep plane facelift is perhaps not more than 5 to 6% of cosmetic surgeons who advertise doing a facelift.

That is a result of two factors. First of all, traditionally, facial cosmetic has been done by plastic surgeons who, in their surgical training, at least in the UK, do not get that much experience in facial surgery. They are much more experienced in things like breast implant or tummy tuck, rather than doing a facial cosmetic work.

Secondly, even for ENT specialists, such as me, experience in facelifts is virtually non-existent in NHS, as part of their training. The only way one can gain real hands-on experience is by going to places like America and working with world-renowned facial cosmetic surgeons, such as Dr Jacono that I did. That limits the number of surgeons who can offer a patient true deep plane facelift in this country.

Laura Livesey: I see. We’re lucky to have you in the UK because you’ve gone to the US, you’ve studied with one of the leaders in facial surgery.

Mrinal Supriya: Yes. I mean, that was the main reason we set up British Face Clinic so that we could offer world-class, exclusive facial cosmetic service in this country, which was non-existent before.

We aim to bring the expertise to this country so that the patients here can benefit from getting facial cosmetic surgery by an exclusive facial cosmetic surgeon.

I do not do any body cosmetic work at all. All my cosmetic work is completely focused on the face area. It is almost exclusive surgical work that I do for facial cosmetic so that I can keep my expertise very focused, and therefore the patients get the best possible outcomes in my hands.

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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