Deep Plane or SMAS: Understanding Your Facelift Options

If you’ve been researching facelifts, you’ve probably come across the terms “deep plane facelift” and “SMAS facelift.” These are buzzwords gaining a lot of traction, but what do they mean, and how are they different?

At REJUVENE, Dr. Deborah Sillins, an award-winning, board-certified plastic surgeon, finds that many patients seeking deep plane facelifts are actually more interested in the SMAS technique. This blog will clarify the distinctions between the two so you can make a more informed decision.

About the SMAS

SMAS stands for superficial musculoaponeurotic system. It is the fibrous layer of tissue and muscle under the skin that supports facial structure. Both facelifts target this layer, but they do it in slightly different ways.

What Is a Deep Plane Facelift?

A deep plane facelift repositions the SMAS and the overlying skin as a single unit. This method focuses on lifting and repositioning the midface, jawline, and neck while preserving a natural appearance by avoiding tension on the skin. Patients with significant sagging or volume descent in the cheeks and lower face often prefer this approach.

What Is a SMAS Facelift?

During a SMAS facelift, the surgeon lifts, tightens, and sometimes repositions the SMAS layer separately from the skin to reduce jowls, firm the jawline, and smooth the cheeks. This technique enables more precise contouring than a skin-only facelift and can yield more durable results.

A SMAS facelift is less invasive than a deep plane facelift. However, it still provides substantial improvements in facial aging, particularly in the lower two-thirds of the face.

Why Might SMAS Be the Superior Option?

Patients might prefer a SMAS facelift over a deep plane facelift because it generally involves less dissection and a shorter recovery period. It can be a good choice for individuals who want to address sagging without the added complexity of deeper tissue manipulation. 

The SMAS technique allows for effective tightening and repositioning with a lower risk profile. This may appeal to those who want noticeable results but are not ready for the more extensive deep plane lift.

Schedule a Facelift Consultation Today

Choosing between a deep plane or SMAS facelift depends on your anatomy, goals, and desired recovery time. At REJUVENE, Dr. Sillins will guide you through your options and help you decide how to proceed. Schedule a consultation today by calling (859) 429-3333 or booking online.