A common reason some men and women are hesitant to undergo facelift surgery, even though they desire significant facial rejuvenation, is their fear of overly tight, windswept, or artificial results. Thanks to the deep plane facelift, these individuals can be confident that, with the right surgeon, they can achieve the youthful but natural outcome they seek.
Patients from all over the country travel to Golden Triangle Plastic Surgery in San Diego to have their deep plane facelift performed by Dr. Roy David. As a double board-certified facial plastic surgeon, Dr. David’s patient-focused skill and expertise deliver customized, natural-looking deep plane facelift results. Dr. David’s deep plane “La Jolla Lift” has received national acclaim since debuting on The Doctors.
What Is a Deep Plane Facelift?
This advanced surgical technique is designed to correct visible signs of aging in the face and neck and is Dr. David’s preferred approach to facial rejuvenation. The traditional facelift primarily focuses on tightening loose skin while leaving deeper sagging tissues uncorrected.
The deep plane facelift repositions the underlying facial muscles and fat pads, or superficial musculoaponeurotic system (SMAS), along with skin, to effectively lift the cheeks, soften nasolabial folds, refine the jawline, and smooth the neck. By taking a more comprehensive approach, the deep plane facelift provides more natural and longer-lasting results.
Who Is a Good Candidate for a Deep Plane Facelift?
The best candidates for a deep plane facelift are individuals experiencing moderate to severe facial aging, typically between 40 and 70. Good candidates are generally in good health, don’t smoke, are at or near their ideal weight, and have realistic expectations about the outcome. This procedure is beneficial for those seeking comprehensive facial rejuvenation without the “tightly-pulled” appearance associated with more traditional facelift techniques.
Benefits of a Deep Plane Facelift
The deep plane technique can provide dramatic results without looking obvious. Patients often report looking like a younger version of themselves rather than someone with the tell-tale signs of facelift surgery. Top benefits include:
- Natural-Looking Results: The deep plane facelift technique recontours deeper facial structures while tightening and smoothing skin. This results in a more natural appearance, avoiding the overly tight or “windblown” look.
- Comprehensive Facial Rejuvenation: This facelift option addresses visible aging in the midface, lower face, and neck.
- Long-Lasting Outcomes: Results can last 10–15 years or more, which is longer than other facelift methods.
- Improved Facial Harmony: Enhances overall facial balance and proportions.
What’s the Difference Between Dr. David’s Deep Plane Technique and Other Facelifts?
A traditional facelift is good for tightening the skin but may not address underlying tissues, leading to shorter-lasting results.
The SMAS facelift targets the superficial muscular layer but doesn’t reposition deeper structures as effectively.
The deep plane facelift releases, repositions, and tightens deeper facial tissues, providing more natural and longer-lasting rejuvenation.
Dr. David’s deep plane facelift repositions the muscles and deeper tissues in a vertical direction, which is the natural direction of facial aging. This technique enhances definition under the chin and repositions the cheek fat pads for a more youthful contour.
What Happens During My Deep Plane Facelift Consultation?
During your consultation, Dr. David will examine your facial anatomy, chart your aging patterns, ask about your aesthetic goals and expectations, and review your medical history and current medications. After determining your candidacy, he will explain the deep plane facelift process in detail and create a custom surgical plan designed according to your needs.
How Should I Prepare for a Deep Plane Facelift?
While every patient’s deep plane facelift experience is unique and customized, preparation typically includes the following five steps:
- Medical Evaluation: Complete lab tests and any necessary medical clearances.
- Medication Review: Temporarily adjust or discontinue certain medications under the guidance of your doctor.
- Lifestyle Adjustments: Stop smoking or using nicotine and limit alcohol consumption.
- Pre-Operative Instructions: Follow the guidelines provided by Dr. David’s office.
- Recovery Needs: Arrange for a ride to and from your surgery, pre-cook reheatable meals, have comfortable clothing (with openings in the front) easily accessible, and prepare a comfortable recovery area.
How to Select Your Deep Plane Facelift Surgeon
Choosing a qualified surgeon for your deep plane facelift is one of the most important decisions you’ll make in your facial rejuvenation journey. This isn’t a procedure where you want to compromise on skill or experience.
The deep plane facelift is more technically advanced than traditional facelift methods and requires a surgeon with specialized training, artistic vision, and a deep understanding of facial anatomy.
Here’s what to look for when selecting a deep plane facelift surgeon:
Board Certification in Facial Plastic Surgery
Start by confirming that your surgeon is certified by the American Board of Facial Plastic and Reconstructive Surgery or American Board of Plastic Surgery. This board certification ensures they’ve undergone rigorous training, meet high ethical standards, and are qualified to perform complex facial surgeries.
Experience With the Deep Plane Technique
Not all facelift surgeons perform deep plane facelifts. This technique requires precision and confidence working below the SMAS (superficial musculoaponeurotic system), which carries a higher level of complexity. Look for a surgeon who not only performs this technique regularly but has consistently delivered excellent results.
Before and After Photos
A reputable surgeon will have an extensive portfolio of real patients’ before and after photos. Look for results that appear natural, refreshed, and balanced—not overly tight or pulled. Pay attention to the jawline, midface, and neck areas that should appear youthful but never overdone.
Patient Testimonials and Reviews
Patient feedback offers invaluable insight into the overall experience, from consultation through recovery. Looking at the doctor’s facelift testimonials, especially those from deep plane patients, can help you better understand what to expect and how the surgeon interacts with their patients.
Customized Approach
No two faces age the same way, and no two facelifts should be exactly alike. An experienced deep plane facelift surgeon will use your facial structure, individual aging patterns, and personal goals to create your surgical plan. Ask them how they adapt their technique to different facial types and individual concerns.
Transparent, In-Person Consultation
During your consultation, you should feel heard, informed, and comfortable. The surgeon you choose should take time to explain the procedure, risks, benefits, and expected recovery timeline without rushing or pressuring you into a decision. This is also your chance to evaluate their communication style and aesthetic philosophy.
Comprehensive Facility and Support Team
Your surgeon’s support staff, surgical facility, and post-op team should reflect a high level of professionalism and dedication. Accredited surgical centers with licensed and experienced anesthesiologists and high standards for aftercare contribute to a safer, more positive experience.
Reputation in the Facial Plastic Surgery Community
Is your surgeon recognized among their peers? Do they teach, publish, or speak on the topic of advanced facelift techniques? Surgeons who are respected educators or innovators in the field, like Dr. David, bring added expertise and experience to their work.
Why Choose Dr. Roy David for Your San Diego Deep Plane Facelift?
Dr. Roy David is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery and specializes exclusively in surgery of the face, nose, eyes, and neck. He is a facial plastic surgeon with extensive experience performing the deep plane facelift, which is one of his passions. Dr. David was one of the first plastic surgeons to showcase his deep plane facelift technique on national television, appearing on The Doctors. His meticulous approach and dedication to natural-looking results have earned him a reputation as a leading San Diego facelift specialist.
How Is the Deep Plane Facelift Performed?
Dr. David performs his deep plane facelift using intravenous sedation (“twilight anesthesia”) or general anesthesia. While each procedure is customized, the following steps are always involved:
Incisions
Dr. David uses incision techniques to minimize the visibility of scars, which are hidden in the hairline and around the ears.
SMAS Lift
The SMAS (muscular) layer is lifted, repositioned vertically, and secured with sutures to provide results that are substantial, harmonious, natural-looking, and long-lasting.
Ligament Release
Key facial ligaments, such as zygomatic ligaments, masseteric ligaments, mandibular ligaments, and sternocleidomastoid ligaments, are released to allow for the tension-free repositioning of tissues.
Neck Lift
The procedure also corrects jowling and sagging in the neck area for a seamless and youthful transformation. Dr. David will tighten the platysma (muscle) layer and contour deeper structures as necessary.
Tensionless Closure
The incisions are carefully closed, with minimal tension to prevent a pulled-tight look.
Procedures Commonly Performed at the Same Time as a Deep Plane Facelift
- Eyelid Surgery (Blepharoplasty): To rejuvenate the eyes.
- Brow Lift: To elevate sagging brows and reduce forehead lines.
- Fat Grafting: To restore volume in areas like the cheeks and under the eyes.
- Laser Skin Resurfacing: To improve skin texture and tone.
Deep Plane Facelift Recovery and Pain
Dr. David’s deep plane facelift patients are surprised to learn that their recovery is remarkably quick and smooth. Each patient heals at their own pace, but recovery from a deep plane facelift generally involves:
First Week
Swelling and bruising are common, and discomfort is usually mild to moderate. Prescribed or over-the-counter medications can alleviate pain during the first week.
Second Week
Most patients feel significantly better and may return to non-strenuous activities. Most patients return to work within 10 to 14 days. However, it’s essential to avoid physically demanding activities until cleared by Dr. David.
Full Recovery
Complete recovery is usually reached within four to six weeks, with continued improvement over several months. To help avoid complications and ensure optimal results, patients should follow all post-operative instructions carefully.
How Long Will My Deep Plane Facelift Last?
One of the greatest advantages of a deep plane facelift is its longevity. Patients can enjoy a more youthful facial appearance for 10 to 15 years, depending on individual factors such as skin quality, lifestyle, and their unique aging process.
Is There Scarring After a Deep Plane Facelift?
As with most surgical procedures, scarring is inevitable. However, the incisions made during a deep plane facelift are strategically placed within the hairline and natural contours of the ears, making scars difficult to detect. With proper care and healing, most scars fade with time and become less noticeable.
Possible Side Effects or Risks of Deep Plane Facelift Surgery
It’s important to distinguish between expected post-operative side effects and potential complications. While risks are relatively low when you’re in Dr. David’s experienced hands, side effects are a normal part of healing and generally resolve quickly.
Common temporary side effects of the deep plane facelift include:
- Swelling and Bruising: Most noticeable during the first one to two weeks, then fading gradually.
- Mild to Moderate Discomfort: Typically well-controlled with prescription medications.
- Numbness or Tingling: Often near the cheeks and ears, due to nerve repositioning, which usually improves over a few months.
- Tightness or Pulling: As tissues heal and settle into place.
- Dry or Itchy Skin: Especially near incision sites as healing progresses.
Our double board-certified, San Diego plastic surgeon minimizes these risks through meticulous planning, a focused technique, and personalized care before and after the procedure. During your consultation, Dr. David will review your medical history and discuss any personal risk factors to ensure you are an appropriate candidate.
He will provide detailed post-surgical instructions, and you will have regular follow-ups to monitor your recovery and healing process. Should any side effects persist longer than expected, our team is available to assess and manage them promptly.
The best way to avoid complications is to follow all Dr. David’s pre- and post-surgical instructions.
Deep Plane Facelift Cost in San Diego, California
The cost of a deep plane facelift in San Diego varies based on several factors, including the surgeon’s expertise, facility fees, anesthesia, and any additional procedures. On average, patients can expect to invest between $20,000 and $30,000 for the procedure.
At Golden Triangle Plastic Surgery, we strive to provide options to make paying for your facelift procedure as manageable as possible.
Does Insurance Cover a Deep Plane Facelift?
Because a deep plane facelift is considered an elective cosmetic procedure, it’s not covered by health insurance. Insurance providers do not typically reimburse costs for surgeries performed solely for aesthetic enhancement.
However, if a procedure is needed to correct a medical issue, such as reconstruction after trauma or congenital abnormalities, some portions may be eligible for coverage. In those rare cases, documentation and pre-authorization from the insurance carrier are required. For most patients seeking facial rejuvenation, the procedure is an out-of-pocket investment in their appearance and self-confidence.
Financing Options for a Deep Plane Facelift
Dr. David understands that a deep plane facelift is a significant financial investment that many patients save for over time. To make the process more accessible, we offer financing through trusted third-party providers.
These plastic surgery financing plans offer:
- Low monthly payment plans
- 0% interest promotional offers (for qualifying applicants)
- Extended-term loans with flexible durations
- Instant online approvals through secure platforms
Our staff will happily guide you through the application process after your consultation to help ensure that finances don’t stand in the way of achieving your cosmetic goals.
Your San Diego, CA, Deep Plane Facelift Plastic Surgeon
If you have questions or would like to schedule your San Diego deep plane facelift consultation with Dr. Roy David, call (858) 658-0595 or complete our online contact form. We look forward to meeting you!