Deep plane rhytidectomy: a personal evolution

Abstract

As the rhytidectomy procedure has evolved over the years, the understanding of facial anatomy and critical examination of results have lead to the adoption and modification of the deep plane technique by the senior author. Experience with the deep plane rhytidectomy technique has shown that reliable, safe, and effective results can be achieved consistently. The aesthetic benefit has increased particularly with respect to the nasolabial fold and the jowl, while complications have been few. The historical background, evolution, and details of the technique are presented.

The Evolution of My Extended SMAS-Biplanar Deep Plane Facelift to a Composite Tissue Deep Plane Face and Neck Lift: Similarities and Differences

“…5 With the investigation of the SMAS layer by Mitz and Peyronie, and the advent of dissecting deep to the superficial fascia by Skoog, the evolution of modern-day facelifting began. [6][7][8][9] To compare deep plane facelifting techniques, the "deep plane" needs to be fully defined. The deep plane is the plane of elevation deep to the SMAS in the anterior mid-cheek and jawline generally overlying the fascia of the masseter muscle.…”