Deep Plane Facelift or Ponytail Lift

The Deep Plane Facelift is an advanced facelift technique that focuses on the deep structures of the face, in particular the muscles and subcutaneous tissues. Unlike traditional facelifts, this method does not simply pull the skin. It acts directly on the superficial musculoaponeurotic system (SMAS), a deep layer that plays a decisive role in repositioning the face's natural volumes.

By freeing up tissue in areas such as the cheeks and lower face, the surgeon can lift sagging volumes while respecting the balance of the features. This technique preserves a natural appearance, far removed from the pulled or artificial effects sometimes associated with other forms of facelift. The term "Ponytail Lift" refers to the "ponytail" effect, which gives the impression of a refreshed face, as if gently lifted.

This surgical procedure can be considered for patients wishing to correct advanced signs of skin and muscle sagging, with visible and lasting benefits. It offers a harmonious solution to age-related aesthetic problems. This innovative approach is also suitable for those wishing to avoid multiple procedures by targeting several areas of the face in a single operation.

Over time, natural aging processes impact the various layers of the face. One of the main factors is the reduced production of collagen and elastin, two proteins essential to skin firmness and elasticity. This reduction, coupled with gravity, leads to progressive sagging of the tissues.

The cheeks, a voluminous and mobile area, are particularly sensitive to these changes. Subcutaneous fatty tissue migrates downwards, forming pronounced nasolabial folds and jowls. Bone structure, which also loses density with age, accentuates this effect by offering less support to soft tissues.

In addition, external factors such as smoking, unbalanced diet and excessive sun exposure accelerate these phenomena. Repeated muscular movements, such as smiling or chewing, contribute to this loss of tone by weakening the underlying structures over the years. However, it is possible to slow down these phenomena with appropriate surgical procedures, such as the Deep Plane Facelift, which targets these problems globally.

By freeing up tissue in areas such as the cheeks and lower face, the surgeon can lift sagging volumes while respecting the balance of the features. This technique preserves a natural appearance, far removed from the pulled or artificial effects sometimes associated with other forms of facelift. The term "Ponytail Lift" refers to the "ponytail" effect, which gives the impression of a refreshed face, as if gently lifted.

This surgical procedure can be considered for patients wishing to correct advanced signs of skin and muscle sagging, with visible and lasting benefits. It offers a harmonious solution to age-related aesthetic problems. This innovative approach is also suitable for those wishing to avoid multiple procedures by targeting several areas of the face in a single operation.

The Deep Plane Facelift is designed for both men and women who experience significant sagging of facial and neck tissues. Although the procedure can be performed on patients in their forties, it is particularly suitable for patients aged 50 and over, when the signs of aging become more pronounced.

The best candidates are those whose skin has retained a certain elasticity, a prerequisite for optimal results. This cosmetic surgery procedure can be recommended to patients who want a discreet facelift, without marked visible changes. However, it is not recommended for patients with serious pathologies or coagulation disorders.

Before considering this surgical procedure, an initial consultation is essential. The surgeon will be able to assess the patient's specific needs, as well as the feasibility of the procedure. This assessment ensures that expectations are realistic and that the Deep Plane Facelift is well suited to the case presented. A discussion of possible complementary procedures, such as blepharoplasty, can also be discussed.

The Deep Plane Facelift is meticulously organized to deliver results that are both natural and long-lasting. It all begins with the pre-operative consultation, a key step in establishing a dialogue between surgeon and patient. It's an opportunity to assess the condition of the facial tissues, discuss aesthetic goals and ask any necessary questions. It is also an opportunity for the surgeon to propose a personalized plan and explain the stages of the operation. Before approving the operation, a medical check-up is often requested, including tests to verify the patient's general health.

On the big day, everything is in place to ensure a smooth and safe operation. The procedure is performed under general anesthesia. It lasts between 3 and 5 hours, depending on the adjustments required or the combination with other surgical procedures, such as a neck lift or eyelid correction.

The discreet, strategically positioned incisions are usually placed around the ears and along the hairline, where they are naturally camouflaged. Once these openings have been made, the surgeon intervenes on the deeper structures, in particular the SMAS (superficial musculoaponeurotic system), a key layer for restoring volume and lifting sagging tissues. This step, performed with precision, reposition facial features without excessive tension on the skin, thus avoiding the "pulled" effect we often dread. The result? A rejuvenated, natural appearance.

After repositioning the tissues, the surgeon closes the incisions with fine sutures, minimizing scarring. A shaping dressing is applied to stabilize the operated area and limit swelling. This should be kept on for the first night. Once the operation is over, the patient is monitored in the recovery room before returning to his or her room. The hospital stay is short, often limited to one night, enabling a rapid return home.

The post-operative phase requires special attention. The first few weeks are crucial to ensure proper healing and avoid any complications. We strongly advise you to avoid strenuous physical activity, prolonged exposure to the sun, or sudden movements on the face.

The post-operative period includes specific care to limit swelling and bruising (frequent in the first few days). A feeling of tightness may be experienced, but this gradually diminishes. Wearing a compression bandage may be recommended to promote healing and limit swelling.

Convalescence lasts an average of two to three weeks, but light activities can be resumed within the first week. However, intense physical effort should be avoided for a month to preserve results. Compliance with these instructions is essential to optimize the final result. Post-operative follow-up allows us to monitor the progress of scars. These appointments are also an opportunity to receive personalized advice to optimize results.

The results of a Deep Plane Facelift are visible within the first few weeks, once the swelling has subsided. However, the final result is usually visible after three to six months, when the tissues have returned to their definitive position.

This technique restores facial volumes, smoothes out deep folds and reduces jowls, providing natural, lasting rejuvenation. The face regains its freshness without artificial effects, which is particularly appreciated by patients. This surgery can also be used to reduce natural facial asymmetries, resulting in a more harmonious overall appearance.

Thanks to the depth of the surgical gesture, results can last from 10 to 15 years, depending on the patient's lifestyle and individual characteristics. This facelift can help restore self-confidence, while respecting the natural harmony of the face.

The cost of a Deep Plane Facelift varies according to the surgeon, the complexity of the procedure and ancillary costs such as anesthesia or hospitalization. A detailed estimate is provided during the pre-operative consultation, enabling the patient to make an informed decision. It is important to note that this procedure is not reimbursed by the Assurance Maladie, as it is performed for purely aesthetic purposes.