Facelift techniques continue to evolve, but one thing remains constant: exceptional results require a deep understanding of facial anatomy. For Dr. Kristina Tansavatdi, a double board-certified facial plastic surgeon who specializes in facelift surgery, anatomy isn’t just an academic exercise, it’s the foundation of every beautiful, natural-looking result she creates.
Learn how the structure of your face influences the outcome of a facelift, and why a deep plane facelift is often the most effective solution for patients seeking long-lasting, transformative rejuvenation.
Why Facial Anatomy Matters
As we age, the soft tissues of the face begin to descend. The once-smooth jawline softens into jowls, and the lower face takes on a heavier appearance. This change is primarily caused by the descent of fat and muscle layers, not just the skin. That’s why modern facelifts go far beyond simply tightening the surface; they address the deeper structures that contribute to visible aging.
To understand the benefits of a deep plane facelift, it helps to know what lies beneath the skin. Facial anatomy consists of several key layers:
- Skin
- Fat
- SMAS (Superficial Musculoaponeurotic System): a layer of connective tissue and muscle
- Ligaments that anchor the SMAS
- Deeper tissues and nerves
Each of these plays a role in how the face ages and how it can be effectively lifted.
What Is a Deep Plane Facelift?
A deep plane facelift is a surgical technique that works below the SMAS layer, releasing the ligaments that tether the facial tissues in place. These ligaments ,found deep within the face, must be released to allow the soft tissue and muscle to be lifted naturally and fully. Without this critical step, lifting is limited and may produce unnatural results or tension near the ears.
In contrast, a traditional SMAS facelift typically lifts and repositions tissue using an approach that stays within or just above the SMAS layer. While this can improve early signs of aging, it may not adequately release the tethered ligaments, especially in patients with more advanced sagging or heavier facial tissues. The result can be less durable and less natural-looking,especially in motion.
The Importance of the Fixed SMAS
One of the most crucial anatomical distinctions Dr. Tansavatdi emphasizes is the difference between fixed and mobile areas of the SMAS. The fixed SMAS, located farther back near the ears, does not move with facial expression or aging. Attempting to lift from this zone (as in some SMAS techniques) can limit the degree of correction and lead to a “pulled” or overly tight appearance.
A deep plane facelift targets the mobile SMAS, the area that actually sags and contributes to facial heaviness over time. By entering at this softer, more dynamic plane, Dr. Tansavatdi can reposition tissues in a way that looks natural and supports long-term rejuvenation.
The Role of Ligament Release
Releasing facial ligaments is a defining feature of the deep plane technique and one of the keys to its effectiveness. These ligaments act like anchors, holding the face in place. As we age, the tissues around them fall, but the ligaments remain tethered. If a facelift fails to release these anchoring points, the lift will be limited or uneven.
By freeing these ligaments, Dr. Tansavatdi is able to move the soft tissues more completely and reposition them where they once were. This allows for a smooth, youthful contour without creating tension or sweep lines,those telltale signs of surgery that many patients wish to avoid.
Why Dr. Tansavatdi Prefers the Deep Plane Approach
For most of her patients, Dr. Tansavatdi recommends the deep plane facelift because it aligns with the natural structure and aging patterns of the face. This approach delivers:
- A more comprehensive and long-lasting lift
- Restoration of youthful volume and contour
- Minimal tension on the skin, leading to more natural movement and expression
- Improved results in the cheeks, jowls, and neck compared to more superficial lifts
By understanding and respecting facial anatomy, she is able to create results that are elegant, subtle, and customized to each patient.
A Customized Approach to Facial Rejuvenation
No two faces age exactly the same way, which is why surgical planning must always be tailored. During a consultation, Dr. Tansavatdi performs a detailed evaluation of each patient's anatomy, including the location of soft tissue descent, ligament strength, and skin quality, to determine whether a deep plane facelift is the best solution.
If you’re considering facial rejuvenation and want a result that looks as natural as it feels, understanding your anatomy and choosing a surgeon who does too can make all the difference.