Deep Plane Neck Lift
END-of-Aging Facelift with Neck Lift and Endoscopic Brow LiftAddressing Jowls and Tissue Descent at 50Before and After
At 50 years old, this patient was beginning to notice the structural signs of facial aging through the midface, jawline, jowls, and lower face. To address these changes, Beverly Hills plastic surgeon Dr. Suzanne Trott performed her END of Aging Facelift, a fully endoscopic deep plane facelift, together with a neck lift and deep plane endoscopic brow lift. The combined procedure was designed to create a strong structural lift without a traditional facelift scar in front of the ear. END stands for Endoscopic, No scar in front of the ear, Deep plane. Rather than simply tightening the skin, the END of Aging Facelift works at the deeper structural level of the face. Using an endoscope for visualization, Dr. Trott releases and repositions descended facial tissues within the deep plane through small, strategically placed incisions hidden within the hairline. This allows for a powerful vertical and posterior lift while avoiding an incision in front of the ear. The goal is not to make the face look tight or fundamentally different. It is to restore facial anatomy by repositioning tissue that has descended with age, creating a more defined jawline, improving jowls, and restoring a more youthful position to the midface and lower face. What makes this case especially interesting is that these results are only three months after surgery. Three months is still considered relatively early in the facelift healing process. Swelling continues to resolve, tissues continue to soften and settle, and facial contours can become increasingly refined over the months that follow. What you are seeing here is not necessarily the final result. For appropriately selected patients, Dr. Trott’s END of Aging Facelift offers an alternative approach to facial rejuvenation for those interested in the benefits of a deep plane facelift performed endoscopically without the traditional scar in front of the ear. Dr. Suzanne Trott is a double board-certified plastic surgeon in Beverly Hills whose approach to facial rejuvenation focuses on precision, structural restoration, and natural-looking results rather than changing the character of the face. END of Aging: Endoscopic. No scar in front of the ear. Deep plane.
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Deep Plane Facelift, Neck Lift, Endoscopic Mid Facelift, Buccal Fat Removal & Endoscopic Brow LiftEarly Jowls, a Fresher Contour in Her Early 40sBefore and After
This patient in her early 40s is shown after a deep plane facelift and neck lift combined with an endoscopic mid facelift, endoscopic brow lift, and buccal fat removal. The lower face and neck show the clearest change: the jawline now traces a clean line from the chin to the angle of the mandible, and the small amount of preoperative jowl fullness has been lifted back into the midface. The neck is smoother, with better definition between the chin and the thyroid cartilage, and the skin redrapes evenly without visible tension. The midface retains its volume, but the cheek sits higher over the malar bone, softening the nasolabial fold and restoring a more youthful cheek contour. The brow lift was conservative, keeping the brow below the supraorbital rim in a natural feminine position while opening the upper eyelid show. Buccal fat removal refined the lower cheek and made the jawline more visible from the front. The overall effect is not a different face, but a face where the underlying architecture has been restored to an earlier, more defined state.
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Endoscopic Brow Lift, Deep Plane Facelift and Neck Lift with Facial Fat Transfer and Fractional CO2 Laser ResurfacingA More Defined Jawline, the Same ExpressionBefore and After
This patient is shown after an endoscopic brow lift combined with a deep plane facelift and neck lift, with facial fat transfer and fractional CO2 laser resurfacing of the face, neck, and décolletage. The most noticeable change is along the jawline and neck: the mandibular border is now visible as a continuous line, and the submental fullness has been reduced to create a cleaner neck contour. The midface shows improved support with the cheek resting higher over the cheekbone. The nasolabial fold is softer, but not eliminated, which keeps the result looking natural. The brow has been lifted conservatively, restoring upper eyelid show and a more open expression without over-elevating the brow. The skin of the neck and décolletage was resurfaced with fractional CO2, improving texture and tone across the same area the lift repositioned. Fat transfer replaced volume in the face, so the jawline and neck could be refined without over-tightening. Because the deeper facial layers were released and repositioned, the skin redrapes without tension. The face looks like the patient, only with the underlying structures restored to a more youthful relationship.
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Deep Plane Neck Lift with Bilateral Upper & Lower Blepharoplasty, Lower-Eyelid Fat Transposition and Facial Fat GraftingA Smoother Neck, More Rested Eyes in Her 70sBefore and After
This patient in her 70s had a deep plane neck lift, bilateral upper and lower blepharoplasty, and facial fat grafting with Dr. Suzanne A. Trott in Beverly Hills. Her before and after photographs show a smoother neck contour and a more rested eye area. Her bilateral upper blepharoplasty included nasal fat pad removal. For the lower eyelids, Dr. Trott used transconjunctival lower-eyelid fat transposition, working through an incision inside the lower eyelid to reposition existing fat into the hollow beneath the eye. Facial fat grafting was performed to the nasolabial folds, marionette lines, and lower eyelids. This is separate from lower-eyelid fat transposition: transposition repositions existing eyelid fat, while fat grafting adds transferred fat to the areas being treated. The goal was to address neck contour, eyelid heaviness, and facial hollowing together while preserving her recognizable expression.
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Case 106047
Endoscopic Brow Lift, Deep Plane Facelift and Neck Lift with CO2 Laser ResurfacingWhy the Neck Came First at 60Before and After
Her facelift was not where we started. Her neck was. She was unhappy with the lack of definition beneath her chin, so I first performed submental plication to address that concern. Her facelift came years later, at 60. That distinction matters: this was a treatment plan that evolved over time, not a collection of procedures performed in one sitting. The later treatment included an endoscopic brow lift, mid and lower facelift, neck lift, and CO₂ laser resurfacing of the lower eyelids. I considered the brow, cheeks, jawline and neck together, while giving the lower eyelid skin its own treatment. Repositioning tissue and refining skin texture are different assignments. A thoughtful facial rejuvenation plan recognizes where each approach belongs rather than asking a facelift to do everything. She is thrilled with how natural her results look. When I review her facelift and neck lift before and after photographs, I look beyond any single feature. I consider how the brow, face and neck relate to one another, not simply how much tightening was achieved. Her neck brought her to my Beverly Hills practice, but her care did not stop at that first concern. We addressed what mattered to her then and revisited her needs years later. The plan followed the patient, not the other way around.
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Deep Plane Facelift and Neck LiftBothered by Jowls, Worried About Scars at 55Before and After
Her concern wasn’t a single wrinkle. It was the way her cheeks had descended, deepening the folds beside her nose and the lines below the corners of her mouth. Those changes were making her lower face look heavier. For this 55-year-old patient, I combined a deep plane facelift and neck lift. Repositioning the descended cheek tissues helped soften her nasolabial folds and marionette lines while restoring definition along her jawline. The neck lift refined the contour beneath her chin. The relationship between those areas matters. Elevating the cheeks changes how the lower face looks. Defining the jawline brings that improvement into focus. As a woman of color, she was particularly concerned about visible scarring. We discussed that carefully during planning, and I concealed the incision along the ear within the tragus, the small cartilage flap at the ear opening. That placement helps keep the scar discreet, although every incision leaves a scar and healing varies. These before-and-after images show her progress so far. As swelling settles and the tissues and scars mature, her result will continue to evolve, with further refinement expected over the coming months.
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Deep Plane Facelift and Neck Lift with Upper Blepharoplasty and CO2 Laser ResurfacingKeeping His Masculine Look at 73Before and After
With men, I pay close attention to what gives their face its character. You can improve the jawline, neck, and eyelids, but you have to understand how those changes will affect the whole face. His concern was specific, and it’s one I hear often from men: he didn’t want to lose the masculine appearance he’d carried his whole life. That concern shaped the plan. For this 73-year-old patient, I performed a deep plane lower facelift and neck lift, upper blepharoplasty, and fractionated CO₂ laser resurfacing of the face and neck. The lift addressed the sagging along his jawline and neck. The upper eyelid surgery removed excess skin that was making his eyes look heavy. The CO₂ laser addressed skin texture and fine lines. Look at his eyes and the shape of his face. He still has the features and expression you recognize. There’s more definition along his jaw, his neck looks tighter, and his eyes look more rested. That’s what I like about this result. You see the improvement, but you still see him.
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Endoscopic Brow Lift, Deep Plane Facelift and Neck LiftA Natural, Rested Look at 60Before and After
Before and after photos of a brow lift, facelift and neck lift performed by Dr. Suzanne Trott in Beverly Hills. Case 104513
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Case 104513