Deep Plane Facelift with Dr. Suzanne Trott, Beverly Hills

    Deep Plane Facelift

    At Suzanne A. Trott, M.D., F.A.C.S., plastic surgeon Dr. Trott offers a full variety of facial plastic surgery procedures in Beverly Hills, CA. Among the most popular surgeries at our state-of-the-art facility is a facelift.

    Deep Plane Facelift Gallery

    01

    Ideal Candidates For a Facelift

    Often, individuals interested in a facelift procedure are frustrated by advanced lines and wrinkles in the mid or lower regions of the face. Facelift surgery can target one or more areas, depending on your personal needs. It is important to note that age won't always define the most effective time to have cosmetic facial surgery. There are numerous unique aspects, as well as multiple lift types, to inform the choice. The method performed will vary for candidates under 50 versus those in their 60s and 70s. Skin laxity is one of the key elements in the decision-making process. Further, facelift patients need to be in good overall health, be a nonsmoker, and approach the procedure with realistic result expectations.

    02

    Surgical Facelift Technique

    Regardless of your aesthetic concerns, a facelift is planned by zone. The upper, middle and lower face age at different rates, so the plan usually combines two or three of the areas below. In each one the deeper support layer is repositioned rather than the skin alone being pulled, which is what keeps the result looking like you. Eyelid surgery, fat grafting or a small amount of filler is often added to complement the lift.

    • Brow Lift

    The upper third often gives the first signs: the brow descends, the forehead lines deepen, and skin settles over the upper lids. A brow lift resets brow position and opens the eye area, and it can be done endoscopically through short incisions hidden in the hair. Upper blepharoplasty is frequently added when excess lid skin remains.

    • Mid Face Lift

    The mid face is where cheek support drops and the folds beside the nose and mouth deepen. A mid face lift repositions the cheek support and the fat pad over it, softening the nasolabial folds and the marionette lines without overfilling the face.

    • Lower Face & Neck Lift

    The jawline, jowls and neck contour are what most patients notice first. This lift repositions the lower facial support, tightens the platysma muscle in the neck, and removes excess skin so the jawline reads cleanly and the neck sits smoother. Submental platysmal plication and neck lift are performed within this zone when the neck needs separate attention.

    03

    Incisions

    Both are deep plane facelifts. The endoscopic incision plan is on the left; the traditional open plan is on the right.

    Illustration comparing where incisions are placed: an endoscopic deep plane facelift uses short incisions hidden in the hair, while a traditional deep plane facelift uses one incision running from the hairline around the ear.

    Endoscopic deep plane

    An endoscope and instruments work through smaller incisions hidden in the hair, with less scarring. Dr. Trott lifts the deeper tissues in a more vertical direction. Suitable patients avoid an incision in front of the ear.

    Traditional deep plane

    Open access uses longer incisions from the hairline around the ears. Dr. Trott’s traditional technique uses a more lateral pull and allows more excess skin removal. Scars follow the hairline and natural ear contours.

    Illustration shows typical placement. Your own plan depends on skin excess, facial support, neck contour, hair pattern and prior treatment. Hidden incisions are still incisions.

    The comparison

    What gets moved

    Skin-only liftMostly skin
    SMAS liftSupport layer tightened or repositioned
    Endoscopic deep planeSkin + fat + SMAS as one unit
    Traditional deep planeSkin + fat + SMAS as one unit

    Ligaments

    Skin-only liftUsually left intact
    SMAS liftVaries by technique
    Endoscopic deep planeReleased so the face can rise
    Traditional deep planeReleased so the face can rise

    Direction of lift

    Skin-only liftSkin redraping; direction varies
    SMAS liftTailored to the technique
    Endoscopic deep planeMore vertical lift
    Traditional deep planeMore lateral pull

    Surgical access

    Skin-only liftOpen access
    SMAS liftOpen access
    Endoscopic deep planeEndoscope through smaller incisions
    Traditional deep planeOpen access through longer incisions

    Scarring

    Skin-only liftLonger incision pattern
    SMAS liftLonger incision pattern
    Endoscopic deep planeLess scarring; incisions hidden in the hair
    Traditional deep planeLonger scars around the ears

    Midface / cheek

    Skin-only liftDoes not directly reposition deep cheek tissue
    SMAS liftDepends on the approach
    Endoscopic deep planeTargets descended cheek tissue
    Traditional deep planeTargets descended cheek tissue

    Scar in front of the ear

    Skin-only liftYes
    SMAS liftYes
    Endoscopic deep planeNo, in the right candidate
    Traditional deep planeYes — used when extra skin must be removed

    Where lift support comes from

    Skin-only liftPrimarily skin
    SMAS liftThe SMAS support layer
    Endoscopic deep planeDeeper tissue; skin is not the sole support
    Traditional deep planeDeeper tissue; skin is not the sole support

    Best for

    Skin-only liftSurface laxity
    SMAS liftJawline-focused aging
    Endoscopic deep planeStructural aging with limited extra skin
    Traditional deep planeStructural aging with more skin redundancy

    END-of-Aging and traditional deep plane facelifts both lift the deeper support tissues. The access and lift directions shown reflect Dr. Trott’s techniques. Incision placement and scarring vary with anatomy and healing.

    04

    What to Expect

    After surgery, we will monitor your health before you are released to go home with a friend or family member. Before your facelift, Dr. Trott or a member of her team will schedule your follow-up visits and go over tips to help you heal faster. It's normal to have swelling and puffiness, slight to moderate pain, and soreness, which can be helped by pain medication. You should feel and physically look normal after 2 – 4 weeks. You will see a softer, more youthful appearance. Overall, your face will appear lifted and younger-looking.

    05

    The Right Facelift for You

    Cosmetic facial surgery can take years off your face and provide you a rejuvenated appearance. Today, there is a wide variety of choices for surgery, depending on your personal concerns and goals. This surgery is meant to make you younger-looking but natural. For more information, we invite you to contact Suzanne A. Trott, M.D., F.A.C.S. in Beverly Hills, CA to schedule your private consultation.

    Q&A

    Frequently asked

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    Facelift in Beverly Hills

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