Description:

49-Year-Old, One Year After High SMAS Facelift and Deep Plane Neck Lift

This 49-year-old woman was photographed over one year after undergoing a high SMAS facelift and deep plane neck lift. The high SMAS facelift utilizes the same sub-SMAS dissection as a deep plane lift but offers more powerful skin management in select patients—allowing for refined repositioning and improved tension distribution for natural, long-lasting results.

Her deep neck lift included platysmaplasty, submandibular gland reduction, and reduction of the anterior belly of the digastric muscle, providing a smoother, more contoured neckline.

Following her initial surgery, the patient achieved intentional weight loss, which resulted in mild residual neck skin looseness. To refine her results, she later underwent a minor enhancement procedure, achieving the elegant, defined contours demonstrated here.