Deep Plane Face Lift
DEEP PLANE FACELIFT
Evolved lift system that lifts from the structure
Naturally, to a youthful appearance
- Lift the entire facial structure for a youthful impression from the root
- Providing beautiful contouring that seamlessly blends up to the neckline
- Lift gently for long-lasting natural beauty
Case Presentation
CASESFeatures
CHARACTERISTICSDeep Plane Facelift
A Deep Plane Facelift is a surgical procedure that directly targets the SMAS (Superficial Musculoaponeurotic System) layer and the supporting ligaments deep within the face to fundamentally reposition facial structures. The SMAS is a critical tissue that connects the skin, fat, and muscle layers, and plays a significant role in facial expressions and skin firmness. Furthermore, by releasing (dissecting) the ligaments that have become lax due to aging, the tissues can be smoothly repositioned, resulting in a highly effective lifting effect.
During the surgery, a precise incision is made from the hairline at the temples, continuing along the front of the ear, the earlobe, and behind the ear, all the way to the hairline at the back of the neck. The skin is then carefully dissected to access the SMAS layer. After performing a broad dissection extending to the area around the nasolabial folds, the tissue is lifted while carefully adjusting the overall facial balance. Excess skin is carefully removed, and sutures are applied with meticulous attention to detail to ensure the scars are as inconspicuous as possible.
The Deep Plane Facelift is a surgical technique that is becoming the new global standard for facelift procedures. At Bianca Clinic, we offer treatments based on this technique—which was developed in Europe and the United States—while taking into account the facial contours and characteristics of Asian facial muscles.
A more natural result than traditional facelifts
The Deep Poon Facelift is characterized by its ability to achieve a more natural-looking result compared to traditional facelifts.
In a typical facelift, the skin is pulled tight to lift the face, which can sometimes make the cheeks appear tight or result in unnatural facial expressions. In contrast, the Deep Plane Facelift carefully addresses not only the surface of the skin but also deeper tissues such as the SMAS layer and ligaments. By releasing the ligaments and smoothly repositioning the tissues, this procedure fundamentally addresses the structure of the entire face.
Because this surgical technique is designed to minimize the appearance of superficial tightness and takes facial muscles and nerves into consideration, it is expected to restore a youthful facial contour while preserving natural facial expressions. Additionally, it offers the advantage of making it easier to maintain these results over the long term, as the tissues are securely anchored.
The Deep Plane Lift does more than simply remove sagging; based on the concept of “beautifully reshaping the underlying structure,” it lifts the SMAS layer in the appropriate direction for each specific area. It lifts not only the midface but also the eye area—which is particularly prone to sagging—to create a natural and youthful appearance.
Combined with a neck lift to create a youthful facial contour
The Deep Plane Facelift aims to achieve a three-dimensional, natural, youthful appearance by dissecting a wide range of deep tissues from the cheeks to the neck and lifting sagging skin at its source. A key feature of this procedure is its ability to address not only the midface but also sagging around the eyes—an area where signs of aging are particularly noticeable. For those especially concerned about a sagging jawline or a sagging neck, we perform this procedure in conjunction with a neck lift.
A neck lift sharply defines the jawline and thoroughly addresses hidden sagging in the neck area. This makes it easier to maintain a beautiful contour from every angle.
By lifting the face and neck as one integrated area, it creates a more natural and youthful appearance. This treatment is ideal for those seeking all-around beauty, providing comprehensive care from the eye area to the jawline and neck.
Endoscopic Facelift | Precise procedures with a magnified view, prioritizing safety
At Bianca Clinic, we use endoscopes as needed during facelift surgery. This allows us to proceed with surgery while maintaining a bright, high-magnification view even in confined surgical fields, enabling us to clearly visualize the facial nerve, SMAS (superficial musculoaponeurotic system), ligaments, and other structures. As a result, we can perform the procedure with greater precision and minimize the physical strain on the patient.
In addition, because this procedure allows for careful hemostasis while closely monitoring the bleeding site, it can help reduce the risk of hematoma and minimize downtime associated with swelling and bruising. This procedure is also a viable option for patients who prefer to avoid an incision in front of the ear.
A doctor with many years of experience performing endoscopic facelifts will perform the procedure with a focus on safety and the final results.
Benefits
MERITSimultaneously lift the jawline and midface
Deep Plane Facelift allows access to the midface area, which was difficult with traditional facelifts. It lifts not only the jawline but also the cheek position and the area around the nasolabial folds simultaneously.
Lift and firm while maintaining a natural expression
This surgical technique focuses on lifting the underlying tissues rather than forcibly pulling the skin, making it easier to maintain a relatively natural expression after surgery. A major advantage is that it minimizes the risk of unnatural tightness or pulling sensations.
Advanced Face Lift with Exceptional Effectiveness and Long-Lasting Results
By firmly securing deep tissue, it is relatively easier to prevent sagging recurrence, offering long-term lifting effects. This technique, an evolution of traditional facelifts, is ideal for those seeking both high efficacy and lasting results.
Careful Attention to Scars and Downtime
We provide comprehensive care—from designing the incision lines and performing suturing techniques to postoperative care. We have established a system designed to minimize the visibility of scars and support your recovery.
Thorough Preoperative Counseling
We will carefully explain whether the treatment is suitable for you, the expected results, the risks, and the downtime, using photos and diagrams. Please feel free to ask any questions you may have.
Long-term postoperative follow-up
Our support doesn’t end with the surgery; we provide long-term support, including post-operative follow-up, care guidance, and recommendations for additional treatment.
Schedule of Charges
PRICE LIST| Treatment Details | Standard rate |
|---|---|
| Deep Plane Face Lift | 1,963,500 yen |
Options
| Treatment Details | Standard rate |
|---|---|
| Endoscope | 231,000 yen |
Treatment Process
TREATMENT FLOWCounseling and Examination
We will take the time to listen carefully to your concerns and wishes. Our doctors will examine the degree of sagging and the three-dimensional balance of your face, and recommend the most appropriate treatment, including a deep-plane facelift. Please feel free to ask any questions you may have.
Design
The doctor will carefully examine the patient’s bone structure and the degree of sagging, and discuss the expected results. The doctor will mark the actual incision sites and the extent of the dissection to design the ideal contour based on medical principles.
treatment
General anesthesia is administered before the procedure, and the surgery begins with pain management in place. The surgery takes about 5 hours.
Aftercare
After surgery, a tube called a drain will be inserted into the incision site, and the area will be secured with gauze and a face bandage to apply compression. We will monitor the progression of post-operative swelling and bruising and provide any necessary treatment. You may wash your hair starting on the third day after surgery. We ask that you wear the face band at all times until your sutures are removed on the seventh day after surgery. We can also recommend intravenous fluids or oral medications to support your post-operative recovery, so please feel free to consult with us if you have any concerns.
Frequently Asked Questions About Deep Plane Facelifts
Q&AWhat kind of surgery is a deep plane facelift?
This facelift surgery directly targets the SMAS and ligaments in the deep layers of the face, providing a three-dimensional and natural lift to the entire face. By addressing the root cause of sagging, it delivers a more pronounced lifting effect.
What is the difference between a deep plane facelift and other facelift procedures?
Unlike conventional procedures that only lift the skin and superficial layers, the Deep Plane technique directly targets deeper structures such as the SMAS and ligaments. It is also relatively effective for mid-face lifting, aiming for a more natural and three-dimensional result.
How long does the deep plane facelift surgery take, and what is the downtime?
The surgery takes approximately 5 hours. If additional procedures (such as platysmaplasty or pelican surgery) are performed, it may take approximately 6 hours. Swelling typically subsides within about 2 weeks, though a puffy appearance may persist for about a month. Bruising usually diminishes within about 2 weeks, but may spread down to the neck and collarbone due to gravity.
Is the deep plane facelift a procedure that leaves noticeable scars?
The incision is made from the temple to around the ear, but this location is easily concealed by hair and makeup, making it less noticeable. The scar will gradually turn white and soften after initial redness and firmness, settling down within 3 to 6 months and eventually becoming almost imperceptible.
How soon after surgery can I expect to see the effects of a deep plane facelift?
Some individuals begin to notice a lifting effect around one week after surgery. However, it typically takes about one month for swelling and puffiness to subside and for the results to appear natural.
What about suture removal and follow-up visits for a deep plane facelift?
Suture removal is performed approximately one week after surgery. Postoperative follow-up examinations will be scheduled regularly to monitor your progress.
What procedures are recommended to be performed simultaneously with a deep plane facelift?
The Hamra technique and temple lift. The Hamra technique effectively removes lower eyelid wrinkles, while the temple lift addresses sagging in the temples caused by facelifts. Together, they provide a well-balanced approach to the midface.
Will sagging occur again after a deep plane facelift?
Over time, age-related sagging may reoccur. To maintain your post-operative facial contours for longer, depending on your individual condition, you may wish to consider incorporating periodic maintenance treatments such as thread lifts or HIFU.
Is there a difference between a deep plane facelift and a preservation facelift?
The Preservation Facelift is a type of deep plane facelift that involves less skin detachment, offering the advantage of reduced risk of postoperative subcutaneous bleeding and skin irregularities. Bianca Clinic also performs procedures based on the Preservation Facelift technique.

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Related Articles
BLOG【Treatment Details】Deep Plane Facelift
【Estimated Treatment Duration and Number of Sessions】1 session※May vary depending on the condition.
【Risks and Side Effects】Infection, hematoma, wound dehiscence, facial nerve paralysis, etc.
【Important Notes Regarding Unapproved Devices and Pharmaceuticals】
・This treatment involves the use of drugs not approved in Japan or treatments that differ from their approved indications.
・Medications and medical devices used for treatment are introduced based on the judgment of our clinic's physicians.
・Serious risks or side effects may not yet be known.
・In the unlikely event of serious side effects, this product is not covered by the national pharmaceutical adverse reaction victim relief system.