Deep Plane Facelift in Miami, FL
Not all facelifts are created equal — the Deep Plane Facelift is the Gold Standard
Although the Deep Plane facelift has been used for at least 40 years, it has more recently come into the public spotlight. It is renowned for its natural appearance, avoidance of the “pulled” face lift look, nigh-imperceptible incisions, and enduring results. The Deep Plane facelift requires intimate knowledge and familiarity with neurovascular anatomy of the face in addition to understanding of the aging process in the face. It is the foundation of Dr. Gerth’s facial rejuvenation and key to satisfying and long lasting results.
Are You A Candidate for Deep Plane Facelift?
The ideal facelift patient is in good health, a non-smoker, and has moderate or advanced age related changes in the:
- Nasolabial folds
- Jowls
- Neck
Those who have had previous facelifts but are not happy with the results may also benefit from this procedure.
History of the Deep Plane Facelift
The first facelifts described a century ago involved raising and pulling large flaps of skin. The results were not durable; usually within a year or two the effect was lost. Additionally, the scars were unsightly. Patients tended to lose a lot of hair because of the way the incisions were placed.
Eventually surgeons developed techniques that prolonged their results and improved the appearance of the incisions. SMAS plication and SMASectomy allowed surgeons to move the deeper tissues while taking tension off the skin. These techniques still involved pulling SMAS instead of repositioning it. Additionally, large skin flaps needed to be raised which increased the risk of complications and prolonged healing.
Dr. Tord Skoog then developed the subplatysmal facelift in the early 1970s– the first “deep plane” facelift technique. He was the first to describe releasing the deep attachments of the platysma muscle in the neck and face to improve movement and durability of results.
Dr. Mark Lemmon, a student of Dr. Skoog, further developed the plastyma lift by extending the plane vertically to include the SMAS layer over the buccal fat pad and zygomaticus muscle in the cheek. When extended to the nasolabial fold, the resulting deep plane flap could easily be moved in a vertical angle without pulling or stretching tissues. His partner, Dr. Sam Hamra added the composite face lift which included the orbicularis (eye) muscle as part of the flap.
Subsequent surgeons have developed other modifications to the Deep Plane facelift, including crevasse technique, sailboat modification, laryngeal setback, and Preservation Deep Plane Facelift. Dr. Gerth has mastered these techniques as well and has included his own modifications which allow him to achieve even more facial and neck rejuvenation for his patients.
Why Choose Dr. Gerth for Your Deep Plane Facelift?
Experience and triple board-certified plastic surgeon
Dr. Gerth has been performing Deep Plane facelifts for over 13 years. His deep and detailed knowledge of head and neck anatomy as a Board Certified Otolaryngology-Head and Neck surgeon combined with his experience in microsurgery as a Board Certified Plastic Surgeon allows him to perform a “true” Deep Plane facelift — he is able to perform wide undermining in the Deep Plane, all the way to the nasolabial folds while protecting the delicate nerves and blood supply of the face. This allows him to fully release and reposition tissues to achieve maximal and durable results.
Dr. Gerth takes a very hands on, tailored approach to each and every patient. Dr. Gerth is personally involved and present in each step of your journey, from consultation to your 1 year postoperative visit (or longer). He wants to get to know each patient, their goals, and concerns to he can formulate the best possible treatment plan. Dr. Gerth operates in a fully accredited OR on site in the same facility as his office, giving him maximal availability to his patients.
Planning and Consultation for Your Deep Plane Facelift
Customized treatment plan for your surgery
Although Dr. Gerth performs virtual consulations, in-person consultations are always appreciated and encouraged. In your consultation, we will review:
- Past medical history and medications
- Previous surgeries
- Previous non-surgical and surgical facial treatments
- Smoking history
Then Dr. Gerth will discuss his findings related to:
- Skin/textural changes from age, sun, or tobacco
- Volume loss
- Loose skin in the forehead, brow, eyes, cheek, lips, jawline, and neckline
Preoperative photos will assist in the assessment. Then a fully customized operative plan will be devised. Preoperative preparations, the day of surgery, and recovery will be discussed. Please prepare a list of questions so that Dr. Gerth can address them during your visit.
Personalizing Your Deep Plane Facelift
Rest assured Dr. Gerth will design your deep plane facelift and facial rejuvenation plan, bespoke and customized specifically for you.
Dr. Gerth knows that your face is unique and your goals are unique too. During your consultation, Dr. Gerth will discuss your goals and recommend additional procedures if he thinks adding them to your facelift will provide the most balanced results.
Combining Deep Plane Facelift With Other Procedures
The Deep Plane Facelift specifically addresses aging in the neck, jawline and cheek region. Because Dr. Gerth’s Deep Plane facelift technique creates significant vertical movement, it may be necessary to include a temporal brow lift in cases of more advanced aging. Other procedures to address the eyes, lips, and skin, such as blepharoplasty, lip lift, and skin resurfacing, can be performed simultaneously as needed. Fat transfer to address volume-related aging is commonly included as well. In very specific cases, even rhinoplasty can be performed concurrently.
Recovery After Deep Plane Facelift
Deep plane facelift recovery involves bruising and swelling for a week or two, but discomfort is often less than with a traditional facelift. Pain medication may be prescribed, and applying cold compresses and elevating your head can also help. You will need lots of rest during your recovery to support healing.
Most patients can expect most of their swelling, bruising, and discomfort to begin subsiding by week two of their recovery, with only residual swelling left by week four. Dr. Ackerman provides detailed postoperative instructions to help you successfully manage your recovery and ensure the best possible results.
Dr. Gerth personally attends to each patient during their recovery process. He will see you at regular intervals until you are fully healed. Incisions reach their final result at about 1 year.
Deep Plane Facelift Results
A deep plane facelift provides significant and long-lasting results. Most patients will see a dramatic reduction or elimination of sagging, deep folds, and wrinkles, with more youthful cheek and jawline contours.
A deep plane facelift is the ultimate solution for anyone who wants to restore a youthful facial appearance. The Deep Plane Facelift provides a more natural, longer-lasting result than traditional facelifts by addressing deeper facial structures.
Under the care of Dr. Gerth, facelift patients in Miami, Florida can expect personal attention and exceptional results tailored to their individual goals.
Your Miami Deep Plane Facelift Expert
Dr. Gerth’s extensive training and experience in the anatomy of the face and the Deep Plane Facelift technique allows him to perform each surgery met to the demands of each case. His meticulous attention to detail allows him to design customized surgical plans unique to each patient. The end result is an experience focused on superior surgical outcomes, long lasting results, and maximum patient satisfaction.
Call (305) 204-6183 today to schedule your consultation.
What Our Clients Have To Say
Out-of-Town Patients
We welcome out-of-town patients! It’s our goal to make Dr. Gerth’s exceptional skill and service accessible to anyone looking for the best cosmetic surgery experience. Long distance or local, our patients can all expect the highest caliber of attentive care.
We offer virtual consultations to accommodate traveling patients. We also have connections with experts in post-surgical lymphatic massage so you can enjoy the optimal recovery experience and get the most out of your trip.
Before and After Gallery
Take a look at a few of the stunning transformations achieved by our wonderful patients.
View Photo GalleryDavid Gerth, MD, Plastic Surgery
7245 SW 57th Ct
South Miami, FL 33143