Deep Plane Facelift (Rhytidectomy/Meloplasty) or SMAS Facelift (Rhytidectomy/Meloplasty): How To Choose

A deep plane facelift (rhytidectomy/meloplasty) is one of the most comprehensive techniques used in facelift surgery, designed to address multiple layers of facial tissue for longer-lasting results.

At the same time, the SMAS facelift (rhytidectomy/meloplasty) also targets deep layers of facial tissue, focusing on the SMAS (Superficial Muscular Aponeurotic System), which is the underlying fibro-muscular layer.

While both techniques focus on repositioning the deeper structures of the face rather than just tightening the skin, there are some key differences in how they are performed and the level of structural change they are designed to achieve.

To understand which option may be more suitable for you, Dr Richardson will need to gain a good understanding of your goals and assess the condition of the mid-face and lower face.

Before you meet with him, read on to learn more about each procedure, how they differ in their techniques and the results that each method can achieve.

What is a deep plane facelift (rhytidectomy/meloplasty)?

As a more advanced surgical technique than a standard facelift, the deep plane facelift focuses on lifting and repositioning the deeper structures of the face, including releasing deep ligaments to reposition muscles and fat pads.

The term “deep plane” refers to the anatomical layer between the SMAS (Superficial Muscular Aponeurotic System) and deeper facial tissues. Instead of separating the skin from the underlying structures, this approach addresses everything together, which allows for more structural support.

The standard facelift typically only addresses the outermost layers of facial skin, which can lower the longevity of results, have limitations on the changes that can be made and provide less structural support for the results.

A deep plane facelift focuses on the mid- and lower face, end be extended to include the neck. It addresses a variety of facial features that can develop with age, such as nasolabial folds and jowls.

What is an SMAS facelift (rhytidectomy/meloplasty)?

As another approach that is more extensive than a standard facelift, an SMAS facelift focuses on the SMAS (Superficial Muscular Aponeurotic System), which is the fibro-muscular network that lies underneath the face and neck.

Like the deep plane facelift, it can focus on the mid-face and lower face. There are different variations of an SMAS facelift, including SMASplication, where the tissue is folded and stitched into place, and SMASectomy, where a portion of the tissue is removed before being resuspended. These techniques allow for customisation based on the specific concerns being addressed.

What are the main differences between the techniques?

Essentially, the main difference between a deep plane facelift and an SMAS facelift lies in how the SMAS and deeper structures are accessed, repositioned and suspended, and the level of depth that the procedures are designed to address.

While an SMAS facelift can still achieve significant results and is also more extensive than a standard facelift, the degree of repositioning may be more limited. Essentially, this can make the SMAS approach more suitable for those with more moderate signs of ageing.

The level of complexity also differs. A deep plane facelift can be a more technically demanding procedure, while a SMAS facelift – although still an advanced technique – involves less extensive dissection.

How recovery can differ between the two options

Recovery from both types of facelift surgery will take time, as the tissues need to completely heal.

Whilst a deep plane facelift involves more extensive tissue modification, the recovery process may be similar to an SMAS facelift. Individual recovery times will vary depending on the extent of the surgery and personal healing factors that can naturally vary from patient to patient.

After both types of procedures, initial swelling and bruising are expected, with the most noticeable swelling occurring in the first couple of weeks. A compression garment may be recommended to help with swelling and support the tissues during early healing.

Most patients will need to take some time off normal activities, with movement restrictions in place during the early recovery period. Sleeping with the head elevated and avoiding strenuous activities will help to reduce swelling.

How to choose: Which type of facelift (rhytidectomy/meloplasty) is right for you?

Choosing between a deep plane facelift and an SMAS facelift depends on your personal goals, the condition of the tissue and the level of repositioning required.

A deep plane facelift is often recommended for those who want a more extensive lift, while a SMAS facelift may be suitable for those who are experiencing more moderate signs of ageing and have less significant skin laxity on the face.

The best way to determine the most appropriate technique is through a consultation with an experienced Specialist Plastic Surgeon who can assess your facial structure, skin elasticity, and personal goals for the procedure.

Since each technique has its own advantages, the choice will ultimately come down to what you would like to achieve and which approach Dr Richardson believes will be the most suitable for you.

Finding a surgeon who has extensive experience in facial procedures will allow you to receive the most personalised advice. A consultation will allow for a detailed discussion about the best approach for your features, what to expect from the surgery, how to care for the healing area during recovery and more.

Whether a deep plane facelift or an SMAS facelift is the right option, a personalised approach will ensure that the surgery is tailored to your individual needs.

Book your consultation with Dr Jeremy Richardson

Based in Melbourne, Specialist Plastic Surgeon Dr Jeremy Richardson has a specific focus on facial cosmetic and reconstructive surgery.

His training has allowed him to refine modern surgical techniques and provide high-quality care for each and every patient. Dr Jeremy Richardson prioritises confidentiality and privacy, aiming to provide a comfortable environment.

Dr Richardson is a member of the The Australasian Academy of Facial Plastic Surgery (AAFPS), Australian Society of Plastic Surgeons (ASPS), Australasian Society of Aesthetic Plastic Surgeons (ASAPS), International Society of Aesthetic Plastic Surgeons (ISAPS) and Australian and New Zealand Board of Cosmetic Plastic Surgeons (ANZCPS).

He is a Fellow of The Royal Australasian College of Surgeons (Plastic Reconstructive Surgery) (FRACS), with a Bachelor of Medicine Bachelor of Surgery with Honours, a Bachelor of Medical Science with Honours and a Post-Graduate Diploma of Surgical Anatomy. Internationally, he also completed further cosmetic surgical training at the well-known Harley Street Medical District of London.

Dr Richardson’s thorough training, passion for quality results and extensive experience provide a supportive surgical journey.

To book your consultation in Melbourne and discuss which type of facelift method may be right for you, please get in touch with our team.