Deep Plane Facelift in Pasadena

As we age, the visible signs of time can become a source of emotional concern, especially when creams and other treatments seem ineffective. If you are experiencing frustration with sagging skin, deep wrinkles, and loss of facial volume that affects your self-confidence, deep plane facelift with Dr. Panossian could alleviate those concerns. Dr. Panossian brings his reconstructive practice, centered on the facial nerve, to each deep plane facelift.

The face is built in layers: skin, a layer of fat, and beneath them the SMAS (superficial musculoaponeurotic system), a sheet of muscle and fibrous tissue that supports the cheeks, jawline, and neck. Retaining ligaments anchor these tissues to the underlying bone. The branches of the facial nerve run in the deeper layers.

Facelift techniques differ by which layer is lifted. A skin-only lift tightens the skin and leaves the deeper tissues where they are. A traditional SMAS facelift lifts the skin and the SMAS separately and tightens the SMAS by folding or trimming it. A deep plane facelift lifts the skin and SMAS together as one unit. It works beneath the SMAS and releases the retaining ligaments that hold the cheek and jowl down, so the midface and jowl can be repositioned upward. A neck lift is commonly performed at the same time, since the face and neck are lifted through the same layer.

Deep Plane Facelift in Pasadena & Glendale, CA with Dr. Panossian offers many transformative benefits, including the following:

Ideal candidates for Deep Plane Facelift in Pasadena & Glendale with Dr. Panossian are those seeking comprehensive rejuvenation of the face and neck, particularly people experiencing significant signs of aging such as deep wrinkles, sagging skin, and loss of facial volume.

This procedure is suitable for patients looking for long-lasting, comprehensive results that address surface-level concerns and underlying structural changes associated with aging — see our overview of the different types of facelift and how the deep plane approach compares, and read more on the ideal age to consider a facelift. Additionally, ideal candidates are individuals who:

• Are in good overall health and do not have any medical conditions that could impair healing or increase surgical risks
• Have realistic expectations about the outcome of the procedure
• Are non-smokers or are willing to quit smoking before their Deep Plane Facelift procedure

However, since each patient's needs and goals are unique, you must schedule a consultation with Dr. Panossian to determine if this procedure aligns with your expectations and preferences. During this consultation, he will evaluate your medical history and facial anatomy, discuss your concerns and goals, and propose treatment options so you can make an empowered decision. Patients with milder signs of aging may be better candidates for a mini facelift instead — see our comparison of Korean facelift vs. traditional facelift techniques to understand the differences. Patients not yet ready for surgery may also want to review non-surgical facelift alternatives and how non-surgical options like fillers compare to surgery before deciding on the right path. Patients with facial paralysis or facial asymmetry from a prior nerve injury may need a different plan; see facelift for facial paralysis.

During a Deep Plane Facelift procedure, Dr. Panossian typically administers general anesthesia to ensure the patient's comfort throughout the surgery. The first step involves creating discreet incisions around the ears and possibly within the hairline to minimize visible scarring. Through these incisions, Dr. Panossian carefully lifts and repositions the underlying facial tissues, including the muscle and fat layers, to address sagging and restore youthful contours. A small, thin drain tube may be placed behind the ear to prevent fluid accumulation, which is usually removed the day after surgery. Incision placement and design vary by technique and patient anatomy — see our overview of the different types of facelift incisions for a closer look at how these approaches compare.

Releasing the retaining ligaments allows the cheek fat and jowl to move as a unit, which addresses the midface as well as the jawline. The length of the operation depends on the extent of correction and whether other procedures are combined, and typically ranges from three to five hours.

The facial nerve controls the muscles of expression: raising the brow, closing the eyes, smiling, and moving the lower lip. In the cheek, its branches travel beneath the SMAS. A deep plane facelift is performed beneath the SMAS, in the layer that lies directly over these branches, and the retaining ligaments released during the operation sit close to them.

Facial nerve reconstruction is a core part of Dr. Panossian's practice. He trained in facial reanimation under Dr. Ronald Zuker at the Hospital for Sick Children in Toronto, founded the Facial Paralysis Center at Children's Hospital Los Angeles, and treats patients whose facial nerve was injured during other procedures, including facelift surgery. He performs the deep plane facelift with a working knowledge of where each branch runs and what follows when one is injured.

No surgeon can eliminate the risk of nerve injury. When weakness does appear after a facelift, it is usually temporary. Read more about facial weakness after a facelift.

Recovering from Deep Plane Facelift involves several stages to ensure optimal healing and results. Most patients return to work in 14 to 21 days, and full activity resumes at 4 to 6 weeks. Following Dr. Panossian's post-operative instructions is crucial for a successful recovery.