What Is a Deep Plane Facelift?
The Deep Plane Facelift, also known as the Ponytail Lift, is a modern surgical technique designed to lift the face by repositioning its deep structures, rather than simply tightening the skin.
Unlike traditional facelifts that act on superficial layers, this advanced method targets the SMAS (Superficial Musculoaponeurotic System)—a deep layer of connective tissue and muscle critical for facial support. By releasing and repositioning these tissues in areas such as the cheeks, jowls, and lower face, the surgeon restores youthful facial contours while maintaining a natural appearance.
The result is a refreshed look—like the subtle lift you get when pulling your hair into a ponytail—without the frozen or overdone aesthetic of older facelift methods.
Why Do Cheeks Sag Over Time?
As we age, the natural decline of collagen and elastin leads to skin laxity and volume loss. Combined with the effects of gravity, this causes the cheeks to descend, forming deeper nasolabial folds and jowls.
Other contributing factors include:
- Bone density loss, reducing facial support
- Smoking, sun exposure, poor diet, or hormonal changes
- Repetitive facial expressions that gradually weaken soft tissues
A Deep Plane Facelift addresses all these factors holistically by lifting beneath the surface, providing both structural support and aesthetic rejuvenation.
Advantages Over a Traditional Facelift
- Long-lasting results (10–15 years), thanks to deep tissue repositioning
- Natural look—no skin tension or “windswept” effect
- Comprehensive treatment of the cheeks, jowls, and neck in one procedure
- Faster recovery due to minimal tension on the skin
- Smaller, discreet scars hidden near the ears and hairline
- Boosts self-confidence by delivering a rested, youthful appearance
Who Is a Candidate for the Deep Plane Facelift?
This procedure is ideal for women and men aged 40+, particularly those in their 50s or 60s, showing moderate to severe skin laxity in the face and neck.
Best suited for:
- Individuals with adequate skin elasticity
- Those seeking natural-looking results without multiple procedures
- Patients in good health with no bleeding disorders or serious medical conditions
A pre-surgical consultation is essential to evaluate your suitability and discuss any complementary treatments, such as blepharoplasty (eyelid surgery).
The Procedure: What to Expect
- Pre-op consultation to assess facial structure, define goals, and ensure medical fitness
- General anesthesia is used for comfort and safety
- Procedure duration: 3–5 hours, depending on complexity or combined surgeries
- Incisions are made around the ears and along the hairline—strategically placed to remain hidden
- The surgeon lifts and repositions the SMAS layer, not just the skin
- Fine sutures are used for minimal scarring
- A supportive dressing is applied and worn the first night
- A hospital stay is usually one night
Recovery and Aftercare
- Swelling and bruising are common in the first few days
- A tight feeling may persist but subsides gradually
- Compression garments may be advised to reduce swelling
- Light activity can resume after 1 week; avoid strenuous activity for 4 weeks
- Post-op follow-ups ensure proper healing and monitor scar progression
Results: What to Expect
- Visible improvements appear in the first 2–3 weeks
- Final results take shape between 3 to 6 months
- Expect lifted cheeks, smoother jawlines, fewer folds, and improved symmetry
- Results typically last 10 to 15 years, influenced by lifestyle and genetics
- Patients report a refreshed and rejuvenated appearance—never overdone
How Much Does a Deep Plane Facelift Cost?
The total cost varies based on:
- Surgeon experience
- Procedure complexity
- Hospital and anesthesia fees
A personalized quote is provided during your consultation. At our clinic in Paris, prices generally range from €12,000 to €15,000.
You will receive a detailed quote during your preoperative consultation. It is important to note that this procedure is purely cosmetic and is not covered by health insurance.
To find out more and discuss your rejuvenation project, please do not hesitate to contact us for a personalized consultation with our surgeons specializing in Deep Plane Facelifts in Paris, Dr. Yaël Berdah and Dr. Marc-David Benjoar.
Before & After Photos
View real-life results from Deep Plane Facelifts performed by our expert surgeons, showcasing natural rejuvenation with minimal scarring.
Have questions or ready to schedule a consultation? Contact our team — we’ll be happy to guide you.