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Deep Plane Facelift

A Deep Plane Facelift (deep plane rhytidectomy) is a more powerful facelift which repositions the deep soft tissues of the face, usually performed with a Neck Lift. Not all facelifts are alike, nor is one single facelift suitable for every person.
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Deep Plane Facelift Sydney

A Deep Plane Facelift involves adjusting the SMAS – a deep layer of tissue beneath the skin – promoting a lift towards the top of the ear. The technique aims to prevent excessive tension on the skin, while preserving blood supply.The goal of Dr. Zacharia is to help patients achieve a rejuvenated yet natural look, respecting the unique characteristics of each individual’s face. The intention is for patients to appear as a refreshed version of themselves, steering clear from the stereotypical ‘operated’ or windswept facelift look.

How does a deep plane facelift work to adjust the contours of the face?

  • A deep plane facelift procedure involves repositioning sagging muscles and deeper structures of the face.
  • This procedure has the potential to impact the volume in the midface area, or cheeks, by adjusting the underlying layers of facial muscles and fat.
  • The deep plane facelift can influence the appearance of the jawline and neck.
  • By addressing the deeper tissues of the face, a deep plane facelift may influence the appearance of deep-set wrinkles and folds.
  • A deep plane facelift impacts deeper structures of the face, which could potentially result in long-lasting changes that age naturally with the individual.
  • A deep plane facelift procedure can potentially modify the results of previous facelift surgeries by addressing the deeper tissues.
  • The procedure may influence the elasticity of the skin by repositioning and tightening the underlying muscle and connective tissue.
  • The goal of a deep plane facelift procedure is to adjust facial contours with less tension on the skin, potentially leading to results that allow for natural movement and appearance post-surgery.

It’s important to remember that every individual is unique and so too are their needs and desired outcomes for cosmetic surgery. If you’re considering a procedure, it’s essential to have a comprehensive consultation with one of our experienced surgeons. They can help you understand whether you’re a suitable candidate and what you can realistically expect from the surgery. The information provided here is meant to help guide you, but it’s not a replacement for professional medical advice. Always organise a consultation for personalised advice.

If you are concerned about the way you look or are thinking about cosmetic surgery for confidence reasons, there are alternatives. Talking to a counsellor or psychologist may help you overcome your concerns about your appearance.

What to Expect

Consultation

The process for considering a deep plane facelift starts with a comprehensive consultation with our experienced surgeon. In this meeting, your surgeon will assess your goals, medical history, and facial structure. A detailed examination of your skin quality, facial volume, and the signs of facial aging you’ve experienced will be conducted. This consultation offers an opportunity for you to voice any concerns or ask any questions about the procedure.

Number and type of consultation
It is a requirement under the law, that a patient seeking cosmetic surgery must have at least two pre-operative consultations. The patient’s first consultation must be with the medical practitioner who will perform the surgery or another registered health practitioner who works with the medical practitioner who will perform the surgery (not a patient advisor or an agent). At least one of the two consultations must be in person with the medical practitioner who will perform the surgery. Other consultations can be in person or by video.

When consent can be given
A patient must not be requested to sign consent forms at their first consultation and cannot consent to cosmetic surgery until they have had an in-person consultation with the medical practitioner who will perform the surgery. The decision to have the surgery (provision of informed consent) must be made at a consultation with the medical practitioner who will perform the procedure (in person or by video).

Cooling-off Period
There must be a cooling-off period of at least seven days after the patient has had two consultations and given informed consent (signed consent forms), before the surgery can be booked or a deposit paid.

Preparation

If a surgical plan is mutually agreed upon, you will receive specific preoperative instructions. These instructions might include dietary recommendations, advice on smoking and alcohol consumption, specific directions regarding medications or supplements, and facial hygiene procedures.

Surgery

A deep plane facelift procedure typically requires several hours and is usually performed under general anesthesia. This procedure involves making incisions in less noticeable locations around the hairline and ears. The surgeon then works beneath the SMAS layer (Superficial Musculo-Aponeurotic System), releasing ligamentous attachments and adjusting the facial musculature. This technique aims for comprehensive adjustments, impacting sagging and attempting to restore a tighter and smoother contour to the face.
  • Surgery Time
    2.5 to 4 hours
  • Hospital Time
    Overnight

Recovery

After the surgery, you’ll be monitored closely in a recovery room for a short period. Most patients can go home the same day, though occasionally an overnight hospital stay may be advised. Bandages may be applied to your face to minimize swelling and support the healing tissues.

Post-procedure swelling, bruising, and discomfort are normal, and will start to subside after a few days. The majority of patients feel ready to resume daily activities within approximately two weeks, although individual recovery times may vary.

Regular follow-up appointments will be scheduled to monitor your healing and to ensure your recovery is proceeding as expected. The adjustments made during your deep plane facelift can take several months to fully settle as your face continues to heal and adapt to its new contours.
  • Time off work
    Working from home after 1 week, back in office after 3 weeks - Occupation Dependent
  • Cast Removal
    Face garment for two weeks
  • Exercise
    4 to 6 weeks
  • Showering
    Can shower next day, however incisions must stay dry
  • Driving
    24 hours after general anaesthetic and not while taking prescribed pain relief. We also recommend checking with your CTA insurer as to the post surgery exclusion period.
  • Travel
    After 14 days for national and 4 weeks for international
  • Full Recovery
    6 to 12 months for final results

Send an Enquiry

Want to ask a question or organisation a consultation?
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Our Deep Plane Facelift Surgeon

Dr Michael Zacharia

MBBS, FRACS, FAAFPS, ACCS
Dr Michael Zacharia is a Fellow of the Royal Australasian College of Surgeons, Head and Neck (Otolaryngology) and practices in Facial Plastic Surgery. He is also an Ear, Nose and Throat (ENT) physician and has completed over 8,000 procedures, with over 4,000 being Rhinoplasty. Combining the latest medical, surgical and health techniques, Dr Zacharia strives to deliver the best outcome for each and every one of his patients.
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Cosmetic Surgeon & ENT Specialist
MED0001178357

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Make an Enquiry

Get in touch today to organise a consultation or to find out more information.

Our team will give you a call to discuss your enquiry and we will then send you any relevant information via email.
You will need a GP referral for surgical procedures. AHPRA require all patients having a surgical cosmetic or medical procedure to have a GP referral. You can fax your referral to 02 8072 6824 or email office@drzacharia.com.au
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You will need a GP referral for surgical procedures. AHPRA require all patients having a surgical cosmetic or medical procedure to have a GP referral. You can fax your referral to 02 8072 6824 or email office@drzacharia.com.au

Considerations Before Cosmetic Surgery

While we aim to provide accurate information about the different surgical procedures available, it’s important to understand that the content provided here serves as a general guide only. The specifics of each surgery, including the procedure detailed above, can and will vary significantly from person to person, depending on their unique circumstances and physical characteristics.

Undergoing cosmetic surgery is a serious decision that requires ample thought, careful consideration, and meticulous planning. It should never be taken lightly or treated trivially, as it can have profound impacts on one’s lifestyle and wellbeing.

Recovery from cosmetic surgery, too, requires time, support, and proper aftercare. We strive to present realistic and transparent information about the recovery process, but individual experiences may vary. It is typical for recovery to involve certain services or requirements, such as the use of compression garments or receiving therapeutic massages. It also often necessitates significant lifestyle changes, which may include a period of absence from employment and temporary restrictions on certain activities.

In light of these considerations, we strongly encourage potential patients to engage in comprehensive discussions with their GP and our surgeons. The goal is to fully understand the implications, requirements, and likely outcomes of any chosen procedure, and to make informed decisions about their health and aesthetics.

For more information on preparing for cosmetic surgery visit health.gov.au/cosmeticsurgery

General risks and complications

  • Substantial Hemorrhage: This involves severe blood loss from the area that underwent surgery, which may necessitate additional medical interventions.
  • Susceptibility to Infection: Post-surgery, the risk of infection can rise, potentially requiring either antibiotic treatment or subsequent surgical interventions.
  • Allergic Responses: Patients may exhibit allergic reactions to medical materials such as sutures, dressings, or antiseptic solutions used during and after the procedure.
  • Hematoma Formation: This involves the development of a sizable clot of blood beneath the incision site, which may necessitate medical drainage.
  • Post-Surgical Discomfort: Patients may experience pain, bruising, and swelling in the area surrounding the surgical site.
  • Scar Development: There's a risk of developing keloids or hypertrophic scars, which are elevated, red, and thickened scars over the healed incisions. Though they can be bothersome and aesthetically displeasing, they don't pose a direct health threat.
  • Delayed Healing Process: Healing can be sluggish, especially in patients with pre-existing conditions like diabetes or those who smoke.
  • Anaesthesia Risks: Patients may experience short-term nausea following general anaesthesia, along with other potential risks associated with anaesthesia.

Deep Plane Rhytidectomy risks

  • Post-Surgical Pain: Following deep plane facelift surgery, patients may experience considerable pain, requiring an effective pain management plan.
  • Risk of Infection: Like any surgical intervention, deep plane facelift surgery carries the risk of post-operative infection that could require further medical treatment.
  • Scarring: Scarring is a potential outcome of any surgical procedure. Despite strategic placement of incisions, some patients may develop noticeable or keloid scars.
  • Hematoma: There's a risk of hematoma, a pocket of blood outside of the blood vessels, which may need further medical procedures to resolve.
  • Facial Nerve Damage: The surgery carries the risk of temporary or permanent facial nerve damage, which could potentially lead to issues like facial asymmetry or changes in sensation.
  • Aesthetic Dissatisfaction: There is a possibility that the patient may be unsatisfied with the aesthetic result of the deep plane facelift, necessitating additional revision surgery.
  • Skin Necrosis: There's a small but significant risk of skin necrosis, or skin tissue death, particularly in patients who smoke or have other pre-existing health concerns.

Contact Facelift Plastic Surgery

Dr Zacharia
Level 1 /424 New South Head Road
Double Bay, NSW 2028

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AHPRA Registration

  • Dr Michael Zacharia MED0001178357 - Otolaryngology
  • Dr Kenneth Brito MED0001680302 - General Practice
  • Dr Ahmed Alsultan MED0001647273 - General Practice
Disclaimer: Surgical and invasive procedures are not an exact science and they carry risks. Results vary with each patient depending on their age, health, weight, hormones and lifestyle. Please note that results are not permanent solutions and will change as your body changes over the years. After you consult with Team MZ, you should seek a second opinion from an appropriately qualified health practitioner
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