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(02) 9192 1600
Dr Michael Zacharia is a medical practitioner with specialist registration in Otolaryngology, Head and Neck Surgery. He holds a Bachelor of Medicine and Surgery (MBBS) and is a Fellow of the Royal Australasian College of Surgeons (FRACS).
His practice includes deep plane facelift and neck lift surgery. Throughout his career, he has performed over 5,000 facial procedures. His post-fellowship training includes instruction in Deep Plane Facelifting and Neck Lifting in New York. Dr Zacharia is also a fellow of the Australasian Academy of Facial Plastic Surgery (AAFPS).
The deep plane facelift is a surgical technique first described by Sam Hamra in 1990. It involves working in a plane beneath the superficial muscular aponeurotic system (SMAS) of the midface to release specific facial retaining ligaments and mobilise the superficial soft tissue.
Unlike approaches that primarily focus on tightening the skin, this method targets the underlying facial structures. The procedure includes dissection through multiple facial and neck tissue layers, with the SMAS layer carefully elevated and secured with sutures in selected areas.
By placing tension only at the level of the fascia, the deep plane technique creates a tension-free skin closure and ensures long-term results. This approach avoids the "windswept" or overly tight appearance sometimes associated with traditional facelifts.
Because it works on the structural elements of the face, it is more durable than SMAS-type facelifts, often lasting 10 years and beyond. The repositioning of deeper tissues provides more sustainable outcomes compared to skin-only procedures.
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.
Photographs shown above are actual patients from our clinic, who have given their consent for the use of their images purely for informational purposes. It is important to note that the results observed are subjective, and will differ based on each individual’s unique characteristics and the specific surgical or non-surgical techniques implemented. As with all procedures, both surgical and non-surgical, there are inherent risks involved.
Despite our efforts to maintain standardisation in our before and after photos, certain inconsistencies, such as differences in lighting, posture, facial expression, hairstyle, and make-up, may still exist between images. For a more comprehensive understanding of potential results, additional surgical result photographs can be viewed during a private consultation at our clinic located in Double Bay, NSW.
Additionally, we wish to emphasise that individual outcomes can greatly differ. The results experienced by one person should not be viewed as an exact indication of the results that others may experience. Such variations are due to a multitude of factors, including an individual’s genetics, diet, and exercise regimen.
All photos are watermarked and hold the copyright of Dr Zacharia. Any unauthorised usage or distribution is strictly prohibited.
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.
This technique offers longer-lasting results (up to 10-15 years) as the surgeon focuses on the deeper tissue layers of the face. The technique is designed to reposition the facial musculature and fat, which in turn also affects the skin that lies over these structures.
Recovery typically takes 2 to 3 weeks, with swelling, bruising, and mild discomfort common during this time. Most patients resume normal activities within 2 weeks, though full results may take several months to appear. Following post-operative care instructions ensures a smooth healing process.
Risks include infection, bleeding, scarring, or temporary numbness, though these are rare when performed by an experienced surgeon. Discussing your concerns during a consultation helps you make an informed decision about the procedure.
Results can last 10 to 15 years, outpacing traditional facelifts due to the deep tissue repositioning. Your skin type, lifestyle, and genetics may affect how long the results of your deep plane facelift last.
In Sydney, the cost ranges from $20,000 to $35,000 AUD, depending on the surgeon’s expertise, procedure complexity, and hospital fees. A personalised quote will be provided during your consultation to reflect your unique needs.
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