With a Deep Plane Face Lift, incisions will be made that extend from your ear to your temples along the hairline. Skin and deeper tissue will be repositioned carefully, for a tighter, more youthful look that does not appear stretched or “worked on.” A small incision beneath the chin may also be used to allow liposculpture of extra fat in the neck area.
You will be provided with a complete set of instructions to follow before and after surgery to ensure a comfortable recovery. Most of Dr. Freeman’s North Carolina patients (as well as his patients from throughout the Southeast), have been able to return to their normal activities in approximately 10 to 14 days after facelift surgery. After swelling subsides, you will see an improvement in your appearance, although it may be several weeks before your final results are completely visible.
Patients that have a heavy neck along with the sagging of the midface and perioral area receive a deep plane facelift. The incision and the steps discussed and illustrated in the deep plane minituck section are exactly the same. The only addition is an added incision under the chin. From this incision Dr. Freeman performs what he has termed “open liposculpture” of the unnecessary fat of the neck, both above and below the platysma muscle depending on the patient as well as tightening of the medial border of the platysma as illustrated below:
Occasional patients will also benefit from shaving of the caudal portion of the submandibular gland. Dr. Freeman published this technique and has taught other surgeons this approach since the mid-nineties. He will review this with you further during your visit should he feel you are a candidate.