A deep plane minituck involves a well-hidden incision around the ear as seen in this photo:

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Patients who are good candidates for a deep plane minituck have laxity of the midface, perioral area and neck. In particular the neck laxity involves skin and muscle only and is not due to excess storage of fat and/or laxity of the submandibular gland. There are many examples patients like this in the photo section. Dr. Freeman uses this incision to perform a mid-face lift to correct malar pad ptosis; a technique he pioneered and published over fifteen years ago as illustrated below:

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Next, the parotidmasseteric fascia is lifted and the ligaments are released to perform a deep plane lift of the line of the jaw, jowl area and the marionette line of the mouth without making patients look pulled or “windblown”. Dr. Freeman was the first surgeon to incorporate both of these advanced techniques, he has been using this approach since the late 1990’s; these approaches allows rejuvenation to look natural and be long lasting. This part of the lift is illustrated below:

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The neck is then lifted by lifting the lateral border of a fan shaped muscle known as the platysma muscle as illustrated below:

plane-illus-5 To see before and after photos of Deep Plane Minituck, click here.

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