
“In contrast to a traditional facelift that simply works on skin tightening, a deep plane facelift corrects deeper facial layers, targeting the true cause of aging from its roots, improves sagging fat pads, weakened ligaments, and volume loss, delivering natural, longer-lasting results without a 'done' look!”
Unlike traditional facelifts, which have been centrally focused on skin tightening/pulling the skin for skin rejuvenation, a deep plane facelift works from the origin to target the underlying causes of aging. However, a deep-plane facelift helps lift and reposition the underlying facial muscles and fat pads, particularly the SMAS (superficial musculoaponeurotic system) and the retaining ligaments. A deep plane facelift is a more advanced version of surgical facial rejuvenation, providing an almost permanent effect, and the results may last 10-15 years or longer when a patient is committed to following all post-op advice and a healthy skincare regimen. Most notably, only expert facial plastic surgeons are allowed to perform this task because it requires extreme artistic sensibility, surgical precision, and years of hands-on experience to achieve desired outcomes aligned with one’s facial features, age, gender, and ethnic background.
A renowned, board-certified facial plastic surgeon by numerous trusted medical boards, Dr. Kevin Sadati, with over 20 years of experience, has performed over 5,000 successful facial rejuvenation procedures and teaches his specialized preservation deep-plane facelift techniques to other surgeons in the field of facial plastic surgery. Dr. Sadati is a well-acclaimed facial plastic surgeon in Newport Beach, OC, Southern California, and has been frequently invited to the AAFPRS Meeting as a guest speaker to teach facial plastic surgeons from around the globe about his innovative facelifting technique, the Preservation deep plane facelift.
Dr. Kevin Sadati answers some of the Top FAQs of Deep Plane facelifts, which are asked by his patients and prospective candidates at the Gallery of Cosmetic Surgery & Aesthetic Lounge:
Is a deep plane facelift better than a SMAS/ Traditional facelift?
Of course, yes, in most cases. The most important thing to consider is which option is best for your skin quality, facial structure, age-related changes, and aesthetic goals. Both techniques can provide dramatic improvements, but which one is the right fit depends on an in-person consultation with your facial plastic surgeon.
Undoubtedly, a deep plane facelift allows a surgeon greater control over multiple facial fat pads, and neck muscles, lifting and repositioning deeper facial structures, i.e., muscles and fat pads by releasing of the four ligaments that connect or tether the deep plane layer of your facial anatomy, enabling tension-free movements, and avoid creating over tightness, pulled/ or stretched appearance, that may associated with SMAS/ traditional facelifts. It can create more natural results by repositioning facial structures upward (vertical lift), restoring youthful angles and avoiding a windblown look.
SMAS (Superficial Muscular Aponeurotic System) facelifts involve lifting and tightening the superficial musculature and removing excess skin. However, the ligaments that tether the SMAS to the facial bones are left untreated, leaving the facial ligaments intact and unable to reposition the deeper structures, where aging truly occurs. It can create the truly obvious results, “windswept’’, surgically-enhanced appearance.
Of course, a deep plane facelift provides more complete results by meticulously tightening and protecting the deep layers of connective tissue and muscles, restoring the face to its original shape. And corrects significant aging concerns from underlying facial structures as well as surface skin laxity.
How Long Will the Results of a Deep Plane Facelift Last?
The results of a deep plane facelift can last 10-15 years or longer, depending on your lifestyle, personal anatomy, and physiology. The most important factor in the longevity of results is that the rejuvenation procedure be performed by a skilled, experienced, and expert facial plastic surgeon who can deliver the most long-lasting effect. After all, it is about the precision of the surgical task, with an advanced method tailored to your unique anatomy, skin type, and aging status. This is your face that deserves the most care from expert hands, and you need to maintain the rejuvenation for the next decade or more. Choosing the right surgeon plays a key role in enjoying the most durable results.
How painful is a deep plane facelift?
Dr. Kevin Sadati performs all deep-plane facelifts under twilight sedation and local anesthesia without the need for general anesthesia, providing a hassle-free, safer, and gentler surgical experience and a smoother recovery. Most patients who are pain-sensitive report mild to moderate pain, which is part of the healing response and can be experienced as tightness (rather than sharp pain), bruising, swelling, and minor discomfort during the post-op healing journey. Not entirely painless, but can be well-controlled and easily manageable with the right post-op care. Our rapid recovery protocol integrates HBO therapy, ElixirMD photobiomodulation, IV vitamin therapy, and lymphatic drainage to accelerate healing, reduce inflammation, minimize discomfort, and support safer, smoother postoperative recovery for patients. Moreover, the extensive surgical knowledge and skill of a facial plastic surgeon will ensure that patients experience minimal postoperative bruising, swelling, and pain, helping them heal more quickly and safely
Will deep plane facelift surgery leave scars?
Deep plane facelifts involve lifting deep facial layers without tension on the skin, allowing incisions to heal without the potential complications of keloid formation or pulled earlobes, resulting in minimal or perfectly hidden scars.
Incision lines are discreet, perfectly hidden around the ear and hairline. The risk of scarring is minimal, and it is due to the small incisions made along the sideburns, within the hairline, and around the ear curves. However, scars are minimal, nearly invisible, or perfectly concealed once healing is complete.
What happens after a deep plane facelift?
Once your surgery is complete:
- Your face will be gently wrapped in gauze and compression wraps.
- After post-op monitoring, you receive clearance from your surgeon and can go to our aftercare private suite with a dedicated nurse.
- You are required to attend all the follow-ups as instructed.
- Your sutures will be removed after about one week
- A 2-week recovery timeline is typically recommended, allowing swelling and bruising to resolve.
- One can resume exercise 3-4 weeks after surgery.
How much does a deep plane surgery cost?
Undoubtedly, a deep-plane facelift is costlier than a traditional/SMAS facelift because of the technical expertise, greater precision, and enhanced aesthetic skills of a facial plastic surgeon. Usually, a deep plane facelift surgery cost in Newport beach can range anywhere from $25,000 to over $90,000. The price of a deep plane facelift is more than a simple number. It represents the value of the entire experience and outcome: the skill of the surgeon, the quality of the care, the safety measures, the post-operative support, and finally the quality of the end result. The surgeon who has spent years honing this skill, writing about it, speaking about it at national and international conferences, and earning the respect of his peers has invested heavily in the advancement of the field. This degree of polish, finesse, and consistency will cost more. Just as handbags are both Coach and Birkin, they are both bags, but the materials, workmanship, and artistry are vastly different. In facial rejuvenation, you are not buying a surgery, you are investing in beautiful, undetectable, and long lasting results.
Why should you choose Dr. Kevin Sadati for your facelift?
Dr. Sadati is a board-certified facial plastic surgeon who is acclaimed for delivering the most natural-looking results and has a reputation for performing more than 5,000 successful facelift and neck lift surgeries in his 20-year career.
You chose Dr. Sadati because:
- He has developed a pioneering facelift technique called preservation deep plane facelift with rotating pedicle flap, an advanced version of the traditional deep-plane technique. It combines the high-lateral SMAS and the extended deep-plane facelift to improve results and reduce recovery time.
- Dr. Sadati is actively involved in leading plastic surgery societies and frequently serves as a guest speaker at national and international plastic surgery conferences, including the AAFPRS.
- He teaches surgeons from around the world about his advanced version of the deep plane facelift technique.
- Dr. Sadati is highly acclaimed for his proven track record of contributing to esteemed cosmetic and plastic surgery journals, and his facelift literature has been published in many highly regarded peer-reviewed journals, enriching the field with the most advanced methods and skills to deliver natural results with no “done” effect.
If you are interested in a deep plane facelift in Newport Beach, Orange County, your first step should be to contact our office at (949) 706-7776 to learn more and schedule a consultation with Dr. Kevin Sadati.

