At Kensington Medical we focus exclusively on the face and in fact we are the only clinic that does in London. Our GMC Specialist Registered Plastic Surgeons are asked this question every week in consultation. There is much confusion between a deep plane facelift and a SMAS lift or SMAS facelift compared to traditional facelifts. The answers do depend on your facial anatomy and not on your preference. We help break down the differences on which one is right for you.

Both facelifts rejuvenate the face, but the techniques used differ, and the results may vary. Here’s a look at these two anti-ageing procedures.
At Kensington Medical our GMC specialist registered plastic surgeons ensure the best possible outcomes and safety, especially when considering advanced methods like the deep plane facelift and the SMAS facelift.
Both SMAS and deep plane facelifts target facial tissues for rejuvenation, sharing a foundation in repositioning the facial muscles and connective tissues below the skin.
The deep plane facelift is highly specialised and performed by expert plastic surgeons, offering the most comprehensive and long-lasting results for significant facial ageing. The deep plane approach is an advanced facelift technique, offering more comprehensive and longer-lasting results than a traditional facelift, which is less invasive but may not address deeper facial structures as effectively. The deep plane technique often involve facial ligament release for enhanced results.
The SMAS facelift specifically targets the superficial muscular aponeurotic system (SMAS), which is the anatomical layer beneath the skin responsible for facial expression. By lifting and repositioning this superficial muscular layer, the SMAS facelift achieves more natural and lasting rejuvenation compared to techniques that only tighten the skin.

This page was medically reviewed by Mr David Gateley MA, FRCS, FRCS (Plast), Medical Director, GMC number 2939470 on 18 June 2026.

What Is a SMAS Facelift?

A superficial musculoaponeurotic system facelift, or SMAS facelift, tightens the lower and mid-face skin and tissues.
This technique targets the superficial muscular layer of the face, a thin layer of connective tissue beneath the skin (the SMAS layer), to provide structural support and rejuvenation.
During a SMAS facelift, the SMAS layer is lifted and tightened before the skin is repositioned separately.
SMAS facelifts are ideal for patients in their 40s to 60s with moderate skin laxity, witha focus to improve the jawline and neck. SMAS facelifts generally last 10 years.

What is a Deep Plane Facelift

The Deep Plane Facelift technique involves lifting and repositioning the sagging skin and the deeper layers including the superficial musculoaponeurotic system (SMAS). It involves releasing facial ligaments and facial retaining ligaments, including the deep retaining ligaments, for a more effective lift. The procedure repositions the platysma muscle, which enhances results in the lower face and neck by providing better support and rejuvenation.
Deep plane facelift technique is often used for at patients with a greater amount of skin laxity in the miod to lower face and neck.
Age range is generally 55 to 70 years +.
The Deep Plane facelift generally lasts 10-15 years.

The Differences Between a Deep Plane Facelift and a SMAS Facelift

It’s important to understand how these two techniques differ and which may be best suited for you. SMAS and deep plane facelifts address common concerns affecting the lower and mid-face. The main differences between them are laid out below:

The depth of the incision: A deep plane facelift involves a deeper incision than a SMAS facelift. This allows for more extensive repositioning and lifting of the deeper layers of facial muscle and the releasing the supporting ligaments. This maybe required for someone with more extensive droop. A SMAS facelift repositions and tightens the SMAS layer, which lies between the subcutaneous fat and the muscle.
The approach to tightening the SMAS layer: a SMAS facelift involves drawing the SMAS layer using sutures. A deep plane facelift does not involve tightening the SMAS layer. Instead, it relies on undermining (or separating) this layer to achieve results.
The level of anaesthesia: both deep plane and SMAS facelifts are performed under general anaesthesia to ensure patient comfort.
The recovery time: A deep plane facelift requires a longer recovery time than a SMAS facelift as it is more extensive. Patient with busy careers may find this a deterrent and in such cases, we suggest a SMAS facelift, which has a shorter recovery and still offers impressive results, especially if skin laxity is moderate.
The Costs do differ: A SMAS facelift is generally a shorter procedure time and in many cases can be carried out as a day case in hospital whereas a Deep Plane facelift is usually an over night stay. This does impact on the price. A SMAS is from £10,500 and a Deep Plane is from £18,500. See below for further information.
The results: While both procedures can produce significant rejuvenation, a deep plane facelift can be more extensive and can carry more risk and a longer recovery. As an advanced alternative to the traditional facelift, the deep plane facelift targets deeper facial anatomy and longer lasting, more natural results. This can be seen especially in the midface and neck, compared to the more superficial approach of a traditional facelift. When combined with other facial procedures such as eyelid surgery or brow lifts, a deep plane facelift and a SMAS facelift both can contribute to comprehensive rejuvenation, offering more complete and natural-looking results.

It’s best to discuss the options with our specialist plastic surgeons who will give you honest advice on the best option for your facial structure, shape, skin laxity, and loose skin.

Deep plane facelifts and SMAS facelifts require significant expertise and can result in substantial improvements in areas like the jowls and neck. Both facelifts allow for more natural and effective results by targeting deeper anatomical structures, including the SMAS layer and facial retaining ligaments. They can offer enhanced volume restoration and offer a high level of satisfaction.

There are cases where our plastic surgeons will also recommend fat transfer for improvement in facial volume and contours.

Recent research highlights the benefits of each method.

A recent review of medical papers analysed the results and satisfaction of deep plane facelift and SMAS facelift. In their findings they reported the following:

Both procedures had high satisfaction rates, with the deep plane having a slightly higher satisfaction rate compared to the SMAS facelift.
Across the study of over 2,400 patients there was a higher complication rate for a deep plane facelift compared to a SMAS facelift.
Other studies have suggested that a Deep plane facelift can have a slightly longer life span than a SMAS facelift.

Potential Risks and Complications

While both the SMAS and deep plane facelifts offer impressive benefits, it is important to remember their potential risks and complications:

These include bleeding, infection, and nerve damage.
The deep plane technique involves working in proximity to the facial nerve. Injury to these, while rare, could affect facial movement or sensation.
Other potential complications include visible scarring, although the deep plane facelift technique is designed to minimise scarring by placing incisions in natural facial contours.
In rare cases, patients may require revision surgery to achieve their desired results.
Complications can be affected by individual factors such as blood supply, previous skin treatments and smoking.
When the procedure is performed by a GMC specialist registered plastic surgeon with extensive experience in facelift surgery, these risks of SMAs or deep plane face lift significantly reduced.

It is essential to have a thorough discussion with your surgeon about these risks and to follow their pre- and post-operative instructions carefully to ensure the safest and most successful outcome.

Who is a Good Candidate for these Facelift Procedures?

A deep plane facelift and a SMAS facelift are suitable for anyone looking to reduce signs of ageing. However, the best candidates will be in good health and with pronounced skin laxity and wrinkles.
Good skin quality is also important in determining suitability and predicting long-term results: it influences both the longevity of the rejuvenation and the degree of improvement achieved.
A SMAS facelift is typically more suitable for patients with moderate facial concerns skin laxity, jowls and minimal neck laxity, while a deep plane facelift is recommended for those with more severe signs of ageing, skin laxity, mid face droop and neck laxity.
The best age for a SMAS facelift is typically between 40 and 60 years old, although we do operate on patients in their 70s. A Deep Plane facelift is generally suitable for someone in the 50-70+ age group.
Regardless of your chosen procedure, it is important to meet with one of our qualified facial plastic surgeons at Kensington Medical to discuss your individual goals and expectations. They can help you determine which approach best suits your facial structure and lifestyle and ensure that you get the results you’re looking for.

What to Discuss with Your Surgeon

A thorough consultation with your surgeon is essential for a successful facelift. Be sure to discuss the following topics:

Your goals and expectations: clearly communicate your desired outcomes and ask how each technique can help you achieve them.
Risks and Complications: review the potential risks, including those specific to a SMAS facelift or a deep plane facelift, such as facial nerve injury and delayed wound healing.
Recovery Process: ask about the expected recovery timeline, post-operative care, and when you can resume normal activities.
Surgeon’s Experience: enquire about your surgeon’s qualifications, certifications, and experience with facelift techniques.
Combining Procedures: discuss the possibility of combining your facelift with another facial procedures, such as eyelid surgery or fat grafting, for more comprehensive facial rejuvenation.

By addressing these points, you can feel confident and well-prepared for your facelift surgery, ensuring the best possible outcome in your facial rejuvenation journey.

SMAS versus Deep plane Facelift Recovery and Aftercare

Recovery is 2 to 6 weeks for a SMAS facelift and 4 to 8 weeks for a deep plane facelift. Both Mr Tulley and Mr Gateley will advise on wearing a face band for one to two weeks depending on the patient and technique used. Following the intial week or two, the band will be removed. There will be bruising and swelling. This does start to reduce on week 2 to 3 onwards.
We provide post operatie instructions to ensure you have a smooth recovery and are available for any queries you have.
Before surgery we will give you follow up appointment dates to monitor how you are healing and give you support through the journey. At week one or two depending on the procedure we will remove sutures. We have further follow up appointments to ensure you have a smooth recovery.

Neck Lift and Its Role in Facelift Surgery for a SMAS facelift and Deep plane facelift

A neck lift is a highly effective at enhancing the appearance of the neck and jawline. It is frequently performed alongside facelift surgery for more comprehensive facial rejuvenation.
When combined with a deep plane facelift, a neck lift addresses both the superficial layers of the skin and the deeper tissues and structures that contribute to a youthful appearance.
During a neck lift, our GMC Specialist Registered plastic surgeon will carefully remove excess skin and fat while tightening the platysma muscle that extends from the chin down to the collarbone. By repositioning and securing this muscle, the procedure restores definition to the neck and jawline, reducing skin sagginess and excess fat that accompany the natural ageing process.
A SMAS facelift focuses on the lower face, jowl and neck area. In cases where a patient’s neck has significant skin laxity, the surgeon may recommend combining a neck lift with the facelift.

Cost and Value of SMAS facelift versus Deep Plane Facelift Surgery

The cost of facelift surgery can vary widely based on the surgeon's expertise, the complexity of the procedure, and the facility where it is performed.
At Kensington Medical, patients can expect to invest between £10,500 and £20,000 for a comprehensive facelift, with the deep plane facelift positioned at the higher end due to its complexity and specialised skill required.
At Kensington Medical a SMAS facelift costs from £10,500 and a deep plane facelift costs from £18,500, including a neck lift.
Many patients find the value of facelift surgery lies in its ability to deliver natural looking results that last for 10 to 15 years. Unlike non-surgical treatments, which require ongoing maintenance and repeated expense, a facelift offers a more permanent solution to facial ageing, making it a cost-effective in the long run. The improvement in self-confidence that comes with a rejuvenated, youthful appearance is often considered priceless by those who undergo the procedure.
For a comprehensive list of our pricing for facelifts visit the cost of a facelift page.

FAQs

What is the recovery time for a deep plane or SMAS facelift?

The recovery time is 4 to 8 weeks for a deep plane facelift and 2 to 6 weeks for a SMAS facelift. During this period, you may experience swelling and bruising. The deep plane technique allows for tension-free skin closure and provides significant, long-lasting aesthetic improvements. Your surgeon will provide more information on the recovery process, including what to expect in terms of patient sensations post-surgery and how to manage discomfort.

Facelift Surgery Considerations, Finding an Experienced SMAS Facelift and Deep Plane Facelift Surgeon

When considering facelift surgery, it's essential to bear in mind your individual needs and goals so you can select the type of facelift procedure that will provide the desired results. At Kensington Medical we feel it is important to offer a choice of facelifts to suit the specificities of each patient.

By carefully assessing these factors and consulting with a qualified plastic surgeon, you can make an informed decision about whether a deep plane facelift or SMAS facelift is the right choice for you. This ensures that the chosen procedure aligns with your facial structure and aesthetic goals, leading to optimal results.

Are there any risks associated with a deep plane or SMAS facelift?

Like all surgical procedures, a deep plane face lift or SMAS facelift carries certain risks. These include bleeding, infection, loss of sensation in the face, and nerve damage. Here at Kensington Medical your plastic surgeon will discuss these risks with you in consultation.

Can I combine a deep plane or SMAS facelift with other procedures?

Yes, a deep plane facelift and SMAS facelift can be combined with other facial cosmetic procedures such as eyelid surgery (blepharoplasty), brow lift, neck lift, and fat transfer. Combining these procedures can help you achieve more comprehensive results. During your consultation with our GMC specialist registered plastic surgeons they will examine your face and listen to what you want to achieve. This will ensure they can give you the correct treatment plan to achieve the best results.

Which procedure has less scarring?

A SMAS facelift can result in less scarring than a deep plane facelift. However, it depends on the expertise of your facial plastic surgeon. Your surgeon will make the incision in an area of the face that is not visible, and they will use care to ensure minimal scarring. If you are interested in a facelift the best option is to discuss what you want to achieve. Our plastic surgeons can then advise if a SMAS face lift or a deep plane facelift will give you the results you are after.

How long do the results of a deep plane or SMAS facelift last?

The results of a deep plane or SMAS facelift results last for 10 to 15 years, depending on your age, skin type, and lifestyle habits. Looking after your skin, wearing an SPF50 every day, avoiding smoking and drinking, concentrating on a healthy diet and regular exercise all help to maintain your youthful appearance for longer.

Is a deep plane or SMAS facelift right for me?

The best way to find out if a deep plane or SMAS facelift is right for you is to book a consultation with an experienced plastic surgeon at Kensington Medical. They can evaluate your specific goals, examine your face and after a discussion with you recommend the best approach for you.

At Kensington Medical, we want to ensure that your facelift experience is safe and successful. Our London based surgeons are highly experienced in performing facelifts and neck lifts and will work with you to help you achieve a beautiful, natural-looking result.

Mr David Gateley is a specialist GMC specialist registered plastic surgeon who has carried out thousands of facial procedures. His experience spans all types of facelifts and neck lifts along with blepharoplasty. He has held a senior position within St. Georges NHS hospital as head of the plastics department and has taught many plastic surgeons.

Mr Paul Tulley is specialist GMC specialist registered Consultant Plastic, Reconstructive, and Cosmetic Surgeon practicing at Kensington Medical in Harley Street, London and the Southeast of the UK. His experience in facial plastic surgery encompasses a comprehensive range of cosmetic surgeries, notably facial rejuvenation procedures such as deep plane.

Sources

Facelift options

Neck lift and liposuction to the neck

About Kensington Medical, London and why we are different

Aesthetic Plast Surgery 2025 Aug 13.doi: 10.1007/s00266-025-05118-x. The Deep Plane versus SMAS Facelift: A Systematic Review and Meta-Analysis

Evolution of the rhytidectomy and why a SMAs or Deep plane is better based on age and facial droop, skin laxity :Evolution of the rhytidectomy

Baylis HI, Goldberg RA, Shorr N. The deep plane facelift: a 20-year evolution of technique. Ophthalmology. 2000 Mar;107(3):490-5. doi: 10.1016/s0161-6420(99)00125-6.

Blake S. Raggio, and Bhupendra C. Patel. “Deep Plane Facelift.” National Library of Medicine, StatPearls, Jan. 2022, https://www.ncbi.nlm.nih.gov/books/NBK545277/#_article-21526_s19_.

SMAS vs Deep Plane Facelift: Which is Right or You? Ask the Experts.