26th Mar 2026
There is a lot of confusion surrounding the difference between a deep plane facelift procedure and a SMAS lift or SMAS facelift compared to traditional facelift techniques. Both facelift procedures provide a rejuvenating effect, but the techniques used differ, and the results may vary. Here’s a look at the two anti-ageing surgical procedures, which are types of cosmetic surgery aimed at facial rejuvenation. 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 technique and the SMAS facelift.
Both SMAS and deep plane facelifts are advanced facelift techniques that target facial tissues for rejuvenation, sharing a foundation in repositioning the facial muscles and connective tissues below the skin.
The deep plane facelift is an advanced surgical technique that 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 considered an advanced facelift technique, offering more comprehensive and long-lasting results compared to a traditional facelift, which typically uses less invasive methods and may not address deeper facial structures as effectively. Advanced methods like 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.
Understanding Facelift Surgery
Facelift surgery, also known as rhytidectomy, is a popular cosmetic facial surgery procedure designed to reduce the visible signs of aging in the face and neck. This surgical procedure can address issues such as sagging skin, deep creases, and loss of muscle tone, helping patients achieve a more youthful and refreshed appearance. There are various techniques used in facelift surgery, each with its own unique approach and benefits. The two primary options are SMAS and deep plane facelift techniques. Understanding the differences—SMAS facelift vs deep plane, can help you make an informed decision about which procedure is right for you. When comparing SMAS facelift vs deep plane lift, it’s important to consider the depth of tissue manipulation, the extent of facial rejuvenation, and the suitability for different levels of ageing concerns. The deep plane lift or deep plane approach, is recognised for its anatomical precision and biomechanical advantages such as long-lasting aesthetic improvements through targeting deeper anatomical structures, including the SMAS layer and facial retaining ligaments, and involves tissue repositioning for enhanced results. It is considered one of the most advanced facelift techniques.
What Is a Deep Plane Facelift?
A deep plane facelift procedure is a surgical technique that involves making incisions in natural contours to minimise scarring, addressing deeper facial tissues for enhanced results, and ensuring longevity of the effects. The procedure involves working beneath the SMAS layer, allowing for a more comprehensive lift and repositioning of deeper facial structures. This deep plane approach specifically targets the deeper structures of the face, including foundational tissues and ligaments, which leads to more significant and longer-lasting results compared to a traditional SMAS facelift that only addresses the superficial layers of the face. The deep plane technique also aids in volume restoration, enhancing facial volume and addressing volume loss for overall facial rejuvenation.
The deep plane approach requires anatomical knowledge and technical skill, offering natural-looking results by addressing multiple facial layers at a deeper anatomical level. Deep plane facelift offers long-lasting rejuvenation by repositioning deeper facial structures, resulting in a softer, more organic appearance. The deep plane face and neck lift technique allows for tension-free skin closure and provides significant, long-lasting aesthetic improvements by targeting and repositioning deeper tissues. It removes excess fat that can accumulate in the jowls, neck, and cheeks, as well as skin and muscle from the lower face and neck, typically used to improve the appearance of sagging skin, wrinkles, and jowls.
At Kensington Medical we specialise in Deep plane lift along with many other facelifts which ensures you are being offered the facelift that will work for your face, skin laxity, fat loss and structure.
What Is a SMAS Facelift?
A superficial musculoaponeurotic system facelift, commonly known as a SMAS facelift, is a surgical procedure which tightens the lower and mid-face skin and tissues. This technique specifically targets the superficial muscular layer of the face, known as 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 with moderate skin laxity, primarily desiring to improve the jawline and neck. Typically, SMAS facelifts generally last 10 years. A SMAS facelift is usually most suited to patients in their 40s to 50s or 60s with moderate facial concerns. Unlike a deep plane facelift, a SMAS facelift also involves tightening the SMAS layer (a thin layer of connective tissue that lies beneath the skin).
The Differences Between a Deep Plane Facelift and a SMAS Facelift
When considering SMAS vs deep plane facelift, it’s important to understand how these two techniques differ and which may be best suited for your needs. SMAS facelift and Deep Plane are both types of facelift surgery that address common concerns affecting the lower and mid-face. The main difference between Deep Plane vs SMAS facelift is the depth of the tissue that is worked on during the procedure.
There are several key differences when comparing SMAS vs deep plane facelift:
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The depth of the incision: A deep plane facelift involves making a deeper incision than a SMAS facelift. This allows for more extensive tissue repositioning and lifting.
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The approach to tightening the SMAS layer: An 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.
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The level of anaesthesia: Deep plane facelift surgery is typically performed under general anaesthesia to ensure patient comfort. SMAS facelift is also performed under general anaesthesia.
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The recovery time: A deep plane facelift typically requires a longer recovery time as it is a more extensive procedure compared to a SMAS facelift. For a working patient this means a real consideration on what facelift is right for you. Many do opt for a SMAs facelift due to the shorter downtime and generally impressive results particularly if the skin laxity is not too excessive.
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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 provides longer-lasting, more natural results, 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 can both can contribute to comprehensive rejuvenation, offering more complete and natural-looking results.
It’s best to discuss the options with our specialist facelift plastic surgeons who will give you honest advice on the best option for your facial structure, facial 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 and SMAS facelift and deep plane technique allows for more natural and effective results by targeting deeper anatomical structures, including the SMAS layer and facial retaining ligaments. The deep plane facelift and SMAs facelift offers enhanced volume restoration, it depends how excessive the surgery is required.
Potential complications of these procedures can include delayed wound healing and visible scarring, depending on individual factors such as blood supply, previous skin treatments, smoking, and the surgical technique used.
Potential Risks and Complications
While the deep plane facelift technique offers impressive benefits, it is important to be aware of the potential risks and complications associated with this surgical procedure. Both SMAS and deep plane facelifts carry potential risks, including bleeding, infection, and nerve damage, although these complications are rare when performed by experienced surgeons. Preserving the facial nerves during facelift surgery is crucial, as injury to these nerves is a rare but potential complication that could affect facial movement or sensation with a deep plane facelift . Because the deep plane facelift involves working in close proximity to the facial nerve, there is also a small risk of facial nerve injury. However, when the procedure is performed by a board certified plastic surgeon with extensive experience in deep plane facelift surgery, these risks are significantly reduced.
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. It is essential to have a thorough discussion with your surgeon about all possible risks and to follow their pre- and post-operative instructions carefully to ensure the safest and most successful outcome. By choosing an experienced, GMC specialist registered plastic surgeon, patients can feel confident in the safety and effectiveness of either a SMAs facelift or deep plane facelift procedure.
Who is the Best Candidate for these Facelift Procedures?
A deep plane facelift and a SMAS facelift are suitable for anyone looking to reduce signs of ageing. However, they are better suited to patients in good general health and have sagging skin or facial wrinkles. Skin quality is an important factor in determining suitability for facelift procedures and predicting long-term results, as it influences both the longevity of the rejuvenation and the degree of improvement achievable with different facelift methods.
These procedures target deeper layers of facial anatomy, including the facial muscles, to achieve more natural and long-lasting rejuvenation results. The deep plane technique targets deeper layers of facial anatomy, providing more natural and long-lasting rejuvenation results. A SMAS facelift is typically more suitable for patients with moderate facial concerns, while a deep plane facelift is recommended for those with more severe signs of aging.
The best age for a deep plane or SMAS facelift is typically between 40-60 years old, although we do operate on older patients in their 70s for facelifts and blepharoplasty.
Regardless of your chosen procedure, it is important to meet with one of our qualified facial plastic surgeon at Kensington Medical to discuss your individual goals and expectations. They can help you determine which approach best suits your facial structure 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 deep plane facelift procedure. Be sure to discuss the following topics:
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Your Goals and Expectations: Clearly communicate your desired outcomes and ask how the deep plane facelift technique can help you achieve them.
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Risks and Complications: Review the potential risks, including those specific to the deep plane facelift, such as facial nerve injury and delayed wound healing.
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Recovery Process: Ask about the expected recovery timeline, post-operative care, and when you can resume normal activities.
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Surgeon’s Experience: Inquire about your surgeon’s qualifications, certifications, and experience with the deep plane facelift technique and other facelift procedures.
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Combining Procedures: Discuss the possibility of combining your deep plane facelift with other facial procedures, such as eyelid surgery or fat grafting, for more comprehensive facial rejuvenation.
By addressing these key points, you can feel confident and well-prepared for your deep plane facelift surgery, ensuring the best possible outcome for your facial rejuvenation journey.
SMAS versus Deep plane Facelift Recovery and Aftercare
Recovery from a SMAS facelift is approximately 2 weeks whereas a deep plane facelift typically takes 2-4 weeks. During this time, it's essential to follow a post-operative care plan to ensure a smooth and comfortable recovery. Proper aftercare is crucial to achieving the best possible results and minimising any potential complications. Follow-up appointments are important, as they allow your surgeon to monitor healing and perform necessary steps such as suture removal, which is a key component of post-operative care.
Neck Lift and Its Role in Facelift Surgery for a SMAS facelift and Deep plane facelift
A neck lift is a highly effective surgical procedure designed to enhance the appearance of the neck and jawline, and it is frequently performed alongside facelift surgery for more comprehensive facial rejuvenation. When combined with advanced facelift techniques such as the deep plane facelift, a neck lift addresses not only the superficial layers of the skin but also the deeper tissues and underlying structures that contribute to a youthful appearance.
The deep plane facelift technique is for patients seeking significant improvement in the lower face and neck. During a neck lift, our GMC Specialist Registered plastic surgeon will carefully remove excess skin and fat while tightening the platysma muscle—a key 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, effectively reducing the appearance of sagging skin and excess fat that often accompany the natural aging process.
A SMAS facelift technique has a focus on the lower face, jowl area and neck area on the face. The neck however will not have excessive skin laxity.
Cost and Value of SMAS facelift versus Deep Plane Facelift Surgery
The cost of facelift surgery, including advanced techniques like the deep plane facelift, can vary widely based on factors such as the surgeon's expertise, the complexity of the procedure, and the facility where the surgery is performed. On average, patients can expect to invest between £10,500 and £20,000 or more for a comprehensive facelift, with the deep plane facelift technique is positioned at the higher end due to its complexity and the specialised skill required.
Deep plane facelift cost in the UK typically starts from £17,500 and can range up to £40,000 depending on various factors. The average cost of a deep plane facelift is around £20,000 to £25,000 at some clinics.
A SMAS facelift typically starts at £10,500-£12,500. Many patients find that 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 that require ongoing maintenance and repeated expenses, a deep plane or plane facelift offers a more permanent solution to facial ageing, making it a cost-effective investment in the long run. The improvement in self-confidence and overall quality of life that comes with a rejuvenated, youthful appearance is often considered priceless by those who undergo the procedure.
FAQs
What is the recovery time for a deep plane or SMAS facelift?
The recovery time for a deep plane facelift surgery is typically 4 to 8 weeks, while the recovery time for a SMAS facelift is shorter, at 2 to 6 weeks. 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 any discomfort.
Related Reading
Facelift Surgery Considerations, Finding an Experienced SMAS Facelift and Deep Plane Facelift Surgeon
When considering facelift surgery, it's essential to evaluate several critical factors to determine the best approach for your individual needs and goals. One of the most important considerations is the type of facelift procedure that will provide the desired results. At Kensington Medical we feel it is best to be able to offer a choice of facelifts best suited to your face.
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 or 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. It is best to mention this at time of booking your consultation. 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 really does depend 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 will be to discuss what you want to achieve. Our plastic surgeons can then advise if a Smas face lift or a deep plane will give you the results you are after.
How long do the results of a deep plane or SMAS facelift last?
A deep plane or SMAS facelift results typically last for 10 to 15 years, depending on your age, skin type, and lifestyle habits. Looking after your skin, wearing a SPF 50 every day, avoiding smoking and drinking too much alcohol, concentrating on a healthy diet and regular exercise can 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.
Contact us today to book a Deep plane or SMAS consultation or phone to find out more.
Sources
Neck lift and liposuction to the neck
About Kensington Medical, London and why we are different
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