SMAS vs Deep Plane Facelift: What You Need to Know | Philadelphia Facelift Surgeon Dr. Claytor

In this video Dr. Claytor explains the deep plane facelift procedure and how it can improve a patient's appearance. He shows before and after photos of a patient who was concerned about her sagging jowls and neck. Dr. Claytor emphasizes that the goal of the procedure is to rejuvenate the patient's natural appearance rather than change it, while drawing on dry erase board to explain facial descent as a natural part of aging that causes the face to droop downwards.
The deep plane facelift procedure involves making small incisions hidden along the ear and hairline, then lifting the tissue underneath the skin layer and removing retaining ligaments to release them. Dr. Claytor stresses that the procedure is technically challenging due to the delicate facial nerves that run close to the retaining ligaments. By releasing these ligaments, the entire area becomes more mobile and can be repositioned with sutures to elevate it superiorly, creating a youthful appearance. Dr. Claytor explains the difference between a SMAS plication and a deep plane facelift, noting that a deep plane facelift provides a more sustainable and dramatic lift due to the ability to release the deep retaining ligaments.
Learn more about deep plane facelift: www.cnplastics...
@claytorplasticsurgery
#deepplanefacelift

[@lyudmila1001]

The best explanation of the deep plane facelift on KZbin!

[@ninoskae]

Totally agree!

[@jennyprn3933]

RIGHT! Agreed! 💯

[@claytorplasticsurgery]

I am humbled by your generous comments.

[@debiscarola5074]

Thank you so much. I have a deep plane face lift in 2 weeks. This helped a lot. I am a nurse and this was educating without scaring the crap out of me....

[@claytorplasticsurgery]

Glad it was helpful! More information to follow. Also let me know if you would like to hear about more topics related to facial rejuvenation.

[@saffloweroyl3663]

I had a deep plane procedure in 1996 as I was melting. Now im 70 and are routinely taken for someone in their 40s.

[@claytorplasticsurgery]

So powerful!! Thank you for sharing.

[@jenA9026]

That's fabulous! I'm 57 and will have a deep plane face lift in a couple of months. I'm told I look like I'm in my 40s now. I think I look maybe early 50s. I'd be thrilled if at 70 people thought I was in my 50s or early 60s, let alone 40s! You go girl!

[@MC-pg2ko]

I'm in the same boat. I'm 70 but people often think I'm in my late fifties. I have never had surgery except for 2 eyelid surgeries (the second one I regretted, as it ruined my eyes). While I am reasonably happy with how I'm ageing, the marionette lines, slight jowling and nasolabial folds are changing the overall shape of my face. These changes (combined with the bad eye-lift) annoy me but I'm afraid of the risks that come with a deep-plane facelift; the uncertainty of the healing, scarring and outcome. I'm wondering if these concerns crossed your mind, and, if they did, how you overcame them? Wishing you all the best with with your surgery.

[@innacharmforoush6073]

Why did you need deep plane at such young age 32-33?

[@mariatorres9789]

​@innacharmforoush6073 My son was born in 96', he's 27. She would've had it at 43/44 yrs old, not 30's.

[@alicem3642]

Finally an honest and truthful explanation that means a truthful and reliable surgeon!

[@claytorplasticsurgery]

Thank you. It is my ambition to educate.

[@thomasriyadi12345]

Best explanation between smas and deep plane 👍

[@StMac-qo9jk]

Thank you very much for the VERY CLEAR explanation of deep plane facelift. More power to you my good doctor!

[@garytafolla2845]

I just wish these videos would talk about the swelling and numbness that occurs with a deep plain facelift. I had a deep plain face and necklift on April 11th, 2024, and I'm almost completely numb in my face and neck. Most of my swelling has dissipated, but I'm still extremely swollen in front of my ears, below my earlobes and down my jawline, especially at the back of my jaw, and beneath my chin. I'm in my 7th week post-op now and feel that I should see this swelling going down some each day, but the swelling never goes away. I feel that there is something going on with the glands around my ears and under my jawline, but my surgeon keeps saying that this is normal. It may be normal for him, but it's not for me. I still can't turn my head from side to side, and this is very troubling. In my initial consultation, I was told that I'd be driving in 2 weeks post-op, and I'd be fully recovered and back to lifting weight at 6 weeks post-op. None of that is true. After my surgery, the recovery story completely changed. I'm a man and I have to say that the recovery process is much worse than my surgeon described to me before my surgery. I don't appreciate my surgeon sugar coating the recovery process. Had I known what I was in for, I would have opted to not have the surgery. Doctors need to warn their patients of "facelift depression." It's a real thing. Look it up. Facelift Depression starts at the end of the first week post-op and continues for weeks. This is not fun at all, and you have no control over it. I'm not a depressed person, but this procedure really took its toll on my mental state. My advise to anyone who is thinking about having a face and necklift, make sure that the doctor that you chose spends time with you and doesn't make you feel rushed, like mine did. If a doctor doesn't have time to spend with you and give you his undivided attention, then that doctor is not the doctor for you. Remember, this is all about you, not your surgeon. Chose your doctor wisely, as you should have a good relationship after your surgery. Your doctor should be available to you to answer questions that may arise after your surgery. My doctor acted as if he was too busy to answer my questions before and after my surgery. I should have paid attention to the red flags. If you chose to have this procedure, just be prepared for a lengthy recovery.

[@thomasriyadi12345]

That is so true. The most challenging is the mental state during recovery which can be different for everybody .. so if you are not prepared to be "down" for months (at least 3months) then you should consider . Swelling and numbness are your biggest adversaries

[@carolinewade9965]

First explanation that gives facts and not marketing fluff

[@claytorplasticsurgery]

Thank you! I enjoy sharing knowledge.

[@michelleanderson7140]

I love this thank you. I am a medical massage therapist. And licensed esthetician the face has always been my interest. I do massage & lymphatic drainage pre-op and post-op for people who have plastic/cosmetic surgeries. I do have to say the face is my favorite to work with. I just want to say I appreciate you and explaining the different face lifts. The anatomy of the face for facelift surgery. Your awesome! But you already know that! 🥰

[@1lifewanderlust]

It’s why at 49 I’m doing this for my 50th birthday. Aiming to help preserve my youthful self and slow the aging process even more. I hope to look 40 when I’m 70 too!

[@PhillyJawnNative]

This amazing doc did my neck lift. Best bedside manner EVER!

[@sparkypd3589]

How much?

[@claytorplasticsurgery]

Call Debbie at 610-527-4833. A consultation can be done virtually which might determine that you only need a "mini-facelift" which is a faster recovery and more economical!

[@jenA9026]

That was the best explanation I've seen. Thank you so much for making this information available.

[@ArturoMenchacaMD]

Dr. Claytor Excellent explication of not only the anatomy but the reasons of superficial and deep plane facelift thank you

[@jennyprn3933]

LOVE this! I'm saving this video so I can watch it over and over. Thank you for this presentation. I'm a visual learner. This was perfect! I want this done so bad. Im saving my coins now. 🙏🏼👍

[@claytorplasticsurgery]

Smart thinking to plan ahead. We have lots of information to provide. Check in with Debbie to see if a virtual consult will help your long range planning. 610-527-4833. Warmly, Dr. C

[@lexismart7555]

Thank you so much for the meticulous and helpful explanation of the diifference between SMAS and Deep Plane procedures.

[@claytorplasticsurgery]

Glad you found it helpful!!

[@audreychapman9267]

Excellent video - thank you

[@shathaalghamdi5186]

Thank you soo much professor! i'm prepping for my board exam and this video has answered so many qs and not just that but it helped me digest and memorize all the differences between these 2 techniques. Bless You!

[@veronicafullford1697]

Thank you this really good video - you have explained it all very clearly. Deep plane face and neck lift is what I need. Wish I lived in America.

[@Xtiandemedici]

I’m curious…. Once you release the retaining ligaments, how do you insure the sutures will hold? In other words, what is the likelihood of the sutures failing in its new position? Thank you for the amazing explanation!!!

[@adrianasodupe3640]

Thank you very much from Barcelona for this priceless explanation of the difference between these techniques.

[@kh7663]

Thank you for all that explanation,, you made it so clear for me I will save this video to watch again and again and,, I will have deep facelift with this two months

[@jamiecarr9341]

Excellent !!! I’ll never wonder about what each of these are or their differences again! Thank you so much for your time!! 🙏

[@AdrianaTorrado-k9u]

Thank you ver much from Barcelona for this priceless explanation of these two different techniques.

[@browdesignsbyjulia1373]

This is amazing …… I just had a deep plane facelift exactly how you explained here. Thank you for this vid

[@claytorplasticsurgery]

Glad it helped! I has been decades of perfecting this technique and I am glad that my description was helpful

[@jonyvisa7031]

Did you have it in the states?

[@ruforuth6605]

Very good explanation and very nice doctor. Thank you very much, for taking time to make this video.

[@charmyholidays6812]

Gracias por una explicación tan cercana. Thank you very much for such a digestible information.

[@barbaranobody4408]

I'm very impressed! The diagram has really given me a better perspective. I need this in my life. Gotta figure out a way! Ty

[@nichelehuseby]

Excellent description, thank you !

[@mirandasworld]

that is 2 operations the face and the neck seperately

[@marciabarros9265]

Excellent explanation! Thanks so much!

[@claytorplasticsurgery]

Thank you!! I am working on another one!!

[@Andrew-lm2xt]

What is "releasing" a muscle or ligament? Severing the attachment to the face? When things are "secured" with sutures, what does that mean? If the suture breaks, does the tissue just descend back to prelifted position?

[@stefanog285]

This is excellent!! You saved Me from doing an inferior procedure. Many thanks!!! Very grateful.

[@Rick-gy8fz]

I did a sms. It is not inferior. If your face is really bad, then maybe a plane is needed. You are taking a major risk in damaging any facial nerves. The neck lift covers the balance. It's a case by case.

[@vickisue]

excellent video!

[@Sirfunkymonkey]

So clear and informative, thank you so much

[@natalienetanya7401]

Great explanation. Thank you.

[@claytorplasticsurgery]

Glad you found it helpful.

[@sylvie1835]

Thank you ! Amazing detailled explanations. I was wondering about SMAS and deep plane terminology . But if the tissues are moovable, you don’t have to release those ligaments, I presume . Technique must vary to every ones needs.

[@sylwiaossowska9421]

Thank You for the grafic explanation

[@claytorplasticsurgery]

Glad it was helpful! I am working on more. Check out my latest on "Drainless Tummy Tuck"

[@birdlover7776]

This was helpful thank you 🌸

[@claytorplasticsurgery]

So glad to hear that it was helpful

[@heatherjohnson955]

This is fantastic! Thank you Thank you Thank you!

[@freedomlover3789]

Doctor, did you hear about method of Dr. Mendelson from Australia? His method is very popular in Russia and called there Space Lifting, it sounds like Deep plane lift you described. Is it? Thank you for taking the time to do this lecture!

[@ryanh.nguyenmd5357]

Excellent Doc

[@ornellam9052]

I did a deep plane almost 3 years ago. The best decision ! Have my high cheeks back. Smooth jaw line and neck. Ppl think I am 20 years younger lol

[@hikkarihikki8800]

excellent explanations greethings from Morocco

[@claytorplasticsurgery]

Thank you. It is a buck list to travel to Morocco!!

[@vickyyurich7672]

Really educating 🙏

[@dn5389]

Thank you !

[@zacharylahlou9943]

What is the price of a deep plane facelift?

[@Luannejf1]

Thank you!

[@kulievairyna4776]

Greate and vere helpful explanation!

[@claytorplasticsurgery]

Glad to hear that! Thank you

[@marylynngriffin2876]

Fantastic!!!

[@blissmeeup]

is the deep plane face lift also a neck lift? And if so does that get rid of the neckbands?

[@rosengeorgiev721]

Just a correction, SMAS is superficial, not "SUB" muscular aponeurotic system. You have said "sub-muscular" then start mentioning the topography of the face as "skin, SMAS, muscle, bone", which is correct.

[@claytorplasticsurgery]

Thank you for this important contribution!!

[@maccomes9685]

If someone had a “ mini lift” can you still have a deep plane? Still have scar under chin.

[@claytorplasticsurgery]

Yes. You can have a Deep Plane lift if you have previously had a "mini lift" I have done this many times. The scar under the chin depends on the condition of your neck and submental tissue. Reach out to Debbie for information. Perhaps we can even do a virtual consultation!

[@at-b7572]

This is great

[@claytorplasticsurgery]

Yes. It is. Let me know if you would like more information.

[@lucygonzalez-zo5nz]

When would you recommend a SMAS facelift vs Deep Plane? It seems as a SMAS is a waste of money due to it not having long lasting results. Can you help me understand why doctors would recommend a SMAS vs a Deep Plane? Thank you

[@healthmindbeautyadvanced3536]

Wow!!!! Thanks Doc

[@claytorplasticsurgery]

My pleasure! This is transformational !!

[@eraidacruz1940]

Hi doc I’m planning to do a SMAS lift.. thing I’m only 37 but my mid face and jowls are so obviously sagging… I’m worried after 5-10 years.. what kind of lift should I do to somehow maintain.. is it possible to do a deep plane lift after doing just SMAS lift? Thank you

[@TRguy64]

The countdown in on for my deep plane facelift, upper and lower blepharoplasty, fat transfer, laser, eeek!

[@TripDarlin]

how did it go?

[@TRguy64]

@@TripDarlin Procedure is in August, being male am especially nervous for the browlift and eyelids to come out looking proper and masculine, of course will have indepth discussion when being marked out just prior to surgery, but yeah, am nervous !!

[@claytorplasticsurgery]

Excellent!

[@jodybucci285]

Do doctors who do deep plain face lifts also do fat grafting along with the facelift?

[@claytorplasticsurgery]

A deep plane is a composite lift which means there is less disruption of the tissue directly under the skin in the mobile portion of the face. So, yes. Fat grafting can be done at the same time.

[@Little-Sparrow]

I'm having a DP shortly, and I'm so glad I chose to go this route instead of a traditional FL. Currently I look like im melting as I had to have my fillers dissolved. Can't come soon enough!

[@mariatorres9789]

I have a heart condition, but recently had an inguinal hernia surgery & did great, with no problems at all. Would something like this be an automatic rejection? I'm overall healthy, eat well, and medium exercise daily. Can this be done with local anesthesia, instead of general anesthesia? Thanks for your response.

[@claytorplasticsurgery]

Yes. We should see you in consultation first

[@JesusHernandez-wl2ty]

4:07 where are you located for consultation?

[@JesusHernandez-wl2ty]

4:07 where are you located for consultation?

[@askakoterska1771]

will well carried-out deep plane facelift help with perioral mounds? I hear contradictory opinions. Some say it wont help in this area, other say it definitely will.

[@Delores999]

I like this

[@JesusHernandez-wl2ty]

4:07 where are you located for consultation?

[@claytorplasticsurgery]

Philadelphia! Check in with Debbie at 610-527-4833

[@ivanalmaraz6641]

Wich one is better?

[@terrik7254]

TY❤

[@namename4479]

At what age would you recommend a deep plane facelift? I will be 40 next year my marionettes and neck are really bothering me but i do still look alot younger than my age.

[@SusannahJones-vh6fe]

I just dont get all the hype of going into the nerve areas with a deep plane and releasing ligaments... i have seen smas plications look just as good if not better than a deep plane... you see more ENT's that do deep plane for unknown reasons.... if you do a deep plane and want to have another face procedure later in life, guess what??? You are limited to also having to stay with a deep plane procedure again which doesnt really make sense to me. T..

[@mayraosorio7126]

Had a standard facelift. Horrible result in my neck. Can I still do a deep plane fave and neck lift. If so, when it is safe to consider it

[@sruehm]

SMAS: S for superficial, not submuscular as stated in the video.

[@iStorm-my5fp]

Thank you, what do you recommend for a 30 year old with slightly dropping cheecks

[@claytorplasticsurgery]

Consider either threads or fat grafting. Look for a provider who has experience. Warmly. Dr C

[@ct5274]

Deep plane is alot more dangerous and riskier. You better make sure your surgeon is highly skilled. Nerve damage could take place and you will regret it for the rest if your life. You could land up being deformed.

[@claytorplasticsurgery]

I agree. This is an operation which should be undertaken after years of training and experience.

[@JesusHernandez-wl2ty]

4:07

[@demakpor42]

I don’t think any doctor would do a deep plane face lift if they wasn’t qualified to leave people deformed. It’s against their code of conduct and ethics

[@claytorplasticsurgery]

Yes. Having done a nerve fellowship and 20 years in practice, I agree, It requires a significant amount of qualifications.

[@marycronin6061]

Thankyou so much dr your a doll. Verywell explaned. Godbless😊