Short take : both techniques can look wonderfully natural. They simply travel different roads to get there. At our clinic, Dr. Kristina Zakhary performs a refined controlled SMAS-based Optimum Mobility Facelift — a measured, anatomically respectful operation designed to mobilize what needs to move and leave the rest undisturbed. We do not perform deep plane facelifts.
Because they sit next to each other on the same shelf.
Both target jowls, jawline, and neck. Both can nudge the midface. And both, in skilled hands, avoid that “pulled” look people fear. The contrast is in the plane of dissection, the extent of release, and the feel of recovery. That’s where the choice starts to make sense.
Skin on top.
Under it, the
SMAS
— a fibrous layer connected to facial muscles.
Deeper still, retaining ligaments and fat pads that tether and shape the face.
Facelift surgery isn’t skin stretching; it’s mobilizing and repositioning the right layer(s), then redraping the skin without tension. Different philosophies approach that mobilization differently.
The core idea : plan the lift around your face’s intrinsic mobility, create surgically induced mobility only where needed, and secure everything at points of optimum mobility. It’s SMAS-based. It’s tailored. It’s precise.
In real life that means a firm, cleaner jawline, softened jowls, a neck that matches the face — and the calm, natural animation people compliment without quite knowing why.
House position : we do not offer deep plane facelifts. Not because deep plane is “wrong,” but because most concerns we see — jowls, jawline, neck — respond beautifully to the Optimum Mobility controlled SMAS-based work when it’s planned around mobility rather than maximal release.
Deep plane surgery releases key retaining ligaments and lifts beneath the SMAS, often moving cheek, jowl, and jawline as one unit. Advocates highlight midface fullness and softening of the nasolabial fold in selected faces. The trade-off? It’s a broader dissection. More structures to navigate. Longer, more intricate work. For certain anatomies and priorities, that’s a reasonable path. For many others, it’s simply more than you need.
| What you care about | Optimum Mobility Facelift (Controlled SMAS-based) | Deep Plane Facelift |
|---|---|---|
| Primary plane | SMAS layer with targeted releases; skin redraped with minimal tension | Beneath the SMAS with broader ligament release |
| Signature strengths | Jawline clean-up, jowl control, neck refinement; natural animation | Midface fullness and fold softening in selected anatomies |
| Footprint | Measured dissection; mobility only where needed | Deeper, wider dissection; unit lifting of tissues |
| Recovery feel | Often steady and predictable; “socially comfortable” relatively soon | Can be longer/denser early on depending on the case |
| Philosophy here | Standard approach; deep plane not offered | Considered in the field, but not our practice |
There isn’t a universal winner. There’s your anatomy, your goals, and your tolerance for how much surgical release you want to buy to reach those goals. If your main complaints sit along the jawline and down the neck — and you want your face to move like itself — SMAS-based Optimum Mobility is often the right first conversation. If your central midface has truly dropped and cheek volume is the number-one issue, deep plane may be discussed in the broader field. Here, we focus on the approach that fits the majority of patient goals with a controlled footprint.
Small choices add up to big differences: incision design, drain decisions, hemostasis, closure. Craft matters.
If there’s a milestone event, pad the timeline. Breathing room reduces stress and photographs better than any concealer.
No facelift is risk-free. Hematoma, infection, temporary nerve changes, scar concerns — they’re real, and we talk about them upfront. Our bias is simple: get the lift you need with the least unnecessary dissection, keep hemostasis meticulous, and guide aftercare closely. Sensible surgery. Sensible recovery.
People who point to the mirror and circle three things: jowls, jawline, neck, chin-neck angle. People who want to look rested, not different. People who like the idea of controlled mobilization and keeping facial expression easy and familiar. If that sounds like you, you’re in the right lane.
Bring your priorities and your timeline. We’ll assess your facial mobility, show what a controlled Optimum Mobility Facelift can do for your contours, and build a plan that respects both your anatomy and your calendar. If you’ve been told you “must” have a deep plane facelift, come in anyway — second looks are healthy, and the gentler route might be the exact one you wanted all along.
A deep plane facelift typically requires wider release of retaining ligaments and deeper dissection beneath the SMAS. For patients whose main concerns are jowls, jawline, or the neck, which is the majority, this level of surgical release is simply not necessary to achieve a meaningful improvement.
The Optimum Mobility Facelift targets the areas that need mobilization without disrupting deeper structures, giving patients the desired lower-face refinement with a calmer recovery and fewer moving parts.
Not necessarily. While a deep plane facelift can address midface heaviness in some anatomies, many patients do not have true midface descent, they have jowling and neck laxity, which respond better to a targeted SMAS-based approach.
The Optimum Mobility Facelift focuses on what actually needs to shift, preventing the “over-correction” that sometimes comes with deep plane procedures when midface descent isn’t the primary issue.
For many patients, yes. Because a deep plane facelift works deeper and wider, the early postoperative period can feel denser, longer, and less predictable.
The Optimum Mobility Facelift uses a measured dissection footprint, so patients often describe smoother early healing, fewer pressure sensations, and a quicker return to feeling socially comfortable.
Any facelift has risks, but a deep plane facelift operates closer to important facial nerve branches and requires navigating more structures, which may raise the technical complexity.
The Optimum Mobility Facelift reduces unnecessary exposure by working in the controlled SMAS layer, focusing only on the regions that need freedom to reposition, a risk-conscious philosophy for patients whose concerns live mainly in the lower face and neck.
No. Longevity doesn’t belong to any one technique; it belongs to tissue quality, surgical execution, aging patterns, sun habits, and genetics.
A meticulously executed Optimum Mobility Facelift can be just as long-lasting as a deep plane facelift, without requiring the deeper, broader dissection that many patients don’t need for their goals.
A deep plane facelift lifts cheek, jowl, and SMAS as a single unit, which can subtly change how tissues glide during expression in certain faces.
The Optimum Mobility Facelift deliberately preserves natural mobility, adjusting only what needs to be mobilized. The result is a rested natural look that moves like you, without altering the personality of the face.
SMAS-based approaches allow selective adjustment of specific structures while preserving normal mobility in unaffected areas.
The Optimum Mobility Facelift emphasizes preservation of physiologic movement where possible, while correcting laxity where needed.
Usually not. Deep plane facelifts are designed to address central midface descent, which is not the primary issue for most patients.
Concerns like jowls, blurring of the jawline, and neck laxity respond exceptionally well to the controlled SMAS-based Optimum Mobility Facelift, which was built precisely for these regions. Going deeper adds complexity without providing additional benefit for these specific goals.
Natural results come from tension-free skin, mobility mapping, and vector planning, not from how deep the surgeon dissects.
The Optimum Mobility Facelift achieves a natural, unforced look by using precise SMAS repositioning while leaving non-problem areas untouched. For many patients, this produces an even more natural result than deeper, more global repositioning.
A deep plane facelift requires more undermining, more release, and more operative time. Even when performed well, the overall experience can feel larger than what a patient expected.
The Optimum Mobility Facelift intentionally reduces the footprint of surgery, making it feel streamlined and proportional to the patient’s actual concerns.
Because it’s built around individual mobility mapping, not a one-size-fits-all plane of dissection.
Deep plane facelift surgery lifts tissue en bloc, which doesn’t account for the fact that some facial areas benefit from release while others function best when left untouched.
The Optimum Mobility method tailors each release to the patient’s anatomy, creating more controlled vectors, cleaner neck angles, and more predictable healing patterns.
The Optimum Mobility approach is based on carefully evaluating how each area of the face moves and ages.
Instead of lifting everything the same way, it focuses on:
This allows the procedure to be tailored to each individual face, which may lead to more consistent healing and balanced results for many patients.
Every patient is unique.
No single technique is right for everyone.
A consultation and physical examination are essential to determine the most appropriate approach for your anatomy, goals, and health.
This information is provided for general education only and does not replace individualized medical advice.