Deep Plane Face Lift in Asian Patients.

Abstract

Background: The deep plane face lift has the technical advantages of being more effective in mobilization of soft tissues of the anterior face and allowing for more direct fixation of these tissues. These attributes of the deep plane face lift make it advantageous for Asian faces.

Methods: Between January of 2021 and August of 2023, 61 Asian patients with a mean age of 52 years (range, 38 to 75 years) underwent the deep plane face lift. The authors' surgical technique and refinements in performing this procedure were demonstrated in detail. These included specific mobilization endpoints; a systemic approach to suture fixation, with each fixation suture targeting specific landmarks in the anterior face for tightening; and a systematic system of skin flap inset to ensure precise and tension-free closure. The mean follow-up was 19 months. Patient satisfaction was assessed with a targeted survey covering their appearance and quality of life.

Results: Long-term results were good. Patient satisfaction was high, with 98% reporting that they were satisfied or highly satisfied with their results. Patients reported improvement of both their appearance and quality of life after surgery. Complication rates were low and included superficial epidermolysis behind the ears ( n = 2 [3%]), hypertrophic scarring ( n = 1 [1.6%]), and facial nerve neurapraxia ( n = 1 [1.6%]). There was no hematoma.

Conclusions: The deep plane face lift is a very effective face-lift technique for Asian patients. The technical refinements presented in this article allow the procedure to be performed safely and predictably.

Clinical question/level of evidence: Therapeutic, IV.