07 May 2026News

Deep Plane Facelift: What's Really Behind the Hype?

In brief

The Deep Plane Facelift is being discussed more than ever – especially in the USA, the "mother" of aesthetic surgery. The reason: natural results are increasingly the focus, including among Hollywood stars.

The method itself is not new. We have been performing this technique for many years. What is new is the way it is used and combined today – with a particular focus on authentic, subtle rejuvenation and healthy-looking skin.

Why is the Deep Plane Facelift suddenly on everyone's lips?

Anyone following current developments in aesthetic medicine keeps coming across the same term: the Deep Plane Facelift.

Looking at prominent examples and international media, the method is being intensely discussed. The background: results today look even more natural than just a few years ago. More harmonious, more authentic and less "done".

A frequently mentioned example is Demi Moore. Her appearance is currently attracting much attention, as it is more reminiscent of someone in their forties than her actual age. Which treatments she has undergone in detail cannot be said with certainty. However, combinations of surgical procedures and biostimulating methods are likely.

The crucial point about modern facelift surgery, and the Deep Plane Facelift in particular: it is no longer just about tightening. It is about natural rejuvenation, aesthetic contours and a healthy, elastic skin structure. The "secret": the lift is in fact a repositioning of deeper tissue layers – the so-called SMAS layer.

What the Deep Plane Facelift actually does

In the early days of the facelift, mainly the superficial skin was tightened. The result was the characteristically, unnaturally tight faces. This method is still popular in the USA today – but is decreasing in use. The opposite of over-tightening is the Deep Plane Facelift.

The focus is on the SMAS layer, a connective-tissue network of muscles, fat and connective tissue that significantly determines the shape of the face.

With increasing age, this tissue loses tension. The consequences: descent, volume shifts, altered contours.

In the Deep Plane Facelift this structure is released and repositioned.

the contour becomes firmer and gains profile
the tissue returns to its original, more youthful position
the skin remains relaxed – there is no lifted appearance
durability is exceptionally long at 10 to 15 years

What is new is the holistic approach

The Deep Plane Facelift is not a new procedure and is one of the central techniques in our practice as well.

What has changed over the years: the focus on the interplay of tissue structure, individual facial expression and skin quality.

The premier class: Deep Plane Facelift 4.0

In the modern evolution of the Deep Plane Facelift, the SMAS tissue is released even more precisely and repositioned along the natural anatomical structures. Tension is distributed evenly, the skin is not "pulled".

Deeper effect

Structural repositioning of the SMAS layer

10–15 years

Very long-lasting, stable results

Soft transitions

Harmonious overall image without a "pulled" effect

This variant is technically demanding – but the results are very long-lasting. We are talking here about the premier class of the Deep Plane Facelift.

Combination with brow and temple lift

With the facelift, we usually focus primarily on the lower half of the face. However, expression – that certain something in individual charisma – is largely shaped in the upper third: on the forehead, in the temple area, around the eyes and brows.

If this area is left untouched, an imbalance quickly develops. The result looks more coherent when the entire face is included.

Facelift for contour improvement
Brow and temple lift to open up the expression

The eye area also plays a central role

The eyes are the first focal point of the face.

That is why we often combine the Deep Plane Facelift, where appropriate, with an upper eyelid lift. This influences the impression of hooded eyelids and the position of the brows. The gaze appears more open, the overall image more harmonious.

The new trend: structure and skin quality

Another significant trend is complementing the surgical treatment with biostimulation.

The focus here is on skin quality – on skin rejuvenation from within.

Substances such as poly-L-lactic acid, autologous exosomes or platelet-rich plasma (PRP) stimulate collagen and elastin formation and gradually improve the structure of the skin.

What others perceive

Many of our patients fear an overly noticeable tightening that immediately gives the impression that "something has been done". With the modern Deep Plane Facelift, the opposite happens: others perceive a fresher, more rested and more youthful appearance, without being able to put their finger on why. This naturalness in the result is the outstanding feature of the modern Deep Plane Facelift and the combinations mentioned.

Interested in natural skin rejuvenation and modern facelift procedures?

Then arrange a non-binding consultation – at our practices at artethic® in Düsseldorf and Berlin.

Schedule a consultation

Frequently Asked Questions

What is the difference between a classic facelift and the Deep Plane Facelift?

A classic facelift mainly tightens the superficial skin – which often leads to unnaturally tight-looking results. The Deep Plane Facelift instead releases and repositions the underlying SMAS layer (a network of muscles, fat and connective tissue). The result: more natural contours, relaxed skin and a significantly longer durability of 10–15 years.

Who is the Deep Plane Facelift suitable for?

The Deep Plane Facelift is suitable for patients who want a noticeable tightening of the facial and neck contour – with a natural, long-lasting result. Most candidates are aged 40 and above, when skin laxity and tissue descent can no longer be sufficiently corrected with minimally invasive methods.

What is the Deep Plane Facelift 4.0?

It is the modern evolution of the classic Deep Plane Facelift. The SMAS tissue is released even more precisely and repositioned along the natural anatomical structures. Tension is distributed evenly, leading to softer transitions, deeper structural impact and even more stable, long-lasting results.

How long is the recovery time after a Deep Plane Facelift?

The first recovery phase takes about 10–14 days, during which swelling and bruising subside. Most patients are socially presentable after two weeks. The final result becomes visible after about three months, once all swelling has fully resolved.

Can the Deep Plane Facelift be combined with other treatments?

Yes – it is often advisable to combine it with a brow and temple lift to address the upper third of the face, and with an upper eyelid lift for a more open gaze. In addition, biostimulation with poly-L-lactic acid, exosomes or PRP can improve skin quality and support the result long term.

Are Deep Plane Facelift results perceived as 'unnatural'?

No – the opposite is the goal. The modern Deep Plane Facelift does not produce a lifted or pulled appearance. Others typically perceive a fresher, more rested and more youthful look without being able to identify what exactly has changed. This naturalness is the hallmark of modern Deep Plane technique.

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Über den Autor

Dr. med. Karl Schuhmann

Dr. med. Karl Schuhmann

Facharzt für Plastische und Ästhetische Chirurgie & Handchirurg

Mit mehr als 30.000 Eingriffen und mehrjähriger Tätigkeit als Chefarzt führt Dr. Schuhmann seit 2016 als Gründer von artethic® seine Praxen in Düsseldorf und Berlin.