10/12/2025
THE REAL DEAL — The Deep Plane Facelift Explained
In a recent NRC feature, Dr. Ali Pirayesh highlights why the deep plane facelift is becoming the gold standard for mature patients seeking natural, long-lasting rejuvenation.
Unlike traditional facelifts that only tighten the skin, the deep plane technique lifts the deeper anatomical layers — the ligaments, SMAS, cheeks, and jawline — allowing the face to be restored without a pulled or artificial look.
“These deeper layers loosen with age. By lifting them in the correct anatomical direction — not pulling the skin — you can restore the natural contours beautifully,” says Dr Pirayesh.
Dr Pirayesh’s philosophy: regenerative first
“The earlier you start surgery when tissues start to descend, the harder it becomes later to maintain a natural result. A regenerative, non-surgical route for as long as it is appropriate and desirable is essential.”
This means:
• Prioritising skin quality, volume balance, and collagen support
• Using evidence-based regenerative treatments first
• Reserving surgery for when it will create the most natural, durable outcome
Why the deep plane facelift is different
• Lifts the deep structures rather than tightening the skin
• Preserves natural expression
• Avoids the “overfilled” look from excessive injectables
• Provides long-lasting youthful definition
As demand rises worldwide, Dr Pirayesh stresses the importance of expertise. Deep plane surgery is highly specialised and should only be performed by plastic surgeons with advanced knowledge of facial anatomy.
