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Extended deep plane facelift dissection area and lift vectors shown on facial anatomy profile view

Extended dissection area with retaining ligament release points

Extended Deep Plane Facelift

An extended deep plane facelift is a deep plane facelift that adds release of the retaining ligaments and shifts of the composite flap to reach further into the midface, jawline and neck (Jacono and Bryant, PMID 30268241), building on the SMAS flap of the original deep plane (Hamra, PMID 2359803). The added time quoted on this page is a typical range, not a measurement, and no study compares its results with a standard deep plane. What DEEPPLANE™ holds as data: 5,440 published before-and-after pairs from 760 surgeons in 58 countries, 30 of them photographed twelve months or more after surgery.

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What is an extended deep plane facelift?

An extended deep plane facelift carries the dissection further into the midface and neck than a standard deep plane procedure. It addresses severe aging in the cheeks, nasolabial folds, jowls, and neck simultaneously. The surgery typically takes 5–7 hours; we hold no study that measures its added time or how long the result lasts.

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المصدر: DEEPPLANE™ ·

What is an extended deep plane facelift and how does it differ from a standard deep plane?

An extended deep plane facelift carries the dissection further into the midface and neck than a standard deep plane procedure. Where a standard deep plane releases three primary retaining ligaments (zygomatic, masseteric, mandibular), an extended deep plane also releases the sub-orbicularis oculi fat (SOOF) and cervical retaining ligaments, enabling repositioning of the orbital malar region and platysma. Operation time: 5–7 hours versus 4–6 for standard deep plane. Cost: a deep plane facelift in the United States costs $35,000–$300,000 — most board-certified specialists charge $35,000–$75,000; top New York and Beverly Hills surgeons charge $75,000–$150,000; celebrity-tier procedures reach $300,000. Candidates: patients with severe midface descent, deep nasolabial folds, significant jowling and prominent neck banding; the surgeon decides at examination. We hold no study that measures how long the result lasts or compares it with a standard deep plane.

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Why This Topic Matters

An extended deep plane facelift is an advanced surgical procedure that provides comprehensive rejuvenation for the face and neck. A deep plane facelift in the United States costs $35,000–$300,000; most board-certified specialists charge $35,000–$75,000, top New York and Beverly Hills surgeons charge $75,000–$150,000, and celebrity-tier procedures reach $300,000. By releasing more retaining ligaments than a standard deep plane lift, it allows for a wider repositioning of tissues; we hold no study that measures how long the results last. This technique is used for significant aging, particularly in the neck and jowls.

  • Extended dissection addresses severe neck laxity and banding
  • Platysma muscle is treated as part of the composite flap
  • Used for more advanced aging; outcomes by age are not measured in a study we can cite

An extended deep plane facelift addresses the full face and neck by releasing all major retaining ligaments — zygomatic, masseteric, and cervical — in a single procedure[2,3]. This approach suits patients with significant aging across multiple facial zones[4]. It addresses the neck, jowls and the SMAS layer together, with a typical recovery of 2–3 weeks.

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Extended deep plane facelift releases the mandibular and cervical ligaments in addition to standard zygomatic ligaments[1,2]. This 5-7 hour procedure goes further than a standard deep plane, but we hold no study that shows its results are better or longer-lasting. A deep plane facelift in the United States costs $35,000–$300,000 — most board-certified specialists charge $35,000–$75,000, top New York and Beverly Hills surgeons charge $75,000–$150,000, and celebrity-tier procedures reach $300,000.

The 3 Vectors of Extended Lift

Three lift vectors of extended deep plane facelift on a lateral face view: vector 1 superolateral 45-60 degrees lifts descended malar fat pad upward and outward toward the cheekbone (midface/cheek), vector 2 posterior 30-45 degrees pulls jowl tissue backward toward the ear for a defined mandibular border (jowl/jawline), vector 3 posteroinferior 15-30 degrees tightens neck tissue for a smooth cervicomental angle (neck/platysma)
  1. Vector 1 — Superolateral (45–60°): Midface / cheek. Lifts descended malar fat pad upward and outward toward the cheekbone.
  2. Vector 2 — Posterior (30–45°): Jowl / jawline. Pulls jowl tissue backward toward the ear for a defined mandibular border.
  3. Vector 3 — Posteroinferior (15–30°): Neck / platysma. Tightens neck tissue downward and back for a smooth cervicomental angle.
$35K-75K
Typical Cost
4-6 hrs
Surgery Time
10.9 yrs
Avg. time to a second facelift, returning patients (Levin & Frankel 2026)
2-3 wks
Recovery

Extended Deep Plane Facelift: Extended deep plane facelift releases additional ligaments beyond standard deep plane, including the mandibular and cervical ligaments. This provides more comprehensive neck and jawline rejuvenation for patients with significant aging.

— DEEPPLANE™ reviewer

Extended Deep Plane Facelift: Quick Facts

Coverage
Face, neck, and jowls
Surgery Time
5-7 hours
Recovery
3-4 weeks
Results
Not compared in a study
Deep Plane: Time to Second Facelift (returning patients)
10.9 years on average (Levin & Frankel 2026)
Ideal For
Significant neck laxity

المصدر: Peer-Reviewed Medical Literature

Standard vs Extended Deep Plane: Coverage Comparison

Standard Deep Plane
Midface / cheek pad
Jowls
Nasolabial fold area
Zygomatic ligaments
4-5 cm

Typical dissection depth

Extended Deep Plane
All standard areas +
Full neck / platysma
Mandibular ligaments
Cervical ligaments
Submental region
Perioral area
7-9 cm

Extended dissection depth

What Is Extended Deep Plane Facelift?

This advanced facial rejuvenation technique addresses the deeper layers of facial tissue, working in a different layer from traditional methods; we hold no study that compares how natural or how long-lasting the results are. Extended deep plane dissection releases additional retaining ligaments beyond the standard approach, including the mandibular and cervical ligaments, allowing for more comprehensive neck and jawline correction.1

Board-certified plastic surgeons who specialize in this technique have extensive training in facial anatomy and can achieve results that look natural while addressing significant signs of aging including jowls, nasolabial folds, and neck laxity. We hold no study that compares neck rejuvenation after an extended deep plane with a standard technique, or that measures how long it lasts.3

How Much Does It Cost?

The cost varies significantly based on several factors:

  • Surgeon Experience: Most board-certified specialists charge $35,000–$75,000; top New York and Beverly Hills surgeons charge $75,000–$150,000
  • Geographic Location: Major cities like NYC and LA have higher costs
  • Facility Fees: Hospital vs. accredited surgical center
  • Anesthesia: General vs. local with sedation

Who Is a Good Candidate?

Ideal candidates for this procedure typically share these characteristics:

Good Candidates

  • • Patients with significant neck laxity extending below the jawline
  • • Those with prominent platysmal bands and turkey neck appearance
  • • Patients wanting comprehensive jawline-to-neck rejuvenation
  • • Non-smokers willing to accept an extended recovery

Potential Concerns

  • • Patients with only mild neck laxity (standard deep plane may suffice)
  • • Those with very thick neck skin or excessive submental fat (may need lipo first)
  • • Patients unable to sleep elevated for 2-3 weeks post-surgery
  • • Those with a history of keloid scarring in the neck area

Frequently Asked Questions

What is extended?
Extended deep plane facelift expands the traditional deep plane dissection to include the neck, jawline, and perioral region. By releasing additional retaining ligaments and extending the subplatysmal dissection, this technique addresses the full face and neck in a single comprehensive procedure.
How much does extended deep plane facelift cost?
A deep plane facelift in the United States costs $35,000–$300,000. Most board-certified specialists charge $35,000–$75,000; top New York and Beverly Hills surgeons charge $75,000–$150,000; celebrity-tier procedures reach $300,000. The extended approach sits at the higher end of each band due to the longer surgical time (5-7 hours) and broader scope of correction. It reaches further than a standard deep plane, but we hold no study that compares the results.
Who is a good candidate for extended deep plane facelift?
Best candidates have significant aging across the entire face and neck, including jowls, neck bands, marionette lines, and midface descent. Whether the extended approach suits a patient is for the surgeon to decide at examination.
How does extended deep plane differ from standard deep plane?
Extended deep plane releases additional retaining ligaments beyond the standard approach, including the mandibular and cervical ligaments. This allows for more comprehensive neck and jawline correction. The dissection extends 7-9 cm compared to 4-5 cm for standard deep plane. Surgery takes 5-7 hours versus 4-6 hours for standard.
Is extended deep plane necessary if I mainly have neck concerns?
Extended deep plane is specifically designed for patients with significant neck laxity, platysmal banding, or turkey neck. If your primary concerns are limited to the midface and mild jowling, a standard deep plane may suffice. Your surgeon will assess whether the extended approach provides enough additional benefit to justify the longer surgery time.

Medical References

  1. 01
    Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg. 1990;86(1):53-61(يفتح في علامة تبويب جديدة)(مقالة مجلة)تم الوصول إليه في: 2026-03-21معرف الكائن الرقمي (DOI): 10.1097/00006534-199007000-00008
  2. 02
    Jacono AA, Bryant LM. Extended Deep Plane Facelift: Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation. Clin Plast Surg. 2018;45(4):527-554(يفتح في علامة تبويب جديدة)(مقالة مجلة)تم الوصول إليه في: 2026-08-05معرف الكائن الرقمي (DOI): 10.1016/j.cps.2018.06.007
  3. 03
    Owsley JQ. Face lifting: problems, solutions, and an outcome study. Plast Reconstr Surg. 2000;105(1):302-313(يفتح في علامة تبويب جديدة)(مقالة مجلة)تم الوصول إليه في: 2026-08-05
  4. 04
    Swanson E. Outcome analysis in 93 facial rejuvenation patients treated with a deep-plane face lift. Plast Reconstr Surg. 2011;127(2):823-834(يفتح في علامة تبويب جديدة)(مقالة مجلة)تم الوصول إليه في: 2026-08-05معرف الكائن الرقمي (DOI): 10.1097/PRS.0b013e3181fed81f
  5. 05
    Levin M, Frankel A. Thirty Years of Deep Plane Facelifts: Characterizing Outcomes and Longevity. Facial Plast Surg Aesthet Med. 2026;28(5):482-487(يفتح في علامة تبويب جديدة)(مقالة مجلة)تم الوصول إليه في: 2026-09-23معرف الكائن الرقمي (DOI): 10.1177/26893614261422044
استشهد بهذه الصفحةCC-BY 4.0
DEEPPLANE™ فريق التحرير (2026). Extended Deep Plane Facelift. DEEPPLANE™. تم الاسترجاع من https://deepplane.com/what-is-deep-plane-facelift/extended

المحتوى مرخص CC-BY 4.0. مجاني للمشاركة مع الإشارة إلى DEEPPLANE™.

حقائق أساسية

Extended deep plane facelift releases all three retaining ligaments: zygomatic, masseteric, and cervical
Extended technique results have no measured duration compared with other facelift variations
Extended deep plane addresses midface, jawline, and neck in a single comprehensive procedure
Extended technique surgery time is 5-7 hours compared to 4-6 hours for standard deep plane
Extended deep plane is ideal for patients with significant aging across multiple facial zones
Recovery from extended deep plane takes 2-4 weeks, slightly longer than standard deep plane

Learn More

→ What is Deep Plane Facelift?→ Recovery Timeline→ Best Country for Facelift→ Browse Surgeons→ Before & After Results

Common Misconceptions

Myth: Extended deep plane is unnecessarily aggressive

Fact: Extended technique is appropriate for patients with significant neck laxity or previous facelift. The additional ligament release reaches further into the neck; we hold no study that compares the results.

Myth: Extended deep plane has much longer recovery

Fact: Recovery is similar to standard deep plane (2-3 weeks). The extended dissection does not significantly increase healing time.

Myth: Only older patients need extended deep plane

Fact: Extended technique benefits anyone with significant neck concerns, regardless of age. Anatomy, not age, determines the appropriate technique.

Essential Considerations

Schedule a consultation with a qualified facial plastic surgeon

Results depend on your specific anatomy and surgeon skill

Allow adequate recovery time for the best long-term results

Proper aftercare maximizes results and minimizes complications

Extended vs Composite — orthogonal, not alternatives.

Extended describes the surgical scope (full face + neck + jawline rather than midface only).Compositedescribes the layer inclusion (skin + SMAS + orbicularis as one composite flap rather than separately mobilised layers). A single procedure can be both extended and composite — they answer different questions about your operation.

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The DEEPPLANE™ Review Council is the name under which DEEPPLANE™ publishes its editorial standard; it is not a standing board of named surgeons. Our guides are written and edited in-house to that standard. Review is recorded per article, not claimed for the site as a whole — a guide names a surgeon as its reviewer only when that surgeon has signed it, and says so plainly when none has.

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