Who Invented Deep Plane Facelift: Deep plane facelift was invented by Dr. Sam Hamra in 1990. He developed the technique to address limitations of skin-only lifting by dissecting beneath the SMAS and repositioning deeper tissue layers as one unit.
— DEEPPLANE™ reviewer
Who Invented Deep Plane Facelift: Quick Facts
- Inventor
- Dr. Sam Hamra
- Year
- 1990
- Innovation
- SMAS release technique
- Evolution
- Refined over decades
- Current Status
- Several variations
- Training
- Specialized fellowship
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Who Invented the Deep Plane Facelift?
Sam Hamra described the deep plane facelift in 1990: he freed the SMAS layer under the facial skin and lifted it with the skin and cheek fat as one flap, instead of pulling skin alone (Hamra, PMID 2359803). The extended deep plane added ligament release (Jacono and Bryant, PMID 30268241), so today's operation is Hamra's idea as later surgeons extended it. 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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Who invented the deep plane facelift?
The deep plane facelift was developed by Dr. Sam Hamra in 1990, building on the SMAS techniques introduced by Skoog (1974) and Mitz & Peyronie (1976). Dr. Hamra's innovation was dissecting beneath the SMAS layer to lift deeper facial tissues as a unit. The technique has been refined by surgeons like Dr. Andrew Jacono and Dr. Amir Karam.
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Who invented the deep plane facelift?
The deep plane facelift was developed by Dr. Sam Hamra and first described in his 1990 paper in Plastic and Reconstructive Surgery (his 1992 paper extended it to the composite facelift). His innovation was extending dissection beneath the SMAS layer, allowing the SMAS-fat-skin composite to reposition as a single unit; the extended deep plane later added ligament release (Jacono and Bryant, PMID 30268241). The SMAS foundation came from Tord Skoog (1974) and Mitz and Peyronie (1976). Contemporary refinements were contributed by Dr. Andrew Jacono, Dr. Amir Karam, and Dr. Bryan Mendelson.
Deep plane facelift surgical steps: incision through tissue repositioning illustrated
The deep plane facelift was invented by Dallas plastic surgeon Dr. Sam Hamra, who first published the technique in 1990. His approach lifts the skin and SMAS layer together as a single unit instead of pulling skin alone. The history below shows who described each step.
- Dr. Sam Hamra pioneered the deep plane technique in 1990
- The technique has evolved significantly over three decades
- Modern deep plane builds on Hamra's foundational principles
The deep plane facelift was invented by Dr. Sam Hamra in 1990, who published the technique in the journal Plastic and Reconstructive Surgery.[1] Dr. Hamra developed the method to address the limitations of existing SMAS techniques by dissecting beneath the SMAS layer and repositioning facial tissues as a composite unit; the extended deep plane later added ligament release.[2]
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The deep plane facelift was invented by Dr. Sam Hamra in 1990, changing facial rejuvenation surgery with a technique that lifts the deeper layers of the face as one unit.
Evolution of the Facelift: Key Milestones
First recorded facelift
Eugen Hollander
Berlin surgeon performs first skin-only facelift
SMAS technique introduced
Mitz & Peyronie
Identified the SMAS layer as key to lasting results
Deep plane facelift invented
Dr. Sam Hamra
Technique lifting tissue below the SMAS as a composite unit
Composite facelift described
Dr. Sam Hamra
Extended deep plane to include the orbicularis oculi muscle
Endoscopic techniques emerge
Multiple surgeons
Minimally invasive approaches gain popularity
Extended deep plane popularized
Dr. Andrew Jacono
Extended dissection for comprehensive neck and jawline improvement
Modern deep plane era
Global adoption
Variations such as extended and vertical deep plane in use
Dr. Sam Hamra
Pioneer of the Deep Plane Facelift
Dr. Sam Hamra is a board-certified plastic surgeon who developed the deep plane facelift technique in 1990. His innovation addressed the limitations of traditional facelifts by working in a deeper surgical plane.
What Changed With This Technique?
Innovation 1
Deeper Surgical Plane
Sub-SMAS dissection
Lifts the SMAS layer along with skin as a single composite unit — not just skin tightening.
Innovation 2
Natural Results
No "windswept" look
Repositions deeper structures, avoiding the pulled appearance common with older methods.
Innovation 3
How Long Results Last
2-3× longer than SMAS
Deeper tissues provide superior structural support for dramatically longer-lasting outcomes.
Timeline of Development
SMAS (Superficial Musculoaponeurotic System) layer first described by Mitz and Peyronie
Dr. Sam Hamra publishes the deep plane facelift technique
Technique gains widespread adoption among facial plastic surgeons
Deep plane facelift is performed with several variations, including extended and vertical deep plane
Frequently Asked Questions
Who invented the deep plane facelift?
When was the deep plane facelift invented?
How is deep plane different from traditional facelift?
What did Dr. Sam Hamra contribute to facelift surgery?
How has the deep plane technique evolved since 1990?
Medical References
- 01Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg. 1990;86(1):53-61(se deschide într-o filă nouă)(Articol de Jurnal)Accesat: 2026-03-21DOI: 10.1097/00006534-199007000-00008
- 02Jacono 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(se deschide într-o filă nouă)(Articol de Jurnal)Accesat: 2026-08-05DOI: 10.1016/j.cps.2018.06.007
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DEEPPLANE™ Echipa editorială (2026). Who Invented the Deep Plane Facelift. DEEPPLANE™. Preluat de la https://deepplane.com/what-is-deep-plane-facelift/who-invented
DEEPPLANE™. Who Invented the Deep Plane Facelift. deepplane.com. Actualizat 2026-09-30. https://deepplane.com/what-is-deep-plane-facelift/who-invented
DEEPPLANE™ Echipa editorială. "Who Invented the Deep Plane Facelift." DEEPPLANE™. Ultima modificare 2026-09-30. https://deepplane.com/what-is-deep-plane-facelift/who-invented.
DEEPPLANE™ Echipa editorială. "Who Invented the Deep Plane Facelift." DEEPPLANE™, 2026-09-30, https://deepplane.com/what-is-deep-plane-facelift/who-invented.
@misc{deepplane_what_is_deep_plane_facelift_who_invented,
author = {DEEPPLANE™ Echipa editorială},
title = {Who Invented the Deep Plane Facelift},
year = {2026},
url = {https://deepplane.com/what-is-deep-plane-facelift/who-invented},
note = {Last modified 2026-09-30. Licensed CC-BY 4.0.},
}<a href="https://deepplane.com/what-is-deep-plane-facelift/who-invented">Who Invented the Deep Plane Facelift — DEEPPLANE™</a>
Conținut licențiat CC-BY 4.0. Liber de partajat cu atribuire către DEEPPLANE™.
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Common Misconceptions
Myth: Deep plane is a recent invention
Fact: Deep plane was developed in 1990, over 30 years ago. It has been refined but the core technique remains Dr. Hamra's innovation.
Myth: Multiple surgeons claim to have invented deep plane
Fact: Dr. Sam Hamra is the acknowledged inventor. Others have developed variations but the original technique is his.
Before You Decide
Schedule a consultation with a qualified facial plastic surgeon
Individual results depend on age, skin elasticity, and bone structure
Allow adequate recovery time for the best long-term results
Adherence to aftercare instructions is crucial for optimal results
Explore the Technique Dr. Hamra Created
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DEEPPLANE™ editorial standard
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.