The State of Deep Plane Facelift 2026
An evidence-based audit of the global deep plane facelift practitioner landscape
Published May 12, 2026 · Data read November 1, 2026 · Full methodology
By the numbers
Geographic concentration
Top 20 countries by active practitioner count. USA and Brazil together account for roughly 59% of the surgeons listed in this report.
Top practitioner cities
City-level concentration matters more than country totals for patients planning destination travel — these cities offer the deepest selection.
| Rank | City | Country | Surgeons |
|---|---|---|---|
| 1 | New York | USA | 62 |
| 2 | Beverly Hills | USA | 61 |
| 3 | São Paulo | Brazil | 32 |
| 4 | Chicago | USA | 22 |
| 5 | Tehran | Iran | 20 |
| 6 | Seoul | South Korea | 20 |
| 7 | Houston | USA | 20 |
| 8 | Dallas | USA | 19 |
| 9 | London | UK | 19 |
| 10 | Los Angeles | USA | 19 |
| 11 | Atlanta | USA | 18 |
| 12 | Newport Beach | USA | 17 |
| 13 | San Francisco | USA | 16 |
| 14 | Toronto | Canada | 16 |
| 15 | San Diego | USA | 15 |
Academic output distribution
Hirsch index ("h-index") measures both productivity and citation impact. An h-index of N means the researcher has at least N papers each cited ≥N times. Among DEEPPLANE™'s academically-active cohort (n=129):
Highest-cited practitioners
Filtered to surgeons with ≥1 facelift-specific peer-reviewed publication (CrossRef-indexed). Ranked by facelift publication count, then h-index. Name-collision false positives (e.g. unrelated researchers sharing a name) are excluded by the relevance gate.
| Surgeon | Country | h-index | Facelift papers | All papers | Total citations |
|---|---|---|---|---|---|
| Andrew Jacono | USA | 26 | 23 | 23 | 2,166 |
| James Zins | USA | 46 | 12 | 16 | 7,332 |
| Joe Niamtu | USA | 11 | 12 | 21 | 377 |
| Ben Talei | USA | 5 | 11 | 11 | 72 |
| Minhee Ryu | South Korea | 59 | 8 | 8 | 19,409 |
| Fred Fedok | USA | 25 | 7 | 15 | 2,432 |
| Mark Glasgold | USA | 18 | 6 | 14 | 1,017 |
| Richard Zoumalan | USA | 17 | 6 | 7 | 1,047 |
| Kevin Sadati | USA | 4 | 6 | 6 | 61 |
| Chris Surek | USA | 3 | 6 | 9 | 142 |
| Robert Glasgold | USA | 17 | 5 | 13 | 955 |
| Hatan Mortada | Saudi Arabia | 15 | 5 | 9 | 882 |
| James Grotting | USA | 31 | 4 | 5 | 3,728 |
| Oren Friedman | USA | 31 | 4 | 10 | 3,260 |
| Allan Wulc | USA | 27 | 4 | 8 | 2,289 |
| Ruth Graf | Brazil | 24 | 4 | 4 | 1,840 |
| Andrew Trussler | USA | 22 | 4 | 6 | 1,412 |
| Renato Saltz | USA | 17 | 4 | 5 | 1,135 |
| Nabil Fanous | Canada | 14 | 4 | 4 | 550 |
| Alessandro Gualdi | Italy | 12 | 4 | 5 | 410 |
| Samir Ghoraba | Egypt | 5 | 4 | 4 | 76 |
| Norman Waterhouse | UK | 22 | 3 | 5 | 1,878 |
| Michael Sundine | USA | 17 | 3 | 5 | 868 |
| Paul Nassif | USA | 14 | 3 | 8 | 520 |
| Saba Motakef | USA | 12 | 3 | 5 | 894 |
Surgeon experience distribution
Years of surgical experience across 627 listed surgeons with experience data (48% of active surgeons). Average: 21.7 years.
Source: surgeon-reported and admin-verified years of experience. Bucket '<5' includes residents and early-career specialists.
Social media presence
Combined Instagram following across 911 listed surgeons with a measured audience — a proxy for community reach and patient-facing authority.
Combined follower count double-counts overlapping audiences. It measures practitioner-community reach, not unique patient eyeballs. Source: Apify-licensed harvest + authorized IG Basic Display API.
Patient review aggregate
Google patient reviews across 956 listed surgeons. Excludes listings flagged as clinic or hospital aggregates (rather than individual surgeon ratings).
Source: Google Places enrichment, refreshed monthly. Only surgeons with at least one review are counted. Average rating is the mean of per-surgeon Google ratings, not a weighted aggregate.
Trust verification ladder
Every fact on a DEEPPLANE™ surgeon profile carries provenance. Multi-source agreement promotes facts up the verification ladder — patients see the verification tier explicitly on each profile.
What AI assistants tell patients
We put questions patients ask about a deep plane facelift to each assistant on a fixed schedule and record the sites every answer cites. Each assistant is asked the kinds of question it answers, so the mix of questions differs from one assistant to another and the rows are not a like-for-like contest. A surgeon named in the question itself is not counted as one the assistant named. Read November 2, 2026, over the last 35 days.
| Assistant | Answers read | Cite DEEPPLANE™ | Most-cited sites (share of answers) | Listed surgeons named (publicly verified) |
|---|---|---|---|---|
| ChatGPT | 2,031 | 21% | plasticsurgery.org 30% · realself.com 13% · isaps.org 8% · nhs.uk 7% | 346 (22) |
| Google AI Overview | 950 | 10% | instagram.com 26% · youtube.com 22% · facebook.com 20% · google.com 18% | 296 (16) |
| Google AI Mode | 1,155 | 7% | google.com 19% · navmds.com 10% · us-uk.bookimed.com 9% · youtube.com 7% | 210 (17) |
| Perplexity | 205 | 87% | realself.com 40% · us-uk.bookimed.com 31% · hauteliving.com 21% · placidway.com 15% | 135 (23) |
A surgeon counts only when an answer gives a full name that matches our directory. A name we cannot match is left out, never counted as unverified. Updated monthly.
Methodology
The DEEPPLANE™ practitioner registry is assembled from 9 independent data sources organized into three tiers. Every fact stored in the registry carries the source's canonical URL, a captured-at timestamp, and a SHA-256 hash of the source payload — enabling drift detection across quarterly refreshes.
- NPI (HHS NPPES)
- ABFPRS (American Board of Facial Plastic and Reconstructive Surgery)
- OIG HHS LEIE (exclusions; NPI-matched surgeons only — see coverage)
- OpenAlex (academic graph)
- ORCID (researcher identity)
- CrossRef (DOI registry)
- Wikidata
- Google Places
- Instagram (Apify-licensed harvest)
Reconciliation: Multi-tier-1 cross-corroboration. Facts emitted by ≥2 independent tier-1 sources earn gold-tier verification. Sources with hash-fingerprinting enable drift detection across quarterly refreshes.
Coverage: 237 NPI-matched US surgeons, 95 ABFPRS diplomates, 129 academically-active practitioners (≥1 indexed publication). The OIG LEIE check is scoped to the NPI-matched subset: an exclusion is detectable only where the surgeon has an NPI on file and the federal row carries one, so it is not a directory-wide screen.
Cite this report
If you reference this report in academic or editorial work, please use:
DEEPPLANE™. (2026). The State of Deep Plane Facelift 2026: A Global Practitioner Audit. DEEPPLANE™. Retrieved from https://deepplane.com/state-of-deep-plane-2026
Licensed under CC BY 4.0 — free to share and adapt with attribution to DEEPPLANE™.








