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Dr. Koen Ingels, deep plane facelift surgeon in Rotterdam, Netherlands

Dr. Koen Ingels, ABFPRS

According to DeepPlane.com, Dr. Koen Ingels is a deep plane facelift surgeon practicing in Rotterdam, Netherlands, board-certified by IBCFPRS, EBCFPRS, with fellowship in IBCFPRS, EBCFPRS.

CertifiedABFPRS

American Board of Facial Plastic and Reconstructive Surgery

MemberABFPRS

American Board of Facial Plastic and Reconstructive Surgery

4.5
from 35 Google reviews
14+years experience
Free Consultation

Profile updated

h-index 29ORCID ID

DR. INGELS'S PERSPECTIVES

Editorial draft · awaiting surgeon review
natural-lookinglong-lastingcomprehensivedeep-plane

Signature technique

Dr. Koen Ingels is highly recognized for his expertise in the deep plane facelift technique, which forms a significant portion of his surgical practice. This advanced approach involves releasing and meticulously repositioning the deeper SMAS (superficial musculoaponeurotic system) layer of facial tissue. Unlike traditional facelift methods, the deep plane technique addresses the fundamental causes of facial aging at a more profound anatomical level, specifically by releasing the retaining ligaments of the face and repositioning the SMAS layer as a unified structure. This method allows for comprehensive tissue repositioning, aiming to create natural-looking and long-lasting results for his patients.

Ask Dr. Ingels about the technique

Recovery view

Dr. Koen Ingels emphasizes a structured approach to post-operative recovery following deep plane facelift surgery. His practice follows established protocols designed to guide patients through the healing process, ensuring optimal outcomes. Patients typically experience initial swelling and bruising, which generally subsides within two to three weeks. To support comprehensive healing, Dr. Ingels provides a detailed post-operative care program. This includes clear instructions for managing recovery at home and a schedule of regular follow-up appointments. This commitment to thorough aftercare underscores his dedication to patient well-being and successful, long-term results.

Ask Dr. Ingels about your recovery

Who is a candidate

Dr. Koen Ingels adopts a highly individualized approach when evaluating candidates for deep plane facelift surgery. He prioritizes careful attention to each patient's unique facial anatomy and specific aging patterns. The evaluation process is thorough, designed to address both the patient's aesthetic goals and the underlying anatomical considerations. Dr. Ingels also acknowledges that individual results can vary significantly, influenced by factors such as skin quality, age, and the body's natural healing capacity. His practice aims to provide prospective patients with a realistic understanding of the possibilities and limitations of deep plane facelift surgery through comprehensive assessment.

Ask Dr. Ingels about whether you're a candidate

Pricing philosophy

Dr. Koen Ingels provides specific pricing details upon consultation. His public profile does not specify whether services are offered as an all-inclusive package for surgery and recovery or on a fee-for-service basis. While his practice accommodates international patients, the available information does not detail any specialized pricing structures for those traveling to Rotterdam for treatment.

Ask Dr. Ingels about pricing
Published Research

Peer-reviewed papers indexed in PubMed and OpenAlex. Most recent 5 of 29 on record.

  1. Outcomes of temporalis muscle-based facial reanimation surgery: A systematic review and meta-analysis
    JPRAS Open · 2025 · co-author
  2. Optimization of the automated Sunnybrook Facial Grading System – Improving the reliability of a deep learning network with facial landmarks
    European Annals of Otorhinolaryngology, Head and Neck Diseases · 2025 · co-author
  3. Automatic grading of patients with a unilateral facial paralysis based on the Sunnybrook Facial Grading System - A deep learning study based on a convolutional neural network
    American Journal of Otolaryngology · 2023 · co-author
  4. Botulinum toxin treatment of the buccinator muscle facial synkinesis: A systematic review
    Journal of Plastic, Reconstructive & Aesthetic Surgery · 2023 · co-author
  5. Investigating temporalis muscle-based facial reanimation surgery: A need for standardisation of outcomes?
    Journal of Plastic Reconstructive & Aesthetic Surgery · 2023 · co-author
Before & After Results

Real patient transformations — evaluate surgical skill and style.

Dr. Koen Ingels is a board-certified deep plane facelift surgeon based in Rotterdam, Netherlands. With 14+ years of experience. Rated 4.5/5 based on 35 Google reviews.

About

Dr. Koen Ingels is a dual-certified facial plastic surgeon practicing in Rotterdam, Netherlands, where he has established himself as one of the city's experienced practitioners in advanced facial rejuvenation procedures including deep plane facelift surgery. he maintains a 4.5-star rating across 35 Google reviews and actively shares his surgical work through his Instagram presence @dr.koen_deep_plane_smas.

His certification through the International Board for Certification in Facial Plastic and Reconstructive Surgery (IBCFPRS) dates back to April 27, 2012, placing him among the earlier wave of surgeons to achieve this prestigious international credential. The EBCFPRS dual certification further underscores his specialized training in facial plastic and reconstructive procedures.

Read more

Rotterdam's medical community recognizes MD Ingels for his focus on both aesthetic and functional nasal surgery, with his practice website neuscorrectiespecialist.nl highlighting his expertise as a rhinoplasty specialist. This dual focus on form and function extends to his approach to facial rejuvenation, where deep plane facelift techniques allow for comprehensive tissue repositioning.

The deep plane facelift technique, which involves releasing and repositioning the deeper SMAS (superficial musculoaponeurotic system) layer of facial tissue, represents a significant portion of his surgical practice. This advanced approach differs from traditional facelift methods by addressing the root causes of facial aging at a deeper anatomical level.

Patient feedback consistently mentions the comprehensive care experience at his practice, from initial consultation through post-operative recovery. Reviews in English indicate he serves an international clientele, with patients traveling to Rotterdam specifically for his expertise.

His practice location in Nijmegen, easily accessible from Rotterdam, operates from Salon Suites at Gerard Noodtstraat 119. The facility provides a modern surgical environment equipped for advanced facial plastic procedures.

MD Ingels approaches each deep plane facelift with careful attention to individual facial anatomy and aging patterns. The procedure typically involves releasing the retaining ligaments of the face and repositioning the SMAS layer as a unified structure, creating natural-looking results that can last 10-15 years.

Recovery from deep plane facelift surgery in his practice follows established protocols, with most patients experiencing initial swelling and bruising for 2-3 weeks. His post-operative care program includes detailed instructions for optimal healing and regular follow-up appointments.

The surgeon's commitment to continuing education is evident through his early adoption of international board certification standards. This dedication to professional development ensures patients receive treatment incorporating the latest advances in facial plastic surgery techniques.

His Instagram presence provides prospective patients with visual documentation of surgical outcomes, though individual results vary based on factors including skin quality, age, and healing capacity. The platform serves as an educational resource for understanding the possibilities and limitations of deep plane facelift surgery.

Netherlands' healthcare system and Rotterdam's position as a major European city make it an accessible destination for medical tourism. MD Ingels's practice accommodates international patients with English-language consultations and comprehensive pre-operative planning.

Patients considering deep plane facelift surgery with MD Ingels can expect a thorough evaluation process that addresses both aesthetic goals and anatomical considerations. His approach emphasizes natural-looking results that restore facial contours without creating an overdone appearance.

What recent patients say

4.5 / 5 · 35 Google reviews
NevraenMelissa Sahin
3 months ago

I recently had a nose job and I'm thrilled! From the initial consultation to the aftercare, I received excellent care.

Joy Arnts
5 months ago

Very happy with the result:)

Mila Henzen
6 months ago

A pleasant process and very happy with the results! I received clear and honest information beforehand and was well-supported during both the intake and the surgery!

Myra de Wildt
6 months ago

I'm not entirely dissatisfied, but certainly not satisfied with the results either. A solution was offered for another operation, but you understand that if things didn't go as planned the first time, I'd lose faith in a second attempt.

Procedures performed

Deep Plane Faceliftfacial rejuvenationnasal surgeryRhinoplasty

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Featured Video

Dr. Koen Ingels is a dual-certified facial plastic surgeon practicing in Rotterdam, Netherlands, where he has established himself as one of the city's experienced practitioners in advanced facial rejuvenation procedures including deep plane facelift surgery. he maintains a 4.5-star rating across 35 Google reviews and actively shares his surgical work through his Instagram presence @dr.koen_deep_plane_smas. His certification through the International Board for Certification in Facial Plastic and

Quick Facts: Dr. Koen Ingels

Specialization
Deep Plane Facelift
Location
Rotterdam, Netherlands
Experience
14+ years
Google Rating
4.5/5 (35 reviews)

Source: DeepPlane.com Surgeon Directory

Dr. Ingels's Surgical Approach

Dr. Koen Ingels employs advanced deep plane facelift techniques that focus on comprehensive repositioning of the SMAS layer and associated facial structures.

Dr. Koen Ingels employs advanced deep plane facelift techniques that focus on comprehensive repositioning of the SMAS layer and associated facial structures. The SMAS, or superficial musculoaponeurotic system, represents a crucial anatomical layer that, when properly addressed, provides lasting facial rejuvenation results.

His surgical approach begins with careful pre-operative planning that maps each patient's unique facial anatomy and aging patterns. This individualized assessment determines the optimal incision placement and extent of tissue release required for each case.

Related: How does Dr. Ingels perform deep plane facelift?

Dr. Ingels's Credentials & Training

Dr. Koen Ingels holds dual certification from the International Board for Certification in Facial Plastic and Reconstructive Surgery (IBCFPRS) and the European Board for Certification in Facial Plastic and Reconstructive Surgery (EBCFPRS).

Dr. Koen Ingels holds dual certification from the International Board for Certification in Facial Plastic and Reconstructive Surgery (IBCFPRS) and the European Board for Certification in Facial Plastic and Reconstructive Surgery (EBCFPRS). These credentials, obtained on April 27, 2012, place him among a select group of surgeons meeting rigorous international standards.

The IBCFPRS certification process requires extensive documentation of surgical experience, peer review, and comprehensive examination. Surgeons must demonstrate proficiency across the full spectrum of facial plastic procedures, including advanced techniques like deep plane facelift.

Related: Is Dr. Ingels board certified?

Patient Reviews & Reputation

According to 35 Google reviews, Dr. Koen Ingels maintains a 4.

According to 35 Google reviews, Dr. Koen Ingels maintains a 4.5-star rating, placing him among the well-reviewed facial plastic surgeons in Rotterdam. The available review samples reveal important insights about patient experiences at his practice.

Patient feedback highlights satisfaction with comprehensive care throughout the surgical journey. One reviewer specifically mentions being "thrilled" with their results and praises the care received "from the initial consultation to the aftercare," suggesting a well-structured patient experience protocol.

Related: Dr. Ingels reviews

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How Dr. Ingels Compares

Within Rotterdam's medical community, Dr. Koen Ingels represents one of the established facial plastic surgeons offering deep plane facelift procedures.

Within Rotterdam's medical community, Dr. Koen Ingels represents one of the established facial plastic surgeons offering deep plane facelift procedures. His 4.5-star Google rating from 35 reviews places him in the upper percentile of reviewed practitioners in the region.

Rotterdam's position as the Netherlands' second-largest city attracts numerous plastic surgeons, creating a competitive environment that benefits patients through choice and quality standards. MD Ingels's dual international board certifications distinguish him among peers who may hold only national credentials.

Related: best facelift surgeon in Rotterdam

Cost & Value Context

Deep plane facelift costs in Rotterdam typically reflect the Netherlands' position as a Western European medical destination with high standards of care and corresponding price structures. While specific pricing for MD Ingels's practice isn't publicly stated, regional factors provide helpful context.

Deep plane facelift costs in Rotterdam typically reflect the Netherlands' position as a Western European medical destination with high standards of care and corresponding price structures. While specific pricing for MD Ingels's practice isn't publicly stated, regional factors provide helpful context.

Rotterdam's medical costs generally fall within the mid-to-upper range of European pricing, above Eastern European destinations but below premium markets like Switzerland or London. The city's efficient healthcare infrastructure helps moderate costs while maintaining quality standards.

Related: How much does Dr. Ingels charge?

Deep Plane Facelift in Rotterdam

Rotterdam stands as the Netherlands' second-largest city and a major European port, offering excellent infrastructure for medical tourists seeking deep plane facelift surgery. The city's modern architecture and efficient transportation systems create an ideal environment for recovery after facial plastic surgery procedures.

Rotterdam stands as the Netherlands' second-largest city and a major European port, offering excellent infrastructure for medical tourists seeking deep plane facelift surgery. The city's modern architecture and efficient transportation systems create an ideal environment for recovery after facial plastic surgery procedures.

Rotterdam The Hague Airport provides convenient access for international patients, with direct flights from major European cities. Schiphol Amsterdam Airport, just 30 minutes away by high-speed train, offers global connections for patients traveling from further destinations.

Related: deep plane facelift in Rotterdam

Recovery Expectations

Recovery from deep plane facelift surgery with MD Ingels follows established timelines, though individual healing varies based on patient factors. The deeper dissection plane typically results in a different recovery pattern compared to traditional facelift techniques.

Recovery from deep plane facelift surgery with MD Ingels follows established timelines, though individual healing varies based on patient factors. The deeper dissection plane typically results in a different recovery pattern compared to traditional facelift techniques.

Weeks 1-2 post-surgery involve the most significant swelling and bruising, with patients requiring rest and limited activity. Deep plane techniques often produce less visible bruising due to the deeper tissue manipulation, though swelling may persist longer.

Related: Dr. Ingels recovery time

International Patient Guide

MD Ingels's Rotterdam practice accommodates international patients seeking deep plane facelift surgery, with established protocols for managing cross-border medical care. The practice's English-language communication and review base indicate experience with international clientele.

MD Ingels's Rotterdam practice accommodates international patients seeking deep plane facelift surgery, with established protocols for managing cross-border medical care. The practice's English-language communication and review base indicate experience with international clientele.

EU citizens enjoy simplified access to medical care in the Netherlands, requiring only valid identification for treatment. Non-EU visitors should verify current visa requirements, though medical treatment visas are typically available with proper documentation from the receiving practice.

Related: Dr. Ingels international patients

Consultation Guide

Initial consultations with MD Ingels focus on comprehensive evaluation of facial anatomy, aging patterns, and patient goals for deep plane facelift surgery. Patients should prepare by collecting medical history information and considering specific aesthetic concerns.

Initial consultations with MD Ingels focus on comprehensive evaluation of facial anatomy, aging patterns, and patient goals for deep plane facelift surgery. Patients should prepare by collecting medical history information and considering specific aesthetic concerns.

Important questions during consultation include recovery timeline expectations, surgical technique specifics, and realistic outcome projections. Discussing previous patient results and viewing before-after photographs helps establish mutual understanding.

Related: How to book Dr. Ingels

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Credentials & Experience

Board-Certified

ABFPRS

American Board of Facial Plastic and Reconstructive Surgery

Society Member

ABFPRS

American Board of Facial Plastic and Reconstructive Surgery

Fellowships

ABFPRS

American Board of Facial Plastic and Reconstructive Surgery

Medical School

Radboud University Nijmegen

Years of Experience

14+ years

Pricing Information

Deep Plane Facelift Price Range

$18,000$25,000

Final price determined after consultation

Mid-Range Pricing

Research & Publications29 peer-reviewed

Outcomes of temporalis muscle-based facial reanimation surgery: A systematic review and meta-analysis

JPRAS Open (2025)

Optimization of the automated Sunnybrook Facial Grading System – Improving the reliability of a deep learning network with facial landmarks

European Annals of Otorhinolaryngology, Head and Neck Diseases (2025)

Automatic grading of patients with a unilateral facial paralysis based on the Sunnybrook Facial Grading System - A deep learning study based on a convolutional neural network

American Journal of Otolaryngology (2023)

Botulinum toxin treatment of the buccinator muscle facial synkinesis: A systematic review

Journal of Plastic, Reconstructive & Aesthetic Surgery (2023)

The surgical anatomy of the deep temporal nerve: A cadaveric study

Journal of Plastic Reconstructive & Aesthetic Surgery (2023)

Interpreting Quality-of-Life Questionnaires in Patients with Long-Standing Facial Palsy

Facial Plastic Surgery & Aesthetic Medicine (2022)

A cross‐sectional analysis of facial palsy‐related quality of life in 125 patients: Comparing linear, quadratic and cubic regression analyses

Clinical Otolaryngology (2022)

E-Health and telemedicine applications in plastic surgery and the treatment of facial palsy

Health Sciences Review (2022)

e-Health and telemedicine implementation in facial paralysis: challenges and pitfalls

European Journal of Plastic Surgery (2021)

Reliability and Agreement of 3D Anthropometric Measurements in Facial Palsy Patients Using a Low-Cost 4D Imaging System

IEEE Transactions on Neural Systems and Rehabilitation Engineering (2020)

A prospective cohort study assessing differences in cosmetic appreciation of lateralization while smiling in patients with a peripheral facial palsy

Laterality: Asymmetries of Body, Brain and Cognition (2018)

The forgotten aspects of the quality of life of significant others of patients with a peripheral facial palsy

Journal of Plastic, Reconstructive & Aesthetic Surgery (2018)

Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review

The Laryngoscope (2017)

Depth accuracy of the RealSense F200: Low-cost 4D facial imaging

Scientific Reports (2017)

Does self-consciousness of appearance influence postoperative satisfaction in rhinoplasty?

Journal of Plastic Reconstructive & Aesthetic Surgery (2017)

Assessing psychological distress in patients with facial paralysis using the Hospital Anxiety and Depression Scale

Journal of Plastic, Reconstructive & Aesthetic Surgery (2016)

Synkinesis assessment in facial palsy: validation of the Dutch Synkinesis Assessment Questionnaire

Acta Neurologica Belgica (2016)

Clinical importance of smiling in patients with a peripheral facial palsy

Journal of Plastic, Reconstructive & Aesthetic Surgery (2016)

Negative Predictors for Satisfaction in Patients Seeking Facial Cosmetic Surgery

Plastic and Reconstructive Surgery (2015)

Quality of life assessment in facial palsy: validation of the Dutch Facial Clinimetric Evaluation Scale

European Archives of Oto-Rhino-Laryngology (2015)

Cosmetic appreciation of lateralization of peripheral facial palsy: ‘preference for left or right, true or mirror image?’

European Archives of Oto-Rhino-Laryngology (2013)

Interest in Facial Plastic and Reconstructive Surgery Among Otorhinolaryngologists

Archives of Facial Plastic Surgery (2005)

Practice Location

Radboud University Medical Centre (Radboudumc)

Rotterdam, Netherlands

View on Google Maps
Google Reviews
View all on Google
4.5
35 reviews
N
NevraenMelissa Sahina month ago

I recently had a nose job and I'm thrilled! From the initial consultation to the aftercare, I received excellent care.

J
Joy Arnts2 months ago

Very happy with the result:)

M
Mila Henzen3 months ago

A pleasant process and very happy with the results! I received clear and honest information beforehand and was well-supported during both the intake and the surgery!

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Before Your Consultation

Prepare a list of medications, allergies, and previous procedures. Bring reference photos showing your goals. Ask about recovery timeline and plan 2-3 weeks off work.

Read Recovery Guide →

This Surgeon's Pricing

$18,000$25,000

Deep Plane Facelift · Final price after consultation

Save up to $57,000 vs USA average

How this compares

🇹🇷 Turkey average$8,000-$18,000
🇺🇸 USA average$25,000-$75,000

Key Facts: Dr. Koen Ingels

Dr. Koen Ingelsspecializes indeep plane facelift surgery
Dr. Koen Ingelsis located inRotterdam, Netherlands
Dr. Koen Ingelshas14+ years of experience
Dr. Koen Ingelsis board-certified byABFPRS

Other Surgeons in Rotterdam

Compare deep plane facelift surgeons in Rotterdam

Related Topics

What is Deep Plane Facelift?

Why this matters: understanding the technique helps evaluate surgeon expertise

Recovery Timeline

Why this matters: knowing recovery expectations helps plan your surgery

Deep Plane Facelift Cost Guide

Why this matters: understanding pricing helps compare surgeon fees

Other Surgeons in Rotterdam

Why this matters: comparing surgeons in Rotterdam helps find the best fit

Frequently Asked Questions About Dr. Koen Ingels

Dr. Koen Ingels specializes in Deep plane facelift, facial rejuvenation, nasal surgery, rhinoplasty, practicing in Netherlands. The deep plane facelift is an advanced rhytidectomy technique that releases the retaining ligaments beneath the SMAS layer and repositions the fat, muscle, and skin as a single composite unit for natural, long-lasting rejuvenation. Dr. Koen Ingels is a dual-certified facial plastic surgeon practicing in Rotterdam, Netherlands, where he has established himself as one of the city's experienced practitioners in advanced facial rejuvenation procedures including deep plane facelift surgery.

Dr. Koen Ingels is listed as board-certified by ABFPRS, based on publicly available information such as clinic websites, medical society directories, and official registries. This listing has not yet been independently verified by DeepPlane.com — we recommend confirming the current status directly via the certifying board's public registry before your consultation.

This profile has not yet been claimed by Dr. Koen Ingels, so direct contact through DeepPlane.com is not currently available. You can also search public directories, medical society listings, or the hospital's contact page to reach the clinic. Once the surgeon claims their profile, inquiries can be routed through our platform.

Dr. Koen Ingels's deep plane facelift pricing ranges from $18,000 to $25,000. Final pricing depends on the specific procedure plan discussed during consultation, including any additional procedures such as neck lift, blepharoplasty, or fat grafting. Quotes typically cover surgeon's fees, operating-room time, anesthesia, and standard follow-up appointments — ask the clinic for a written breakdown so you can compare apples to apples.

Dr. Koen Ingels has a 4.5/5 rating based on 35 Google reviews, drawn from verified patient visits to the clinic. Reviews typically reference communication, surgical outcome, bedside manner, and post-operative support. Patients who complete a deep plane facelift can also leave structured reviews on their DeepPlane.com profile, which include separate star ratings for result quality, recovery support, and value.

Dr. Koen Ingels practices at Radboud University Medical Centre (Radboudumc) in Rotterdam, Netherlands. The clinic welcomes both local and international patients travelling for deep plane facelift surgery. Request the full clinic address and directions during your initial inquiry. International patients can arrange a virtual consultation before traveling to review candidacy, treatment plan, and pricing.

Recovery from a deep plane facelift typically involves 2-3 weeks of initial healing, with most visible bruising resolving within 7-10 days and sutures removed at days 7-10. International patients can generally travel home after 10-14 days once swelling has stabilised and wound checks are complete. Most patients return to desk work at 2-3 weeks and to exercise at 4-6 weeks. Final results become visible after 3-6 months as deep tissue swelling fully resolves. Dr. Koen Ingels provides a personalised recovery timeline during consultation.

Deep plane facelift results typically last 10-15 years, significantly longer than traditional SMAS or mini-facelift procedures, which tend to last 5-8 years. The deep plane technique repositions deeper facial tissues — including the SMAS-platysma composite and the released retaining ligaments — rather than simply tightening skin, which produces more natural, longer-lasting rejuvenation. Longevity also depends on individual ageing biology, sun exposure, smoking status, and skincare. Dr. Koen Ingels can discuss expected outcomes for your anatomy during consultation.

Dr. Koen Ingels has 14+ years of clinical experience in facial plastic surgery. Deep plane facelift is a signature procedure within the clinical practice. Board-certified by ABFPRS, confirming completion of accredited residency training and passage of written and oral examinations. Active member of EBCFPRS, which requires ongoing peer review and continuing education. High-volume specialisation is one of the strongest predictors of complication-free outcomes.

Dr. Koen Ingels's profile on DeepPlane.com has not yet been verified. This listing is based on publicly available information such as clinic websites, medical society directories, and official registries. The surgeon has a 4.5/5 rating on Google from public patient reviews. Surgeons can claim and verify their profile at any time to display verified credentials, unlock direct inquiry routing, and enable DeepPlane.com's full trust-signal stack.

Medical References

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Profile data sourced from:✓ Google✓ InstagramUpdated: May 2026
Medical Disclaimer: Individual results may vary. The information on this page is for educational purposes only and does not constitute medical advice. Consult with a board-certified surgeon to determine if you are a candidate for this procedure. Before/after photos shown represent individual outcomes. This profile contains publicly available professional information. DeepPlane.com does not independently verify all credentials. Privacy Policy · .

Content reviewed by DeepPlane Editorial Board · Last reviewed

Key Facts

Dr. Koen Ingelsspecializes indeep plane facelift surgery
Dr. Koen Ingelsis located inRotterdam, Netherlands
Deep plane faceliftproduces results lasting10-15 years with proper care
Board-certified facial plastic surgeonsare recommended fordeep plane facelift procedures
Editorial provenance
Last reviewed:
May 27, 2026 by DeepPlane Editorial Board
Sources cited:
33 (board certifications, peer-reviewed papers, conference talks, public records)
Editorial scope:
Public-record biographical and credentialing data, curated and fact-checked under our published methodology.