Deep Plane Facelift Before & After Case 1

This patient came to our clinic concerned about her deepening jowls, noticeable bags under her eyes, a pronounced neck fold, and a visible tear trough. Her cheeks had started to descend, leading to further shadowing beneath the eyes and along the jawline. She had previously undergone SmartLipo to her chin but remained uneasy about the looseness of the skin in that area. We found that she also had mild platysmal banding, fullness of the submandibular glands, and mild excess neck skin without much underlying fat.

We addressed her goals during our consultation. Because she does not have hair and has a prominent tattoo on her scalp, we worked together to plan incisions that followed the natural hairline as much as possible and protected her tattoo. We used non-absorbable stitches for a precise closure. While we needed to cut through two tattoo leaves, the overall artwork remained intact and visible. The surgical approach included a deep plane facelift, lower blepharoplasty, and brow lift, combined with partial removal of the submandibular glands to enhance jawline definition.

She wanted all these changes addressed in one surgery, so we coordinated her procedures for a single operative session. Recovery was smooth and uneventful. Her results show improved facial balance—her neck and jawline appear more defined, the lower eyelid bags have diminished, and the tired look from descending cheeks and tear troughs has softened. She was happy with the ability maintain the character of her tattoo while achieving her surgical goals.

Providing Deep Plane Facelifts requires an individualized approach and technical precision. At Karter Advanced Facial Plastic Surgery, we combine surgical skill with patient-centered care to help each person achieve natural, harmonious results. Dr. Karter's practice draws on advanced training and board certification in facial plastic surgery, as well as experience teaching surgical technique at the University of Connecticut. This ensures each procedure is tailored to both your anatomy and unique aesthetic goals.