Performing a Deep Plane Facelift: Surgical Instructions

A deep plane facelift delivers a natural result that corrects saggy necks, jowls, and a drooping midface (http://bit.ly/deep-plane-facelift). There are several important steps required to execute this procedure effectively, including marking the patient, mobilizing the superficial muscular aponeurotic system (SMAS) and platysma flap, creating the correct vectors, and placing the incisions correctly. In this video, Dr Williams shares his years of experience and insight on how to master this technique. Dr. Edwin F. Williams is a facelift specialist with over 30 years of experience in all aspects of facial rejuvenation surgery, who operates at the Plastic Surgery Center at Williams in Latham, New York. For more information on the deep plane facelift and to schedule a consultation with Dr. Williams, visit williamsfacialsurgery.com/contact-us. Time stamps 00:00 - Patient Positioning & Marking 03:13 - Local Injection 04:47 - Posterior Incision 06:18 - Transillumination of the Subcutaneous Flap 06:43 - Light Positioning 06:51 - Posterior Subcutaneous Dissection 09:54 - Anterior Incision 10:58 - Anterior Subcutaneous Dissection 14:12 - Marking the Deep Plane 15:40 - Subplatysmal Dissection 17:59 - SubSMAS Dissection 19:41 - Connecting the SubSMAS and Subplatysmal Flap 21:38 - SubSMAS Dissection Continued 24:19 - Resuspending the SMAS 28:31 - Correcting Contour Deformities 29:23- Resuspending the SMAS and Platysma 33:34 - Removal of Excess Skin 35:16 - Tacking Sutures and Removal of Excess Skin 40:12 - Incision Closure 40:37 - Before & After