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Facial rejuvenation has advanced significantly, but few innovations have redefined standards as much as the deep plane facelift. At Markelov MD Plastic Surgery in Tampa, Dr. Alexey Markelov, a double board-certified plastic surgeon, is recognized for his mastery of this sophisticated procedure. Unlike traditional facelifts, which primarily focus on the skin, the deep plane technique repositions deeper facial tissues, creating refined, long-lasting improvements without the overly “pulled” look. Here’s what you need to know about how this approach restores youthful contours with precision and artistry.

What Is a Deep Plane Facelift?

A deep plane facelift goes beyond tightening the skin or adjusting only the superficial muscular aponeurotic system (SMAS). Dr. Markelov carefully repositions the deeper layers of facial tissue, including muscles and connective structures, to restore the foundation of the face. By addressing these underlying supports, the procedure lifts the midface, cheeks, jawline, and neck in a way that looks balanced and enduring.

Traditional Facelift vs. Deep Plane Facelift

  • Traditional facelift: Tightens skin and repositions superficial tissues; results may appear less natural and typically do not last as long.
  • Deep plane facelift: Targets deeper anatomical layers, producing a more harmonious lift with results that endure for years.

How Does a Deep Plane Facelift Work?

The “deep plane” refers to the tissue layer between the SMAS-platysma complex and the facial muscles responsible for expression. By lifting at this level, Dr. Markelov preserves the natural skin-to-muscle connection, creating smooth, balanced outcomes. This approach also softens nasolabial folds and restores midface volume without fillers. For patients concerned with signs of neck aging, Dr. Markelov performs deep plane neck lifts for comprehensive rejuvenation.

Benefits of a Deep Plane Facelift

  • Rejuvenation that looks refined and not overly tight
  • Long-term support of facial muscles and tissues
  • Effective correction of jowls, midface sagging, and neck laxity
  • Results that often last a decade or longer
  • A rejuvenated appearance that enhances personal confidence
  • Minimal scarring, as incisions are discreet and skin tension is reduced

What to Expect From the Procedure

Dr. Markelov employs advanced methods to minimize discomfort and speed healing. He performs the procedure with twilight or total intravenous anesthesia, uses dissolvable sutures, and applies a hemostatic net to eliminate drains and reduce hematoma risk. Incisions are discreetly placed along the hairline and behind the ears. By releasing specific ligaments, he can elevate the cheeks, soften deep folds, and sharpen the jawline, always with an emphasis on subtlety and balance.

Enhancing Results With Fat Transfer

To address both sagging and volume loss, Dr. Markelov frequently combines fat grafting with a deep plane facelift. Fat harvested from areas such as the abdomen or thighs is purified and injected into targeted facial regions. This restores youthful fullness and softens fine lines, complementing the lift for a complete rejuvenation. The combination offers a natural, balanced result that is more comprehensive than either procedure alone.

Discover Your Best Self

If you are considering facial rejuvenation, the deep plane facelift offers a proven path to results that look authentic and stand the test of time. Schedule a consultation with Dr. Alexey Markelov, an award-winning, double board-certified plastic surgeon in Tampa, to learn how his advanced expertise can help you achieve a youthful, refreshed appearance.


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