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Deep Plane FaceliftIn St. Louis, MO

Incomparable results

Deep plane extended facelift surgery can turn back the clock by decades, achieving a significantly rejuvenated appearance by addressing deeper tissues and avoiding the overly-taut appearance sometimes associated with traditional facelifts. A deep plane extended facelift offers substantial facial rejuvenation and natural-looking results, especially when performed by the experienced and triple board-certified surgeon, Dr. Laxmeesh Mike Nayak.

St. Louis Deep Plane Facelift model with blonde hair


In contrast to a traditional facelift in which the skin is pulled tight over the face’s aging underlying structure, a deep plane extended facelift adjusts the deeper tissues in the face for more comprehensive and natural-looking results.

While traditional and SMAS (superficial muscular aponeurotic system) facelifts place increased tension on the facial skin and muscles, a deep plane extended facelift fully releases, and passively repositions the underlying tissues of the face to restore their youthful positions without imposing additional strain on the skin or muscles. This approach allows for powerful results without the overly stretched, “done” appearance of traditional or SMAS facelifts.

St. Louis Deep Plane Facelift model wearing red

Deep Plane Facelift Benefits

A deep plane extended facelift restores underlying facial tissues to their former positions for seemingly natural results. A deep plane extended facelift can lift the cheeks, restore lost volume in the midface, improve the appearance of nasolabial folds, and lift the muscles around the jawline to eliminate the appearance of jowls.

A deep plane extended facelift is usually performed in combination with a deep neck lift to reverse sagging, fullness, banding, and skin excess of the neck. In addition to producing natural-looking facial rejuvenation, a deep plane extended facelift delivers long-lasting results that can help you look decades younger permanently. Depending on lifestyle and self-care, many deep plane extended facelift patients go upwards of 10 to 15 years before undergoing touch-up surgical treatment.

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Deep plane extended facelifts also more effectively lift the middle third of the face than other facelifts. Rather than simply pulling the skin on the lower face horizontally, the repositioning of tissues (including the muscles and fat within the cheeks) higher on the face emphasizes the upper portion of the face for a more consistent, natural-looking, and youthful appearance.

Your deep plane extended facelift in St. Louis with Dr. Nayak will be performed under local anesthesia plus deep intravenous sedation in our AAAHC-accredited surgical suite. Advanced anesthetic techniques and monitoring allow for comfortable, restful sleep, with no awareness or recollection of surgery and no need for a breathing tube or ventilator - all while keeping the total anesthetic administered to an absolute minimum. We regret that patients whose baseline health is borderline (BMI over 30, smokers, heart/lung/kidney disease, etc) may not be candidates for surgery.

Before your procedure

From your initial consultation through your recovery, there are several steps that you will need to take to ensure that your treatment goes as smoothly as possible. At your consultation with Dr. Nayak, you will have the opportunity to express in detail all of your specific concerns, your medical history, and any medications you may be taking.

Dr. Nayak will also perform a thorough physical examination to identify what corrections will yield the best results. Once you and Dr. Nayak have established that a deep plane facelift is the best treatment option for you, we will schedule your pre-op and surgical appointments. Your pre-op appointment will take place two weeks before your surgery. At this appointment, you will receive instructions for before and after your procedure and all of your prescriptions so you can fill them before surgery.

With any surgical procedure, it is necessary to avoid any medications or supplements that may thin the blood two weeks before and two weeks after your surgery. Dr. Nayak or one of his associates will take your pre-op photos at this appointment as well. You will also fill out your surgical consent form at this time, and your payment will be due. By taking the necessary steps to prepare for your procedure, you can arrive for surgery assured that everything you will need is already in place.

The deep plane facelift procedure

The night before your surgery, you should not eat or drink anything after midnight. If Dr. Nayak has instructed you to take any medications (including antibiotics, oral sedatives, or blood pressure medication) on the morning of your surgery, you should take them with a small sip of water. Do not take any diabetes or ADHD medication on the morning of your surgery.

Once you have arrived, you will once again go over your medical history and surgical plan. Next, Dr. Nayak’s team will prepare you for surgery by placing various monitors and air-filled socks to aid circulation. Once you are ready, intravenous sedation and local anesthesia will be administered, and surgery will begin.

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Through small, strategically placed incisions, Dr. Nayak will reposition the collective tissues on the face and secure them in a younger, prettier shape before meticulously closing your incisions. Your incisions will be very well-hidden, tucked beneath the jaw and around the ears. Once completely healed, your incisions will be nearly invisible.

You must have a close friend or family member drive you to and from your surgery, as well as a capable adult to stay with you for the first 24 hours. In most cases, we will ask you to arrive at our office at 7:15 in the morning. Deep plane extended facelift surgery typically takes about four hours, although your surgery may take longer if other procedures are added. Your companion will be contacted by telephone when your surgery is complete and you are in recovery.

Deep Plane Facelift Recovery

Because a deep plane extended facelift occurs at the natural plane within the face and avoids the separation of connected tissues, swelling and bruising are minimal compared to the effects of a non-deep plane extended facelift. Dr. Nayak may prescribe pain medications to reduce discomfort during your recovery, and cold compresses can also help to alleviate swelling.

You will need to stay within 30 minutes’ drive of the office the first night or two. Dr. Nayak’s team can suggest one of our prescreened hotel options if you like. You will see Dr. Nayak and his aftercare team the day after surgery in addition to three to five other visits over the first 2 weeks. Traveling patients must commit to spending the surgery day plus seven additional days in St. Louis, or within easy driving distance, before flying home. Most patients return to their normal social activities around three weeks.

Deep Plane Facelift Results

Your deep plane extended facelift will yield longer-lasting results than alternative facelift methods as the underlying tissue structures support the lift. Many patients go ten to fifteen years before follow-up surgical treatment is needed. Regular skincare, a healthy lifestyle, and non-surgical facial rejuvenation procedures will all help to maximize the longevity of your results.

St. Louis Deep Plane Facelift model with dark hair

Am I a candidate for a deep plane extended facelift?

The best candidates for a deep plane extended facelift are generally healthy, non-smoking adults who would like to reverse the signs of facial aging and have realistic expectations for their treatment.

As there is no “perfect age” for a facelift, Dr. Nayak can help determine if a deep plane extended facelift is the most appropriate treatment for your specific current concerns. While undergoing a facelift earlier than needed limits the potential for improvement, waiting too long may also prevent you from achieving optimal results. In general, Dr. Nayak finds the 40’s and 50’s the optimal time for truly beautiful facelift surgery,

but routinely transforms patients in their late 70’s and above. As with any procedure, you must understand what a deep plane extended facelift entails, how it works, and why it is the most advantageous treatment option for you. If you think you may be a candidate for this procedure, our office invites you to schedule your consultation with Dr. Nayak so you can discuss your treatment options in detail.

St. Louis Deep Plane Facelift provider Dr. Nayak

Book your St. Louis Deep Plane Facelift consultation with Dr. Nayak

If you would like to discuss a deep plane extended facelift, we invite you to book your consultation with Dr. Nayak via call, text, or contact form. Please contact us using the method most convenient for you. Our team looks forward to providing you with expert care and results that you’ll love for years to come.

Deep Plane Facelift
Frequently Asked Questions

What are the risks of a deep plane facelift?

Risks associated with a deep plane extended facelift include infection, swelling, bruising, bleeding, asymmetry, and facial nerve damage. However, as with any procedure, you can minimize your risks by choosing an expert provider like Dr. Nayak.

What are some related procedures?

While no other facelift methods produce the same results as a deep plane extended facelift, another approach may be better for addressing specific needs. Dr. Nayak is skilled and experienced in a wide variety of facelift procedures to ensure that you receive the most appropriate treatment.

Deep plane extended facelift patients may also combine their surgery with other procedures if desired. The deep neck lift, for example, is performed with the majority of Deep Plane Extended Facelifts. Furthermore, Nayak Plastic Surgery’s non-surgical skin-rejuvenating treatments can enhance your results.

Your plastic surgery story will change your life forever. At Nayak Plastic Surgery, we make sure that change is for the better. We invite you to call for a private consultation. We’ll show you how easy it is to create a more beautiful you.

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