My Journey Transitioning to Deep Plane Facelift and Endoscopic Deep Plane Facelift Techniques
- beşir öner
- 5 days ago
- 2 min read
Facelift surgery has become increasingly popular today. It is one of the most effective and long-lasting methods for individuals who want to look younger and eliminate the signs of aging. Over time, various facelift techniques have been developed and applied. Broadly speaking, surgical methods such as SMAS plication, SMASectomy, skin-only lifting, and endoscopic subperiosteal techniques have been introduced. The most recent and modern technique is the deep plane facelift.
In this technique, unlike others, the dissection is performed beneath the SMAS layer, allowing the retaining ligaments to be released. The SMAS layer, along with muscles and surrounding tissues, is lifted as a whole unit. This results in more effective, natural, and long-lasting outcomes. The main challenge of this technique is that the branches of the facial nerve lie within the dissection field, making the most significant risk potential nerve injury.
There are key milestones that have enabled me to learn and perform this technique comfortably. The most important of these is completing my residency at the Department of Plastic, Reconstructive and Aesthetic Surgery at Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, one of the leading institutions both in Türkiye and internationally. During my specialization training, performing advanced reconstructions of both the face and other parts of the body allowed me to develop a strong command of anatomy. This has provided significant ease in applying deep plane techniques in aesthetic surgery.
Another important factor was my training in 2020 at Texas El Paso Cosmetic Surgery in the USA, where I learned advanced facelift procedures from Dr. Ozan Sözer, one of the world’s leading facelift surgeons. As an active member of ISAPS (https://www.isaps.org/discover/find-a-surgeon/?sortOrder=4236&itemsPerPage=10&page=1&memberGroupIds=1340%2C1343%2C1345%2C1382%2C1388%2C1391%2C1395%2C1398%2C59905%2C70160%2C70161%2C70167%2C70440%2C70598%2C85018%2C85022%2C86628%2C93538%2C98316),
I have also had the opportunity to expand my knowledge of deep plane facelift techniques through international congresses and direct professional exchanges with leading surgeons in the field. Additionally, successfully obtaining EBOPRAS certification has made a significant contribution to my expertise (https://ebopras.eu/fellows). Furthermore, I actively participate in both national and international congreses as a speaker or attendee, sharing knowledge and experience (https://www.instagram.com/reel/DHYjJ0kIu0P/) (https://www.instagram.com/reel/DA6Ti22IHed/).
For patients, particularly those aged around 40–45 with minimal skin laxity, I prefer the endoscopic deep plane facelift (also known as the “scarless facelift”) technique. For patients around the age of 55 with more advanced sagging and skin looseness, I use the classic deep plane facelift technique. In both methods, the dissection is performed beneath the SMAS layer. In the endoscopic technique, scars are hidden within the hair-bearing scalp, making them virtually invisible. In the classic technique, the incision starts in front of the ear, passes behind the tragus, and extends behind the ear.
I perform my surgeries in Nişantaşı, Istanbul. Beyond the techniques mentioned above, there are also other facelift methods available, such as intraoral (through the mouth) approaches. I do not apply a standard technique to every patient; surgical planning is individualized according to each patient’s needs. When necessary, I combine different techniques within the same procedure.
In conclusion, the deep plane facelift is the most modern and long-lasting method available today.
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