FACELIFT
(Deep Plane Facelift, Mid-face Lift)
Face lift (ritidectomy) can be defined as the correction of mid-face anatomical changes that occurs with age.
From the age of 20-25,
sagging of the fat tissues on the jaw, wiping of the jaw contours, loss of volume due to fat resorption occurs in the lower and middle of the face. In addition, adipose tissue hangs between the adherent ligaments, the middle face of the fat pad in the folds due to sagging also becomes clear and the jaw-neck between the angle can be blunted and neck bands may become apparent.
With the decrease in bone and fat tissues with aging, the skull becomes thinner and smaller.
The eyebrows slowly descend from their place. It creates a typical aging eye image with sagging of the eyebrows and excess skin in the upper eyelids.
Several different techniques are described in face lift surgeries.
However, in facelift surgeries, successful results are obtained by making a good evaluation in terms of the lower and middle face and choosing the appropriate technique for the patient's problems.
As a result, it is necessary to analyze the anatomical changes developed with the age of the patient and to make a specific surgery plan according to the patient's needs and requirements.
''Special planning for the patient...
Younger and shiny view... ''
Face Lift Techniques
Facelift techniques are classified according to the depth and extent of dissection. They are basically divided into two as Classical facelift techniques and Deep plan facelift techniques.
1
Classical Techniques
In classical stretching techniques, the SMAS layer under the skin is superficially pulled and sutured. The pulling of the SMAS can be performed by several different methods including plication or imbrication. They are the most common facelift techniques practiced worldwide.
Classic Facelift Technique
Since the ligaments holding the SMAS layer are not treated in classical facelift surgeries, the effects on the cheek and nasolabial folds are very little and the effectiveness of the technique decreases in the long term.
2
Deep Plane Techniques
Deep plan facelift techniques (Extended SMAS, High SMAS, Deep Plan, Composite Plan and Modified Composite Plan) involve the release of the midface (ZCL and MCL) ligaments and extensive mobilization of the SMAS with malar fat.
The technique that Assoc. Prof. Dr. Kerem Sami Kaya mostly applies is the Modified Composite Deep Plan facelift technique.
Effectiveness of Modified Composite Deep Plane Face Lift Technique
This technique safely releases the retaining ligaments. The cheek and mid-face tissues can be repositioned as a result of moving the SMAS layer up and back, creating a natural facelift effect. In addition, the long-term permanence of the facelift effect provided by the deep plan facelift technique is also ensured.
DEEP PLANE FACELIFT
Deep Plane Facelift is an advanced facelift technique that aims to reposition deep anatomical structures that shift with aging, rather than simply tightening the skin of the face.
In this technique, the skin itself is not stretched. The aim is to achieve a more natural rejuvenation by moving the supporting tissues beneath the skin, which contribute to facial expressions.
The primary goal of a Deep Plane Facelift is not to make the face appear "stretched," but rather to return tissues that have shifted downwards over time to their anatomical position as naturally as possible, mirroring their pre-youthful state.
Why Does the Face Age?
Many people think that aging is simply caused by skin sagging. However, facial aging is a much more complex process.
As we get older:
Collagen and elastin production decreases.
The skin thins and loses its elasticity.
Facial fat tissues lose volume or shift downwards.
The connective tissues supporting the face loosen.
The neck muscle (platysma) may relax.
The lower part of the face can sag due to the effects of gravity.
When these changes are considered together, it becomes clear that aging occurs not only in the skin but also in the entire support system of the face.
Therefore, modern facelift techniques take into account not only the skin but also the deeper anatomical structures affected by aging.
Which areas does Deep Plane Facelift affect?
This technique allows for the evaluation of multiple areas of the face together, not just a single region.
Depending on the treatment plan, improvement may be targeted in the following areas:
Mid-face and cheeks
Jawline
Marionette lines
Neck contour
Chin area
Appearance of nasolabial folds
The changes achieved in each patient may vary depending on the existing signs of aging and the surgical plan applied.
Why Deep Plane Facelift?
One of the notable changes in aesthetic surgery in recent years is that patients place greater importance on natural-looking results.
Many people today;
"I don't want anyone to think I've had surgery."
"I want to look more vibrant, but I don't want my face to change."
"I want my facial expressions to remain natural."
They apply with expectations such as these.
Therefore, interest in techniques working in deep anatomical planes has increased. Deep Plane Facelift has gained more attention in recent years as it is one of the approaches that aims to achieve rejuvenation while preserving natural facial contours in suitable patients.
Why are facial fat tissues important?
Our faces contain many independent fat pads.
At a young age, these fat tissues:
It adds fullness to the cheeks.
It supports the under-eye area.
It balances the jawline.
It softens facial transitions.
As we age, these fat tissues don't just lose volume.
It can also shift downwards.
Therefore, many people;
"My cheeks have sunken in."
or
"My face dropped."
He complains in this way.
In fact, what often happens is that fat tissues change their position.
Why is the natural outcome so important?
The goal of modern facial aesthetics is not to alter a person's face, but to achieve a younger and more rested appearance.
What people usually notice after a successful operation is not the "surgery-related" appearance, but rather how more energetic, healthy, and vibrant the person looks.
Therefore, natural results are considered one of the most important goals of aesthetic surgery today.
Dr. Kerem Sami Kaya'nın Yaklaşımı
For Dr. Kerem Sami Kaya, a facelift is not simply a procedure to remove excess skin. During surgical planning, the entire face is considered as a whole; the harmony between the mid-face, jawline, and neck is taken into account together.
Since each patient's facial anatomy, skin structure, and aging pattern are different, the treatment plan is also created individually. The goal is to achieve a younger, more rested, and natural look while preserving the characteristic features of the face. If necessary, neck lifts, fat injections, or other complementary procedures can also be included in this plan.
Changes Occurring in the Skin
The first signs of aging are often seen on the skin.
These include:
fine wrinkles,
dryness,
loss of elasticity
sun damage,
color irregularities,
It can be found.
However, treating only the skin often doesn't guarantee a younger-looking face.
Because most of the structures that determine facial volume and contours are located beneath the skin.
Why Should Neck Aging Be Evaluated Together?
Many people want to rejuvenate their face but overlook the neck area.
However, harmony between the face and neck is important for a youthful appearance.
The following changes may be seen in the neck:
skin laxity,
fat accumulation
Platysma bands,
Loss of jaw angle.
Therefore, in suitable patients, a neck lift can be planned in conjunction with a facelift.
Preoperative Assessment
A successful operation begins before you even enter the operating room.
During the examination, not only the external appearance of the face but the entire face is evaluated in detail.
This assessment examines the following points:
Facial symmetry
Skin quality and elasticity
Cheek volume
Defined jawline
Neck contour
Condition of the platysma muscle
Fat distribution
Previous cosmetic procedures or surgeries
General health status and medications being used
This analysis helps create a personalized surgical plan for each patient.
Surgery Process
preparation process
During the preparation process, I evaluate the anatomical changes they complain about in their faces in the video consultation with our overseas patients and patient examinations in the clinic, and explain the necessity of facelift surgery and other complementary facial aesthetic surgeries that can be performed together.
In order to provide a more conscious, healthy and comfortable process, I take photographs and analyze the face of each patient before the surgery.
I also inform you in detail about the processes before and after the planned surgeries.
Communication before and after surgery
As communication resources, I try to help you with both video calls and whatsapp message calls.
24/7 post-operative support
The day before the surgery, we inform you again in my clinic and evaluate your plans.
On the day of your surgery, I will see you in your room and perform your surgery after your final examination. Then I visit you again in your room and remind you about the important points to be followed.
You are followed up at the hospital that day and you are discharged on the same day after I visit you the next day, make your dressing and perform your general examination. In the following processes, you can reach us 24/7 and at the end of the 1st week, your last check is done in our clinic.
Accommodation and Transportation
In case of request of our patients coming from abroad, we provide information about hotels close to our clinic and transportation facilities.