What is Deep Plane Facelift?

Dr. Juraj Gajdoš, MBA, as one of the few surgeons in Slovakia, performs the latest method of Facelift - Deep Plane Facelift. We asked Dr. Gajdoš about the benefits of this method and what makes it so exceptional.



Interview with Dr. Juraj Gajdoš, MBA, on Deep Plane Facelift

A Deep Plane Facelift is a term that describes the anatomical layer in which a plastic surgeon operates during the preparation/lifting of facial tissues.

It involves the layer between the SMAS-platysma complex (the fatty connective tissue layer of the face and the superficial muscle of the neck) and the facial muscles responsible for expression. The DPFL focuses on the complete release of fat and muscles and repositioning these structures to their correct location.


Can you share with us what you think about whether the Deep Plane Facelift is better than other facelift methods?

The Deep Plane Facelift employs a different philosophy of approach to the repositioning of facial structures. We start from the basic premise that facial structures sag with age due to gravity, and the plastic surgeon tries to restore a youthful appearance with full cheeks, a smooth jawline, and a nicely defined angle between the jaw and neck.

The sagging of facial structures is primarily due to the SMAS and platysma, which are also critical areas that the surgeon must lift. In a traditional facelift, the SMAS and platysma remain in firm contact with the facial musculature.

The surgeon fights this firm connection using stitches that pull the SMAS to the desired location. Subsequently, they try to pull and shorten the skin, which is often under great, unnatural tension.

On the other hand, in a Deep Plane Facelift, the SMAS and platysma are completely released and naturally moved back to their original position. The result is natural and, most importantly, long-lasting.


Which type of Facelift do you prefer based on your experience?

Based on my practice experience and experiences at clinics with the best facial surgeons, it is precisely the frustration with the process of fighting against the tension of the SMAS and frustration with the results that lead to a clear preference for the Deep Plane Facelift technique.


We know that you have trained with one of the world's best plastic surgeons for the Deep Plane Facelift, Dr. Michele Pascali. How did this help you?

Every stay and time spent with a giant of plastic surgery brings valuable insights into the practice of surgery. Such internships must be undertaken with a certain amount of knowledge, and it is the details that can then be observed and translated into one's own practice.

The surgical technique of extended deep plane facelift from Andrew Jacono and the nuances from Michele Pascali are the foundation of the surgical technique that I use in my practice.


Is it true that only a few surgeons perform the Deep Plane Facelift in Slovakia?

If my knowledge serves me correctly, there are two, or perhaps three, plastic surgeons who perform the deep plane technique in full.


You seem young, what are your experiences?

Thank you very much. I have just crossed over ten years of practice. I gained experience at prestigious foreign clinics in Europe.


What are the global trends in facial plastic surgery?

The long-term trend is definitely naturalness and subtle interventions that do not change the characteristic features of the face. In recent years, the cat eye procedure, which lifts the outer corners of the eyes and eyebrows, has become increasingly popular.

A big trend is the alienization of the face, which world plastic surgeons have spoken out against. These are huge lips, wide jaws, overfilled cheeks.


What is the secret behind the perfect result of the procedure? Which factors influence the outcome of a Facelift?

First and foremost, it is the appropriate indication of the patient for the procedure.

That means the right choice of patient for whom this procedure is intended, then it is about a symmetrical and, last but not least, natural result.

The patient must be prepared for the procedure from an internal medicine perspective. It is important to limit smoking before and after the procedure.


In comparison to world clinics, is the price for a Deep Plane Facelift significantly lower, yet more expensive than a standard Facelift? Why is that?

In Slovakia, we have set prices for plastic surgery procedures differently than abroad. This is related to the beginning of the pricing of plastic surgery procedures in the past and not reflecting the rapid economic development we have experienced in Slovakia.

As a result, plastic surgery in Slovakia has become truly accessible to the general public. If I compare it with the aforementioned Pascale clinic, there a patient pays 15 times the average salary in that country for a facelift. Here, 15 times the average wage would represent an unsellable service.

Of course, the Deep Plane Facelift is more expensive than a classic facelift, as it is a completely different procedure in terms of technical difficulty and the offered result and its durability.

The deep plane facelift procedure.


What are the advantages and disadvantages of the Deep Plane Facelift?

I partially answered the advantages in previous answers. To summarize, the deep plane facelift offers the most comprehensive rejuvenating procedure that facial plastic surgery can offer.

The disadvantage is the technical difficulty of the procedure, which is reflected in the operating time.


Which areas of the face can be improved with a Deep Plane Facelift?

The Deep Plane Facelift, especially its extended form, offers a comprehensive approach to modifying all key areas of the face.

As the extended form also mobilizes the mid-face area, it effectively lifts the cheek area, creates volume in the cheekbone area, smooths the nasolabial area, creates a smooth line along the jaw, and improves the angle between the neck and jaw (necklift).


Have you ever refused a client?

Yes, the client was not suitable for the procedure, the anatomical structures were in the right place and she did not yet need the procedure.


How long does the actual procedure take?

In the case of a Deep Plane Facelift without combination with other procedures, the surgery takes approximately 3 hours. If we combine several procedures, we can easily reach 5 hours.


Can the Deep Plane Facelift be combined with other facial procedures?

I rarely perform DPFL as a standalone operation. The most common combination is a Deep Plane Facelift combined with upper and lower eyelids and liposuction under the chin, or possibly a brow lift.


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dr-gajdos-small-image.jpgMD Juraj Gajdos MBA, we are pleased to work with such a talented and skilled surgeon, whom work is extremely precious with high standards. The surgical technique of extended deep plane facelift from Andrew Jacono and the nuances from Michele Pascali are the foundation of the surgical technique that he uses in his practice.   
DR. Juraj gajdos Consultant surgeon in plastic surgery



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