In a groundbreaking advancement in facial rejuvenation, renowned facial plastic surgeon Dr. Kevin Sadati has presented his pivotal study on the Preservation Deep Plane Facelift at the IMCAS Conference in Paris—the world’s largest aesthetic and plastic surgery meeting, attracting over 18,000 global attendees. His innovative technique, which has been accepted for publication in the esteemed Plastic & Reconstructive Surgery Journal, is being heralded as the next evolution in deep plane facelifting, setting a new benchmark for safety, efficacy, and natural results.

Understanding the Aging Process: The Role of the SMAS Layer

Aging affects multiple layers of facial tissue, particularly the Superficial Musculoaponeurotic System (SMAS), a fibrous layer located beneath the skin and above the facial muscles. The SMAS consists of two distinct components:

Non-Mobile SMAS: Located near the ears, this portion is firmly adhered to the deep fascia and remains largely unaffected by aging. Traditional facelift techniques, which relied on pulling this non-mobile layer, often resulted in an unnatural, over-tightened appearance, excessive scarring, and short-lived results.
Mobile SMAS: This region, found in the central face and neck, is directly impacted by aging, leading to sagging in the cheeks, laugh lines, jowls, and neck bands. Unlike the non-mobile SMAS, this portion can glide freely over underlying tissues. However, its movement is restricted by retaining ligaments, which tether it to deeper structures.

The Deep Plane Facelift: A Structural Approach to Rejuvenation

The Deep Plane Facelift method releases these retaining ligaments, allowing for the repositioning of the mobile SMAS in a natural, vertical direction. This technique effectively lifts aging tissues without placing tension on the skin, leading to longer-lasting and more harmonious results.

Building on these principles, the Preservation Deep Plane Facelift refines this approach further, enhancing recovery times while optimizing aesthetic outcomes. By minimizing skin dissection and trauma, this technique maintains the vascular integrity of the skin, reducing the risk of complications such as hematomas, skin necrosis, and prolonged swelling.

Key Innovations of the Preservation Deep Plane Facelift

Minimized Skin Elevation: Unlike traditional facelifts, this technique significantly reduces skin delamination, preserving blood supply and ensuring faster healing.
Twilight Sedation Over General Anesthesia: Patients benefit from reduced systemic risks and a more comfortable recovery.
Jawline Enhancement Without Implants: Dr. Sadati introduces a novel rotating tissue flap technique, using the patient’s own tissue instead of artificial fillers or implants. This is particularly beneficial for men seeking a strong, masculine jawline.
Neck Rejuvenation Using a Purse-String Suturing Technique: Rather than excessive skin elevation, Dr. Sadati employs a unique hammock-like suturing approach to tighten the platysma muscle, anchoring it behind the ears. This deep neck maneuver significantly reduces complications such as hematomas, seromas, and excessive scarring.

Clinical Research and Comparative Outcomes

Dr. Sadati, in collaboration with Dr. Alexandre Lellouch, a Paris-based plastic surgeon affiliated with Harvard University, conducted a clinical study comparing the Preservation Deep Plane Facelift with extended deep plane facelift techniques. Their findings demonstrated:

Shorter drainage durations
Fewer complications
Faster recovery times

These results solidify the technique’s role as an emerging gold standard in facelifting procedures.

A Paradigm Shift in Facial Rejuvenation

“This technique represents a fundamental shift in facelift surgery,” says Dr. Sadati. “By leveraging anatomical precision and tissue preservation, we achieve results that are not only aesthetically superior but also functionally sound. Patients benefit from a more natural appearance with significantly reduced downtime.”

Dr. Sadati further emphasizes the significance of this innovation: “The Preservation Deep Plane Facelift is rapidly setting a new benchmark for facial rejuvenation. By focusing on vertical lifting and tissue conservation, this approach aligns with modern principles of facelift surgery and patient safety.”

The Future of Facelift Surgery

As aesthetic medicine evolves, the Preservation Deep Plane Facelift emerges as a landmark advancement, offering patients a safer and more effective pathway to natural, long-lasting rejuvenation. Dr. Sadati underscore the importance of continually refining surgical techniques to meet the evolving needs and expectations of today’s patients.