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Facial Rejuvenation

Deep Plane Facelift

natural, long-lasting rejuvenation by repositioning the deeper facial layers, not pulling skin.

Duration4–6 hours
AnesthesiaGeneral
Hospital stay1 night
Social recovery~2 weeks
Final result6–12 months

What is a deep plane facelift?

A deep plane facelift lifts and repositions the face at the level beneath the SMAS — the structural layer of muscle and connective tissue — rather than tightening the skin alone. Because the lift happens where aging actually occurs, the result looks rested and natural rather than pulled, and it lasts significantly longer than skin-only techniques.

Dr. Cömert performs the extended deep plane technique, releasing the key retaining ligaments of the midface, jawline and neck so the tissues move as one unit. The neck is addressed in the same operation (deep neck lift) when needed — defining the jawline is usually the single biggest change patients notice.

How the deep plane compares with other lifting techniques

"Facelift" covers a family of operations that differ in how deeply they work and how much of the face they address. Dr. Cömert performs the full range and matches the technique to your anatomy and your goals — an extended deep plane lift is the most comprehensive option, but it is not automatically the right one for every face.

  • Extended deep plane face and neck lift — repositions the deeper muscular layer rather than tightening skin, treating cheeks, jowls and neck together. Suits moderate-to-advanced ageing and gives the longest-lasting, most natural result.
  • SMAS plication — the supportive layer beneath the skin is folded and stitched to tighten sagging tissue without removing it. Firm, reliable lifting with a relatively gentle recovery; often chosen for mild-to-moderate laxity.
  • Mini facelift — a lighter operation through shorter incisions around the ear, aimed at early sagging in the lower face and jowls. Reduced swelling and downtime; suits younger patients or mild laxity.
  • Lower facelift — focused on the lower third of the face: jowls, jawline and upper neck. Ideal when the lower face is the main concern rather than the eyes or brow.
  • Neck lift — tightens loose skin and lax muscle bands in the neck, contours fat and redefines the jawline. Most often part of a deep plane plan rather than a stand-alone operation.
  • Endoscopic lift — minimally invasive, guided by a small camera through a few short incisions, used mainly for the brow and mid-face. Very little scarring and a faster recovery for early brow and cheek descent.
  • Revision facelift — a corrective operation after a previous lift, working with existing scars and altered anatomy to restore a natural, balanced result.

Which of these applies to you is decided at assessment, not in advance. If a lighter technique will give you the result you are asking for, Dr. Cömert will tell you so.

Who is it for?

Typical candidates are healthy adults — most often in their 40s to 70s — who are bothered by sagging in the midface and jowls, deepening nasolabial folds, or loss of definition in the neck and jawline. Smokers are asked to stop before and after surgery, and your full medical history is reviewed during the assessment.

If your concerns are mainly around the eyes or brow, this is often combined with eyelid surgery or a brow lift in a single session — a full-face plan is discussed during your assessment.

Dr. Cömert's approach

Every face is planned as a whole. Dr. Cömert combines deep plane face and neck lifting with complementary procedures — eyelid, brow, lip lift, fat grafting — where they serve the overall harmony, and with skeletal support (custom implants or jaw surgery) when the underlying bone structure is the real cause of early sagging. Incisions are placed within the hairline and the natural folds around the ear.

Scars and where the incisions sit

Incisions follow the hairline and the natural folds in front of and behind the ear, so the healed lines sit in shadow or within hair-bearing skin rather than across the open surface of the face. Placement is planned around your own hairline and ear anatomy.

Fresh scars are pink and slightly firm for the first weeks. They soften and fade over 6–12 months as they mature — the same period over which the lift itself settles into its final shape. Consistent sun protection during that time makes a visible difference to how the final lines look.

Recovery, step by step

  • Days 1–3: hospital night, then rest with head elevated; swelling and tightness peak.
  • Week 1: sutures begin to come out; most bruising settles. A soft-food diet keeps tension off the healing tissues.
  • Week 2: most patients are comfortable in social settings, often with light makeup.
  • Weeks 3–6: return to exercise gradually; residual swelling continues to fade.
  • 6–12 months: scars mature and the final, settled result emerges.

International patients typically stay in Istanbul 7–10 days before flying home; follow-up continues remotely with photos and video calls.

Planning your treatment in Istanbul

Planning starts remotely. You send photographs and your medical history through the guided online assessment; Dr. Cömert reviews the case personally and replies with his recommendations within 1–3 days, followed by a tailored quote — so both the plan and the cost are settled before you book a flight.

Surgery is performed at a JCI-accredited partner hospital in Beşiktaş, Istanbul, with a full anaesthesia team, followed by one night of inpatient care. Our international patient coordinator arranges your arrival, accommodation and clinic transfers. Most patients stay in Istanbul 7–10 days so that the first follow-up checks happen before they fly, and follow-up then continues remotely with photos and video calls for as long as needed.

Frequently asked questions

How long does a deep plane facelift last?
Because the deeper structures are repositioned, results typically last around 10 years or more. The face continues to age naturally, but from a better starting point — you should always look younger than if you had never had surgery.
Will I look pulled or operated?
The goal of the deep plane technique is the opposite: tension is placed on the deep layer, not the skin, so the skin lies naturally. A result that doesn't announce itself is the standard Dr. Cömert plans for.
Is the neck included?
In most plans, yes. The neck and jawline are usually treated in the same operation (deep neck lift), because facial and neck aging happen together and the result must be harmonious.
When can I fly home?
Most international patients fly 7–10 days after surgery, once the first follow-up checks are complete. Your personal plan is confirmed before you travel.
How do I start?
Complete the online assessment with your photos. Dr. Cömert reviews every case personally and sends his recommendations within 1–3 days, followed by a tailored quote.
Is there a weight or BMI limit?
Yes. For the deep plane facelift, Dr. Cömert plans surgery for patients with a body mass index of 27 or below. Above that range, BMI can affect anaesthesia safety, healing, swelling and the definition of the final result — particularly around the neck and jawline. If you are above it, our team will guide you on reaching a safe and stable weight before scheduling.
What does a deep plane facelift cost?
There is no single price, because the operation is planned around your anatomy and around whichever complementary procedures your plan includes. After Dr. Cömert has reviewed your photographs and history, you receive a tailored quote covering the surgical plan — so you know the figure before you commit to travel.
Am I too old for a facelift?
Age on its own is not the deciding factor; general health is. Candidates are most often in their 40s to 70s, and your full medical history is reviewed during the assessment. Patients in good health in their late 70s are regularly suitable, while a younger patient with significant medical problems may not be.
Do I have to stop smoking?
Yes, and it matters more here than in most operations. Smoking narrows the small blood vessels that supply the lifted tissues, which raises the risk of delayed healing and poor scars. Smokers are asked to stop before and after surgery, and the timing is agreed with you as part of your plan.
Can it be combined with eyelid surgery or a brow lift?
Frequently, yes. Facial ageing rarely respects boundaries, so eyelid surgery, a brow lift, a lip lift or fat grafting are often carried out in the same session where they serve the overall harmony of the face. Combining procedures also means a single anaesthetic and a single recovery period rather than several.

Start with a personal assessment

Send your photos and history through our guided online assessment — Dr. Cömert reviews every case personally and replies with his recommendations within 1–3 days.

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Medical information on this page is general in nature and not a substitute for a consultation; suitability, technique and recovery vary by individual. Op. Dr. Mehmet Cömert — Plastic, Reconstructive & Aesthetic Surgery, Beşiktaş, Istanbul. See our medical disclaimer.