Why Deep Plane Facelifts Outperform Other Techniques

Why Deep Plane Facelifts Outperform Other Techniques — Explained by Dr. Robert J. Troell, M.D., FACS

In this episode, board-certified facial plastic and cosmetic surgeon Dr. Robert J. Troell, M.D., FACS breaks down why the deep plane facelift has become the gold standard in modern facial rejuvenation. Drawing on more than 30 years of surgical experience, academic teaching, and his own published textbook chapter, Dr. Troell explains how this advanced technique lifts and repositions the face at its structural foundation for more natural, longer-lasting results.

Dr. Troell discusses when a limited anterior neck lift or platysmoplasty is appropriate (about 15–20% of patients), and why most individuals require the deeper anatomical repositioning that only a deep plane facelift provides. He highlights the critical role of osteocutaneous ligament release, a step often overlooked in traditional facelift techniques, and explains why releasing these retaining ligaments is essential for achieving significant improvement in the midface and jawline.

This episode also explores the importance of volume restoration—including implants, fat transfer, and fillers—and how these complementary treatments enhance facial structure and create balanced, natural contours. Dr. Troell outlines how combining the deep plane approach with these adjuvant therapies produces the most comprehensive and harmonious facial rejuvenation.

Creators and Guests

Host

Dr. Robert J. Troell M.D

Troell M.D has extensive experience in cosmetic procedures, including facial rejuvenation, rhinoplasty, and body contouring. Dr. Troell is also known for his expertise in stem cell therapy and minimally invasive aesthetic treatments.

What is Troell Cosmetic Surgery & Facial Plastic Clinic?

Facial Plastic Surgery clinic specializing in high-definition liposuction, face and body implant surgery, fat transfer, and advanced facial procedures.

About 15 to 20% of people can use an anterior neck lift or platysmoplasty. Small incision here, separate the skin, suture this muscle together if it's banded, and then you're doing the facelift.

So most people need what I usually do is called a deep plane facelift. As I wrote in this textbook book chapter, osteocutaneous ligaments that you need to cut to be able to lift the face.

Additionally, volume placement of the face is key when you're doing a facelift. And the best way to do that is using an implant. You could also use fillers or you can use fat transfer.

So a facelift in terms of the technique offers those adjuvant therapies along with the facelift and or anterior platysmoplasty.