Both techniques act on the same layer; they differ in whether it is tightened or released and repositioned. The release is what moves the midface and the jawline together.
A SMAS facelift tightens the muscular layer of the face by cutting, folding or stitching it, while a deep-plane facelift releases the ligaments beneath that layer and moves skin and muscle together as one unit. Both work on the SMAS, the sheet of fibrous tissue that carries the fat pads of the cheek. Tightening it produces a good jawline. Releasing the retaining ligaments underneath is what allows the cheek itself to travel upward rather than sideways.
If your main concern is the jawline and a little looseness under the chin, a well-executed SMAS lift answers it. If the nasolabial folds have deepened and the cheek has slid down toward the mouth, tightening alone will not reach that far — the tissue is anchored by ligaments that must be released before it can move. That is the honest dividing line between the two operations, and it is decided by looking at your face, not by choosing the newer name.
The deep plane sits directly on the facial nerve branches, so the operation demands a surgeon who works in that plane routinely; in inexperienced hands the risk of temporary weakness rises. Done well, it produces less skin tension, which is why deep-plane results tend to age more gracefully at the scar line. Recovery is broadly similar for both: visible bruising for two to three weeks, swelling settling over three months, and the final result at around six to twelve months.
Our facelift is a deep-plane procedure at €4,800, including general anaesthesia, the hospital stay with intensive care in the same building, garments and the follow-up programme. We are not the right clinic for someone who wants a small skin-only tightening at a low price, and we say so rather than performing a lesser operation under a bigger name. Where a neck lift or eyelid surgery adds meaningfully to the result, it is quoted separately and honestly.
Often, yes, because it repositions the cheek fat you already have rather than adding volume on top of a descended pad. Patients who have had heavy filler for years usually need far less afterwards than they expect.
We ask patients to stay in Istanbul for seven nights so that drains, dressings and the first wound check are all done here. Longer flights are comfortable from around two weeks.