Is Deep Plane Facelift Really Better?
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- Опубліковано 8 лип 2020
- Dr. Joe Niamtu, III, Internationally recognized facelift surgeon in Richmond, Virginia explains they type of facelifts and compares their effectiveness.
For more information about Dr. Niamtu, visit
www.lovethatface.com
I really appreciate the before and after photos being taken from the same angle with the same lighting and no makeup. I see too many photos with the patient lit with harsh light from above, no makeup and looking down before, and softly lit from the front with their head up and full makeup after. It makes me wonder what the surgeon's hiding.
That means a lot to me as I have tried very hard to standardize my photos
Dr. Joe,
One of the things I like best about your videos is hearing the obvious pleasure you get from your work. It's fun to hear you tell about especially good outcomes and some of the nice patients you have encountered.
I can thoroughly relate to both feelings. Although I recently retired, I was fortunate to love my work in a challenging field, and enjoyed the pleasure of helping clients with tricky problems. Aren't we lucky?
Thank you so much
Thank you so much Dr. Joe Niamtu for showing
Us your work.everyone looks so good and I am sure
Very happy .You really did enhance their faces and their look.
Facelift should be like this ,great work.
So nice of you
My consultation is coming up with you I am so excited.
I forwent every plastic surgeon in Florida for this. I don’t want anyone, but Dr Joe touching my face!!!
Thanks so much. My honor
Did you go for the surgery to dr. Joe? Are you happy?
So it's been 3 years since you wrote this. Did you go through with it and how are you doing?
Truly beautiful work! Stunning!
Thank you very much!
fees are on www.lovethatface.com under patient info
This physician has to be one of the best I've ever seen.i have been looking up and researching online ALOT of videos I've seen by far one of the best. 😊
Wow, thank you!
I will have the benefit of this surgeon's expertise next Tuesday!
@@sallieearle5346 you'll have to tell us how you went! Pity you can't post photos here 😉
@@sallieearle5346 How did it go!
Love your down to earth, honest sharing and enthusiastic wise personality.
Thank you so much I really appreciate it
Wonderful video thank you.
Thank you too!
You are amazing! I love this video
Thank you so much!!
I Love your work! It’s the best I’ve seen.
Thanks for watching :)
This guy is GOOD. What fantastic explanations too! Excellent 👌
thanks so much!
@@jniamtuiii love your work & you sound like a really lovely person too from what I've read going by of all your reviews online. May God bless you & your family & your work always 🙏 ❤
@@loveconquersall143 Thank you so much
Love your videos, thank you. I
Glad you like them! Thanks,
Dr. J :)
Such a lovely and talented man!
Thank you so much!
Great job Joe
Thank buddy
AMAZING, I hope I can get great results ❤
Come see us?
Love ur artist work , 😘
Thank you so much 😀
Thank you Dr Niamtu. Excellent presentation. If only you were located near Los Angeles. I had a lifestyle lift 10 years ago and I'm do for an update.
Thanks
thanks
Thank-you !!
You are welcome!
Excellent presentations and videos Prof Joe ,really highly appreciated your contributions for Facial plastic surgery.....you are really a teacher ,surgeon, and author ...Although, I have 25 years experience in this field but still find your videos are very useful and interesting....Dr Bashar Bizrah
Thank you kindly Doc
You are an AMAZING DR!!!!! u must come to Europe pleeeeeeeease
Thanks
Your amazing, wish i lived near you. Magician!
Thanks for watching
Great job
Thanks
Thanks! 🥰
You’re welcome 😊
that is great informtion.
Thanks so much
Fantastic!
Many thanks!
I love watching and listening to you. When you're describing what the patient received, can you do a mention of the approximate cost so we will know the prices of what each procedure will run? Thank you so kindly doctor.
all fees are on my website www.lovethatface.com they are under patient information on the top menu. Thanks :)
I´m facial plastic surgery from Brazil and apreciate a lot the deep plane technique. But in the major part of my cases i realease the ligaments under the skin and above the SMAS to ensure more security and perform a short flap with smas and platisma. The results is so good like these with more security in my hands. But congratulations for your job.
Thanks, I spoke in Rio 3 weeks ago, I left the day Madonna came!
I agree with you that we all find a technique that works well in our hands. I have always that if you achieve patient safety and predictable outcomes, you are doing the right thing.
Joe
I so want to go to you for my face-lift and although I'm not that far ..Pennsylvania I was wondering if you ever recommend any one perhaps in Pittsburgh ? Even if you don't I must tell you what amazing ! Transformations you do for people and how many lives you have changed. God bless 🙏
Thanks so much. Not a far drive to Richmond :)
Just wondering if you moved forward and had a face lift? I also live in the Pittsburgh area. If you did have a lift do you mind sharing your outcome and who did your surgery? Thanks!
I’ve been researching a facelift for after my 50th birthday, and you, by far, have impressed me the most.
Thank you next year for me.
Our pleasure!
Hi Dr. Joe😊 l love watching your videos, its fascinating to me! I've had a lot of plastic surgery on my body which I've been very happy with...now its time for my face🤪 lol. I need your advice, I'm in the uk, can you recommend a good face surgeon here? I highly trust your judgement so it would mean the world to me if you knew someone. (I wish you could come over to the UK for a while, there'll be a stampede lol) I'm 52 years old, kind regards Maria
I want this tooooo! I’m so lost
Just travel over and have an extended holiday. You come home healed and looking awesome 🤩
As a plastic surgeon i think deep plane facelift is very dangerous procidure& is not cost benefit! Thanks for your lovely videos
Thanks doc, I appreciate your watching and commenting.
@@jniamtuiii i love you. You are very kind & have a good teaching
@@amirpakdin7563 lol
Thank you for your Chanel . It’s amazing.
I would like to ask do you do face lifts neck lifts on patients who have APS
( anti phosphoid lipid ) I take warfarin but very rarely bleed . If anything I run on an INR of 2.5 to 3
Previous PE 2016.
Thank you in advance .
Thanks, you would have to discontinue your warfarin several days before and about 5 days after your procedure
I like this.
thanks
You are super I am German living in Cancun long time
Thanks, wish I was in Cancun right now, love that place.
You welcome I have some nice houses where you can make holidays it’s Playa del Carmen I need an facelift hihihih
Thank you so much for sharing your passion and expertise here on UA-cam, Dr. Nimatu! From what I've seen, you use your comprehensive facelift to achieve the most dramatic results possible, so I was surprised to see the patient at 13:36.. from the front she still has some pretty significant marionette lines/nasolabial folds postoperatively. Was it a difficult case, or were there other factors contributing to her outcome? Thank you!
I try to add all types of cases, not just great ones. Not sure which patient, but facelifts don't necessarily do much for the central face.
@@jniamtuiii Thank you so much for the reply! I'm just starting to learn about these surgeries, and now I have a better understanding of what to expect in different areas. Much obliged!
Is there a procedure you do recommend for the mid face?
@@genevracollier2527 A facelift addresses the midface, I also use cheek implants.
@@jniamtuiiiWhat would address the central face then, if I may ask?
That is where we do brow and forehead lift, upper and or lower blepharoplasty, cheek implants, chin implants. Any of these address different areas of the central face.@@Corrans
You're right, but what about a young surgeons who just at the beginning of a career? From what type of SMAS managing you advice to start this kind of surgery?
For new surgeons, SMAS plication is easiest and safest
Dear Dr. Thank you so much for this video, can you please tell what kind of sutures and string you use to make these amazing results?!?!
I use 2-0 Vicryl on the deep plane SMAS and on the skin, I use 4, 5, and 6-0 gut. Thanks for watching
@@jniamtuiii i really appreciate your kind reply thanks indeed
Dr, I have a question for you that seems important to me. Do you check for what reasons we get more wrinkles than others; like blood test to see where our estrogen levels and collagen levels? Do you think these levels make a difference?
We do not test as aging is extremely complex and involves inherent causes (heredity), extrinsic factors (smoking, drinking, sun etc.) disease states etc. We treat the aging regardless of the causative factors. Thanks for watching.
come to Los Angeles please
:)
If a patient comes to you from out of state how long will they need to stay in town?
Usually about 1 week
Beautiful job! Does price differ from comprehensive vs small facelift? How about a person who had facelift many years before, and now sagging again? Is there a touch up lift? What are the price range? Thanks!
Facelift fees are the same for all procedures (weekend and minilift are less expensive, but most people need bigger lifts than these). Fees are on our website www.lovethatvace.com thanks for watching.
@@jniamtuiii couldn't find the fees and if you note the website address you put was wrong
Can u still be on a flight after surgery? Example after surgery normally your ears pop would that after in anyway pain.?
How do I find the best facial surgeon in my area? It seems they all do multiple types of surgeries
You need to look for experience and someone you can relate to
26:11 Why would it be “inappropriate” to make a woman look as young as plausible? I love to see when women look like their “moms” in the before picture & their “daughter” in the after. I never met a woman that stated that they love looking old-even in their 7th decade. I don’t mean to sound rude, I’m genuinely curious.
You are correct, it is awesome to have a case where someone looks decades younger, but it really depends on the person. Your face has to match your body. Some patients would look very unnatural with tight skin, big cheeks and lips at an older age. We do our best to listen to the patient and match all reasonable rejuvenation. I appreciate your comments.
@@jniamtuiii There was so much wisdom in that answer.💕
I think that it looks weird to have an obvious facelift if you look old everywhere else. The other day I saw an old man with jet black hair. It looked weird, maybe his hair is youthful, but it was not matching his overall aura. I think that maybe he did not mean inappropriate, he meant I think make it look believable and natural.
I noticed that too. When he said that, I thought , Why? but I think he is thinking big picture.
Hi Dr. Niamtu, in this vid you mention that a facelift doesn’t really address marionette lines and the droop in that area of the face. What surgical procedure does address that (if any)?
It does little for the central face, so nothing for brow, eyes, nose and around the mouth. Lasers, fillers, etc for nasolabial folds adn marionette lines.
@@jniamtuiii I have fairly significant nasolabial folds and I am planning to have a SMAS facelift. When I pull the sides of my face back moderately, they more or less disappear. Is my observation deceiving me? Serious question. Thank you.
Hello how are you today I am considering a D plain S lift I just don’t want the results like Kenny Rogers
The S lift procedures are usually for minilift situations. If you have a significant amount of neck skin you may want or need a more comprehensive lift. Kenny Rodgers looked strange due to his brow lift, not his facelift. I wish I had his hair :)
of hyaluronidase under my eyes. It dissolved even my own skin's hyluronic acid. My undereyes look extremely hollow now.
Will I get my own hyluronic acid back? In how much time??
It usually rehydrates in a day or so in my experience
@@jniamtuiii It has been two days now. Still I have lost my own skin hyaluronic acid. No recovery yet. Now I have extreme volume loss
Do you do rhinoplasty? I feel like my nose has gotten bigger especially since crossing the big 50! Another issue I have is one eye appearing smaller than the other in photos and I seem to have a larger bag under only one eye! My symmetry does not translate on photos at all!
Sorry, I don't do noses
Thanks Dr Niamtu. What if I want natural and durable that lats a long time? This is why I am thinking about Deep Plane. I have heard that Deep Plane can last 20 plus years...
Deep plane is a good choice and a very contemporary procedure.
@@jniamtuiii Thank you.
How much does it cost face and necklift?
fees are on lovethatface.com on the top menu under patient information.
Everything I've read suggests deep plane f/lift lasts longer than other procedures. This would be a reason I would go down this route as the investment is significant for me. Is this correct?
There is no science that they last longer. I do deep plane, but any well done facelift with SMAS management should last.
Hi, Dr, is there any facelift that can remove fat graft placed under Smas in lower cheeks?
Not something I do, sorry
What kinds of questions should be asked of a surgeon before allowing them to do a face-lift? I realize it's important to know how many they've done, but what else?
Board certified, accredited surgery center or hospital, experience, availability, ability to show many before and after cases, good reputation
Hi how much coast a facelift by u
Fees are on www.lovethatface.com under patient information menu. Thank you.
I have gone to several doctor that told me I don't need a mini face lift , 😒🤔 weird , I think because they believe black don't crack , but it does
Do u do a lip lift with the facelifts?
Yes, we do
Respected sir
Do deep plane face lift helps in tightening the area around mouth (nasalobial)
It does help the smile lines and marrionnette lines, but only moderately. If you pull this area too much, patients look distorted, like the Joker.
Do you ever work in los Angeles? Because that is where I live
I wish I did, we actually see many patient from the west coast.
Dr. J :)
Do you also do a lip lift?
There are a bunch of patients shown, so hard to say, but I frequently do them.
Very natural
Thanks
You said “that is my regular adult facelift”. When would you be doing facelifts for patients when not due to age related concerns? Would you recommend a facelift for someone who has pronounced nasolabial folds anatomically?
Each case is different, so hard to say exact technique.
Why do you not go behind the tragus for incision as I see in nearly all of the UA-cam videos I’ve watched? And your scars look beautiful basically undetectable
That is because they don't show you the bad ones when the tragal cartilage collapses. Go ahead and Google "blunted tragus after facelift" and look at images. It looks horrible, you can see right in someones ear and there is no real fix for it. That is impossible with my type of incision. I did my first 800 facelifts with post tragal incisions and all I can tell you is that I get my most aesthetic results with my current incision. Thanks for watching. Dr. Joe :)
I have noticed in so many after pics that the tragus is hidden behind the hair so that you are unable to see the outcome, whether good or bad. I have also noticed a deformed looking tragus on after pics. I think this plus scar visibility are things that would make me anxious.
I have learned so much from watching your videos and thankyou!!!
Hi, do you have any friends/surgeons in Australia you would recommend?
Sorry, I don't
@@jniamtuiii you have a friend here, just not a surgeon
@@mj-cq8sf thank you :)
When I look in the mirror I no longer see anyone who feels like me so I want to see 'me' again, just for me, for no-one else. Next year I am going to do the full works, this year it's my teeth that need sorting then next year my face, the year after my tummy.
It all creeps up on us, sounds like you have a solid plan. Let us know if we can help
But does a deep plane lift have more longevity than othrrs?
I don't think there are any true studies to prove that. I think that most well done facelifts, regardless of the type have similar longevity.
Deep plane is currently being marketed. It is true. Let's suppose that for whatever reason, a patient desires deep plane. And let's assume the surgeon is very experienced with smas, good reputation and getting very good results with smas. The surgeon has no experience with deep plane, but agrees to do the procedure because the patient requests it and the surgeon thinks he will get a good result. Is that acceptable? Or is it better to seek a surgeon with specific deep plane experience. What is your opinion on this?
I had asked this on another surgeon's channel and he indicates that any surgeon who does smas well is also qualified to do deep plane. 🤔
zelkininstitute: "Every plastic surgeon that offers facelifts knows how to do both traditional smas and deep plane facelifts."
Q: Not clear on this. Aren't there many surgeons that have performed many smas facelifts but with little to no experience with deep plane?... Obviously you would ideally want a surgeon experienced in both... It sounds like you are saying that even a surgeon that has only performed smas has the theoretical knowledge to perform deep plane.
Is that what you mean?
zelkeninstitute:
"Yes."
Lots of ways to answer this. A doc with significant SMAS experience should not have a problem with deep plane technique. But it varies from doc to doc. Deep plane is a good technique and I usually do it, but experienced docs with great SMAS control, get great results also.
Yes 🙏 how much is a smas?
fees are on lovethatface.com under patient info menu
Dr. I would love to hear your comments on the Venus Viva treatment, how is that compared to CO2 laser?
Sorry, I have no experience with it.
Sir,i have a stitch mark on my eyebrow.can i remove this spot by laser treatment...plz reply
Possibly improve it
@@jniamtuiii how much cost this treatments starting..
where do you work
Richmond, Virginia info@lovethatface.com
How does anyone get an appointment?
🤔🤔🙂😇😎
www.lovethatface.com/ Estimated procedure costs are listed under the "For Patients" tab.
804-934 FACE (3223) Thanks
Hi dr Joe. I have had a face lift. Its more than two montjs now. But there is alot of infection at different places on my face. On both sides of face on jawlines and on cheeks too. My surgen is a certified surgen and according to him this is the reaction of sutches under the skin. I have consulted another doc and he says its because of fat insertion, i have thik skin and my skin is not absorbing fats. Please help me if u can. I can send you my pics if i get ur email id
Sorry you are having problems. Cannot dispense medical opinion without seeing a patient. You surgeon should be able to help you.
Thank God someone tells the truth about deep plane facelifts. This is a procedure not widely accepted in plastic surgery circles for the last 20 to 30 years. For some reason, certain less than truthful surgeons are now promoting it as the best technique ever. Problems with the deep plane technique include:
1. It has a fair amount of subcutaneous undermining so the claim that it is tension free on the skin is not true.
2. It doesn’t address retinacular ligament extension in the subcutaneous plane except for the amount of subcutaneous undermining, which is limited.
3. By itself, it doesn’t do anything to rejuvenate skin quality. The last two are clear failures to obtain optimal and durable results missing 50% of the potential result.
Although I do a deep plane technique when indicated, I agree that it is not the holy grail. Show me a successful facelift surgeon that has done over 1,000 lifts with patient safety and great outcomes and I think they have it right, regardless what their technique. Deep plane is great in trained hands, but other SMAS procedures are also equally successful. Look for the experience and the result, not just the technique.
How much does a face and neck lift cost?
Fees are on www.lovethatface.com under patient information
@@jniamtuiii , I checked your website.
Did not find info about prices.
Please help me find it.
@@myrnagrijalva7271 www.lovethatface.com/patient-information/general-information-patient-info/fee-estimates/
Do you do fat transfer after the facelift?
Thanks for watching, I am not much of a fan of fat transfer.
Why use the face of a perfect twenty year old for the thumbnail when your video appeals to us older people ?
That is the cover of the second edition of my textbook, not representative of any patients, just art.
@@jniamtuiii Hello, sorry it was my usual gripe against the use of young perfect women to promote diets and face creams and surgery ! I worked in fashion all my life so perfect beauty was my constant ! I went through some terrible years then stopped looking or seeing myself so it was a shock to find out that I was no longer the young for my age, great body person I knew. Knowing I couldn't do anything about it, it got worse of course. Then I dieted, lost weight and moved to the south west of France and am decided to get back to a slightly better looking me, not a young version as that would be silly but something that matches my brain ! God bless (if we are still allowed to say that! ) x
💓
You know what's a great addition to a facelift? A surgical liplift! Very rejuvenating.
Correct, just did one this face lift and lift lip combo this morning.
@@jniamtuiii Thats great! You should really promote it. As I was looking through your before and afters I noticed the long upper lip often diminishes the effect of a facelift, as it's an underestimated but strong indicator of older age.
❤
thanks
can you get a cardiac arrest after the facelift procedure
You can get a cardiac arrest before a facelift too. Can a facelift cause a cardiac arrest is probably what you meant to say, and the answer is highly unlikely. I've never heard of anyone having a cardiac arrest because they did a facelift.
Can a facelift surgery lead to cardiac arrest
Not unless there is some severe anesthetic complication. that would be very rare
@@jniamtuiii Can a facelift surgery cause fat embolism
@@jainyjose4841 That is usually from fat injection and again is extremely rare.
I had a facelift in florida and still have a square jaw and droppy jowels and still have marinette lines. I'm so disappointed
you need to communicate that with your surgeon and get options.
First, must define the word better. However, it is a fact, the most fundamental reason for sagging in the face is.....A weak structure, bone structure...Two, sagging muscles, ligaments tendons. If you do not cut out the excess tissue beneath the skin, the so-called face lift will last as long as the skin does not stretch. Could be one or two years cause the underlying tissue will pull the overlying skin downward, creating a droopy looking face again. Of course a more extensive deep tissue face lift is superior to a skin lift.
Thanks for watching
@@jniamtuiii In my case, I have profoundly weak cheek bones and plan on that strategy first of all.
Deep plane is more invasive and dangerous. Surgeon could hit a nerve and damage your face for good. I say a good facelift depends on your surgeon. SMAS, much safer with excellent results.
In experienced hands, all facelift approaches are safe. You are correct that SMASectomy can provide excellent results. And yes, regardless of technique, the experience and competence of the surgeon is what matters most.
what's the difference between a plastic surgeon and a cosmetic surgeon? I've read a plastic surgeon is more qualified
Not all plastic surgeons perform cosmetic surgery. Cosmetic surgeons only perform cosmetic surgery and nothing else. There are excellent surgeons in both groups. I have a youtube video on the subject
ua-cam.com/video/JBCZm1NFO0k/v-deo.html
Why are 95% of after photos of deep plane face lift procedures (regardless of the surgeon) shows MINIMAL results and most patients only look 5 yrs younger? Whereas, other forms of face lifts (using reputable surgeons) the results tend to remove 10 to 15 years younger appearance? Many deep plane face lift patient often look 80% the same as they did before. Out of all the after photos of deep plane face lifts are not that impressive vs other types of face lifts IN MY OPINION. There is an elephant in the room and no one is saying anything about it ! 🐘🐘🐘🐘
It totally depends on the surgeon. A poorly done deep plane face lift is not better than a well done smasectomy or smas plicaion. You are correct that much of this is propagated by social media and many surgeons do very fine facelifts that are not deep plane however there are advantages to deep plane face lifts. it is more about experience safety and patient outcomes and each surgeon should do what produces the best outcomes and the safest manner