High SMAS Facelift and Deep Plane Neck Lift: Natural Face and Neck Rejuvenation IN Beverly Hills
Before and after facelift, neck lift, and undereye fat grafting by Dr. Elie Ramly demonstrating natural facial rejuvenation with improved undereye appearance, sharp jawline definition, smooth neck contour, and a refreshed, balanced appearance without an overdone look.
High SMAS Facelift and Deep Plane Neck Lift
This case demonstrates a structural approach to facial rejuvenation using a high SMAS facelift, deep plane neck lift with platysmaplasty, and fat grafting to the under-eye and lid-cheek junction. The patient’s goals were to achieve a refreshed, natural facial appearance and smooth neck and jawline contours.
Face and neck aging involves volume loss, descent of deeper anatomical support structures, and skin laxity. This can result in significant contour changes. Addressing these components with precise structural techniques that are personalized to the patient’s anatomy allows for a natural and cohesive result.
A selection of representative cases is shown publicly. Additional results are reviewed privately during consultation.
Patient Goals
The patient was primarily concerned with significant neck laxity and contour irregularity, along with blurring of jawline definition and under-eye hollowing. She sought a natural, refreshed appearance without looking overdone.
Anatomical Considerations
Examination demonstrated:
Significant neck laxity with skin and muscle redundancy
Neck contour asymmetry and irregularity
Blurring of jawline contours
Mild volume loss in the under-eye region
In this case, structural descent of deeper facial layers and platysmal laxity were primary contributors to the aging changes observed.
Procedure Overview
High SMAS facelift
Deep plane neck lift with platysmaplasty
Fat grafting to the under-eye region
Structural repositioning of deeper facial tissues
Surgical Approach
A high SMAS facelift was performed to reposition deeper facial support structures and restore definition along the jawline while preserving natural facial movement.
A deep plane neck lift with platysmaplasty was performed to address neck laxity at a structural level, eliminate banding, and refine the cervical contour.
A small amount of fat grafting was used to restore volume in the under-eye region, softening hollowing and contributing to a more rested and balanced appearance.
This layered approach allows for restoration of structure and volume while avoiding superficial tension, resulting in a natural, harmonious outcome.
Learn more about facelift surgery: https://www.ramlyplasticsurgery.com/facelift
Learn more about neck lift surgery: https://www.ramlyplasticsurgery.com/necklift
Result
The result demonstrates a smooth and lifted neck contour with restored youthful harmony, and softening of under-eye hollowing. The outcome appears natural and balanced, with preservation of facial identity.
Who This Is For
A high SMAS facelift and deep plane neck lift may be appropriate for patients experiencing:
Loss of jawline definition and jowls
Significant neck laxity or banding
The need for extensive structural repositioning of descended tissues
Desire for a comprehensive harmonious approach to facial rejuvenation
When Nonsurgical Treatments Are Not Enough
Nonsurgical treatments may provide temporary improvement, but they are not capable of repositioning the deeper structures of the face, or restoring lasting jawline and neck definition.
Frequently Asked Questions
What is a high SMAS facelift?
A high SMAS facelift is a technique that repositions deeper facial support structures to restore natural contour and improve jawline definition.
What is a deep plane neck lift?
A deep plane neck lift addresses the platysma muscle and the underlying deeper structures of the neck to restore a natural youthful contour and eliminate age-related neck fullness and banding.
Will my results look natural?
Yes. By addressing deeper structures rather than tightening the skin alone, results appear natural and maintain facial identity and youthful neck contours.
What does fat grafting do?
Fat grafting restores lost volume using the patient’s own tissue, helping soften hollow areas such as the junction between the lower eyelids and the cheeks.
Philosophy
Facial rejuvenation should be structural, precise, and balanced. The goal is to restore natural anatomy and contour while preserving identity and avoiding overcorrection.
Authority
Dr. Elie Ramly is a Harvard-trained plastic surgeon in Beverly Hills specializing in face and neck rejuvenation, with a focus on structural techniques that produce long-lasting, natural, identity-preserving results.
Schedule a Consultation
Schedule a consultation to discuss a personalized approach to your facelift and neck lift in Beverly Hills.