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.