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The term \u2018deep plane\u2019 does not refer to a single standardised surgical procedure, but rather to a surgical concept.
\nWhilst traditional facelift techniques often work at a more superficial level, the dissection involved in a deep plane facelift takes place in the deeper anatomical layers of the face. In this procedure, specific ligamentous support structures are selectively released in order to mobilise and reposition sagging tissue units more naturally as a functional unit.
\nThe aim is not to tighten the skin, but to harmoniously return deeper tissue layers to their original position.
\nIt is precisely this approach that often results in a softer, more natural appearance, with less of a \u2018pulled\u2019 look than with older procedures that focused purely on tension. <\/p>\n
It is not just excess skin that causes the face to age.
\nOver time, deep fat compartments, supporting structures, layers of muscle and connective tissue, volume ratios and, ultimately, the underlying bone structure of the face undergo changes.
\nThe so-called retaining ligaments \u2013 the ligamentous structures that support the face \u2013 play a key role in this.
\nThese delicate anatomical connections stabilise the cheeks, midface and jawline, effectively preventing the tissue from sagging uncontrollably.
\nAs we age, these structures lose their firmness. At the same time, there are changes in volume and tissue quality.
\nThis leads to typical signs of ageing such as: <\/p>\n
It is precisely the treatment of these deeper structures that is one of the key principles of modern deep-plane surgery.<\/p>\n
On social media today, one often gets the impression that modern deep-plane surgery essentially involves releasing as many ligamentous structures as possible.
\nFrom Dr Richter\u2019s point of view, the reality is far more nuanced.
\nIn younger patients, these supporting ligaments are often still strong, taut and mechanically very stable. In such cases, targeted release of specific structures can be beneficial in order to mobilise tissue more naturally and achieve more significant repositioning.
\nIn older people, however, the supporting structures are often already significantly loosened or functionally weakened.
\nThis means:
\nNot every face automatically requires aggressive ligamentous dissection.
\nIt is precisely here that Dr Richter sees one of the most important differences between standardised technical approaches and truly individualised facial surgery.
\nFor him, experience does not mean operating as deeply or as aggressively as possible.
\nExperience means recognising: <\/p>\n
In a deep plane facelift, deeper tissue connections are specifically targeted and \u2013 where anatomically appropriate \u2013 certain ligamentous structures are released.
\nThis allows:<\/p>\n
Unlike older techniques, the improvement is achieved less through skin tension and more through natural tissue repositioning.
\nThis often places significantly less strain on the skin.
\nThis can:<\/p>\n
Dr Richter has been using deep-plane techniques continuously and successfully since 2002.
\nOver many years and thousands of procedures, he was able to closely monitor the development of these techniques and their long-term outcomes.
\nAbove all, this experience has shown him one thing:
\nThe Deep Plane facelift is an excellent technique \u2013 but it is not a one-size-fits-all solution for every face.
\nIt is precisely for this reason that he does not view modern facial surgery as a competition between individual surgical techniques.
\nNot every patient needs:<\/p>\n
What is crucial, rather, is striking the right balance between mobilisation, rest, stability and natural tissue repositioning.<\/p>\n
In his view, simplified mini-lifts \u2013 or so-called \u2018budget lifts\u2019 \u2013 often fail to take into account the complex anatomy of the face.
\nOften, the procedure involves only superficial tightening \u2013 without a proper assessment of ligament tension, without taking volume loss into account, and without addressing the midface.
\nThe problem here is not the minor operation itself.
\nThe problem is often that the wrong level and technique are chosen.
\nA face does not necessarily require a stronger pull.
\nIt requires an anatomically correct solution.<\/p>\n
Even a deep plane facelift has its limitations.
\nVery deep nasolabial folds, for example, cannot always be fully improved by tissue repositioning alone. This is because ageing is caused not only by sagging tissue, but also by: <\/p>\n
Some faces therefore require the following additional care:<\/p>\n
It is precisely this nuanced combination of different measures that often determines whether a result looks natural in the long term.<\/p>\n
Over the past few years, numerous further developments have been reported.
\nThe extended deep plane technique involves greater involvement of additional mid-face or neck structures. This can be particularly beneficial in cases of significant tissue laxity or severe facial contouring.
\nPreservation Deep Plane techniques, on the other hand, place greater emphasis on preserving natural tissue planes and minimising trauma as much as possible.
\nDr Richter considers these developments to be highly interesting, but at the same time emphasises that such techniques require a very precise understanding of anatomy.
\nIt is not the modernity of a term that determines the quality of a result, but the surgeon\u2019s experience in its individual application. <\/p>\n
In Dr Richter\u2019s view, a good facelift never targets just one specific area.
\nThat is why he always analyses:<\/p>\n
It is precisely this sense of naturalness that is often achieved through a combination of small, complementary measures:<\/p>\n
It is not maximum change that creates harmony \u2013 but the right balance.<\/p>\n
A modern facelift is no substitute for good skin quality.
\nThat is why Dr Richter is increasingly combining surgical procedures with regenerative approaches such as:<\/p>\n
These procedures can:<\/p>\n
It is precisely in this area that Dr Wiedner complements the joint approach, placing particular emphasis on skin quality, preparatory regeneration and post-operative tissue stabilisation.<\/p>\n
Dr Richter does not view modern facelift surgery as a passing fad or a competition between different techniques.
\nFor him, it\u2019s all about:<\/p>\n
For him, experience also means knowing when a deep plane facelift is appropriate \u2013 and when other approaches offer a better solution.
\nHis aim is never to achieve the most dramatic change possible.
\nHis aim is:<\/p>\n
For him, the most challenging aspect of modern facial surgery is not the most dramatic transformation, but rather a face that looks fresher, more harmonious and more rested \u2013 without losing its personality.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
His aim is never to make the most drastic change possible, but rather to naturally reposition sagging structures, achieving a harmonious result that lasts. In his view, a good facelift is not recognised by the fact that a face looks visibly altered, but by the fact that it appears more relaxed, fresher and clearer \u2013 […]<\/p>\n","protected":false},"featured_media":8152,"menu_order":0,"template":"","categories":[56,35],"tags":[],"class_list":["post-8367","service","type-service","status-publish","has-post-thumbnail","hentry","category-face","category-surgery-en"],"acf":[],"yoast_head":"\n