Abstract
Aims and Backgrounds
This article presents a comprehensive, anatomically precise approach to deep plane
facelift surgery in male patients, a demographic with increasing interest in facial
rejuvenation but historically underserved by techniques optimized for female anatomy.
While foundational facelift principles are shared between genders, the male patient
presents unique structural, vascular, and aesthetic demands that necessitate specific
modifications to technique, planning, and execution.
Anatomic Considerations
Key anatomical distinctions in the male face, including denser subcutaneous tissue,
increased vascularity, prominent subplatysmal structures, and horizontally oriented
submuscular aponeurotic system (SMAS)–platysma continuity, require surgical planning
that respects and preserves masculine facial definition. The submental region is often
complicated by hypertrophic digastric musculature and submandibular gland visibility,
necessitating targeted management to optimize the cervicomental angle.
Technical Approach
This article outlines a male-specific technique emphasizing extended deep plane dissection,
ligamentous release, SMAS repositioning with minimal subcutaneous dissection, and
submental access. Deep plane neck procedures, including conservative subplatysmal
fat reduction, digastric contouring, partial submandibular gland reduction, and corset
platysmaplasty, supplement the facial portion of the procedure.
Clinical Significance and Future Directions
When performed with anatomical precision and gender-specific adaptation, preservation-based
techniques with extended deep plane facelift surgery yield consistent, natural, and
structurally restorative outcomes in male patients.
Keywords
male facelift - deep plane facelift - SMAS - submandibular gland - neck lift
