Individualized facial rejuvenation planned around the jawline, neck, midface and natural facial proportions.
Deep-plane facial rejuvenation
A deep-plane face and neck lift addresses age-related changes in the lower face, jawline, midface and neck by repositioning deeper facial tissues rather than relying only on skin tension. The goal is a refreshed appearance that remains consistent with the patient’s facial identity.
During consultation, Dr. Telman Arakelyan evaluates skin quality, facial structure, neck anatomy, previous procedures, medical history and the patient’s priorities. A brow lift, eyelid surgery, fat grafting or chin augmentation may be discussed when these procedures would improve overall balance, but additional surgery is never assumed to be necessary.
The deep-plane technique releases and repositions the deeper support layers of the face as a connected unit. This can reduce the need to pull tightly on the skin and may create a smoother transition through the cheek, jawline and upper neck. The exact dissection and extent of neck treatment depend on individual anatomy and cannot be determined from photographs alone.
A neck lift may include treatment of the platysma muscle and excess tissue beneath the jaw. When the chin is relatively small or the hyoid position limits the profile, the expected improvement and the limitations of surgery are discussed clearly before treatment.
Suitable candidates are generally healthy adults with visible facial and neck laxity who understand that surgery improves specific anatomical concerns rather than creating a different identity. Smoking, uncontrolled medical conditions, coagulation problems, previous facial surgery, medications and prior fillers or threads may affect the plan or timing. A complete medical assessment is required before confirming surgery.
Swelling, bruising, tightness and temporary changes in sensation are expected during early recovery. These usually improve progressively, although residual swelling and tissue settling continue for longer. Patients receive individual instructions regarding wound care, sleeping position, activity, medications and follow-up. Social recovery varies, so important events should not be planned too soon after surgery.
Results evolve as swelling resolves and the tissues soften. Facial ageing continues naturally, and the duration of improvement varies according to anatomy, skin quality, lifestyle and the procedure performed.
All surgery carries risk. Possible complications include bleeding, infection, delayed healing, scarring, asymmetry, fluid collection, temporary or persistent sensory changes, hairline changes, skin compromise and temporary or persistent weakness of facial nerve branches. Anaesthetic and thromboembolic risks are also considered. The purpose of consultation is to determine whether the expected benefit justifies these risks for the individual patient.
The surgical plan aims to restore tissue position without excessive skin tension. No technique can guarantee a particular appearance, and realistic goals are reviewed using clinical examination and photographs.
Incisions are generally placed around the ear and within or near the hairline. Scar quality varies between patients and continues to mature for many months.
Combined surgery may be appropriate when several areas contribute to facial ageing. The safest and most proportionate plan is determined after medical and anatomical assessment.
Photographs and video consultation can provide a preliminary assessment. Final recommendations depend on in-person examination and preoperative evaluation in Yerevan.
Send clear front, profile and three-quarter photographs together with your age, medical history, previous procedures and the changes you would like to discuss.
Medical content reviewed by Dr. Telman Arakelyan, plastic and maxillofacial surgeon. This page provides general information and does not replace an individual consultation.
