Op. Dr. Yakup DumanPlastic, Reconstructive and Aesthetic Surgery

Specialist in Plastic, Reconstructive and Aesthetic Surgery

Op. Dr.Yakup Duman

Most procedures performed at the practice are deep plane facelifts. This page explains the technique, the surgical process, preparation before surgery and the risks.

Practice
Varyap Meridian, Ataşehir
Consultations
Mon – Sat
09:00 – 19:00
Op. Dr. Yakup Duman

Deep plane facelift

What is a deep plane facelift?

Facelift procedures address the sagging that develops with age in the midface, along the jawline and in the neck.

In the deep plane technique the surgeon works beneath the SMAS, the muscle-and-fascia layer under the skin. Skin and SMAS are lifted as a single unit; some of the retaining ligaments that tether facial tissue to bone are released, and the tissues are repositioned. Tension is placed mainly on the deep layer.

A deep plane facelift is usually planned together with a neck lift. Which technique and which procedures are suitable is decided after an in-person examination.

Layers of facial tissue — schematic cross-sectionFrom surface to depth: skin, subcutaneous fat, SMAS, the deep plane, deep fascia and bone. Retaining ligaments run from bone to the SMAS; in the deep plane technique some are released and the tissues are repositioned upwards and backwards. 12345
  1. Skin
  2. Subcutaneous fat
  3. SMAS — muscle-and-fascia layer
  4. Deep plane — the plane beneath the SMAS where the deep plane technique works
  5. Deep fascia, periosteum and bone
  6. Retaining ligaments — tether tissue to bone; some are released. Arrow: direction in which tissues are repositioned
Schematic drawing, not to scale.

Process

From examination to follow-up

Each patient's process is planned individually, based on the assessment at the examination.

  1. Examination

    An in-person examination assesses the structure of the face and neck, skin quality, expectations and general health.

  2. Tests

    Pre-operative blood tests are done, with other specialists consulted where needed. The anaesthetic assessment confirms fitness for surgery.

  3. Informed consent

    The scope of surgery, possible risks, alternatives and recovery are explained; your questions are answered and written consent is obtained.

  4. Surgery

    Surgery takes place in the operating theatre of a licensed hospital, with an anaesthesiologist present.

  5. Recovery and follow-up

    Swelling and bruising are most visible in the first days and fade over time. Stitch removal and follow-up visits take place on scheduled dates.

Before surgery

What you should know

Safety starts with preparation. Please discuss the following at your examination.

Blood pressure

High blood pressure increases the risk of bleeding (haematoma) after surgery. It needs to be well controlled before surgery.

Medication and supplements

Aspirin, blood thinners and supplements such as fish oil or ginkgo can increase bleeding. Tell us about all of them; do not stop any medication without asking your doctor.

Smoking and nicotine

Smoking impairs blood supply to the skin and can delay healing. Avoiding it before and after surgery is advised.

Chronic conditions

Conditions such as diabetes, heart disease and thyroid problems are taken into account when planning surgery.

Realistic expectations

A facelift does not stop ageing; it repositions sagging tissue. Results vary from person to person.

Support at home

Having someone close to you nearby in the first days after surgery is advised.

Risks

Like any surgery, a facelift carries risks

  • Bleeding and haematoma (blood collecting under the skin)
  • Infection
  • Temporary, rarely permanent, weakness of the facial nerve
  • Numbness and changes in sensation
  • Scarring and variation in scar quality
  • Asymmetry
  • Impaired blood supply to the skin
  • Risks related to anaesthesia

Results of any surgical or interventional procedure may vary from person to person. You are advised to get a detailed opinion from your doctor before any procedure.

FAQ

Questions about the deep plane facelift

Who may be considered for a deep plane facelift?

People with sagging in the midface, jawline and neck whose general health allows surgery. Suitability is decided after an in-person examination.

How long does the operation take?

It depends on the procedures combined and is planned at the examination. Facelift operations usually take several hours.

What kind of anaesthesia is used?

The anaesthetic method is decided by the anaesthesiologist after assessment.

Where are the scars?

Incisions are usually planned in the natural creases in front of and behind the ear and along the hairline. How scars look varies from person to person.

How long is recovery?

Swelling and bruising are most visible in the first days and fade over time. Recovery time varies; your own timeline is discussed at the examination, based on the planned procedures.

Can the neck be treated in the same operation?

A deep plane facelift is usually planned together with a neck lift. The neck is assessed separately at the examination.

Can eyelid surgery be done at the same time?

Where suitable, a facelift may be planned in the same session as procedures such as eyelid surgery. This is decided at the examination.

Is it performed on men?

Yes. In men, the beard area and hairline are taken into account when planning the incisions.

Other procedures

Other procedures performed at the practice

Eyelid surgery

Removing excess skin and fat from the upper and lower eyelids.

Rhinoplasty

Reshaping the nose and its proportions, with breathing function where needed.

Breast surgery

Breast augmentation, reduction and lift.

Abdominoplasty

Removing excess skin and fat, repairing the abdominal muscles where needed.

Mommy makeover

Abdominoplasty, breast surgery and, where needed, liposuction planned together for changes after pregnancy.

Curriculum vitae

Training and experience

Specialty: Plastic, Reconstructive and Aesthetic Surgery (Op. Dr.)

  1. 2003Karadeniz Technical University, Faculty of Medicine
  2. 2007 – 2013Ankara Atatürk Training and Research Hospital — specialist training in Plastic, Reconstructive and Aesthetic Surgery
  3. 2013 – 2017Kahramanmaraş Sütçü İmam University
  4. 2017 – 2018Tokat Gaziosmanpaşa University
  5. ObserverINTEGRIS Baptist Medical Center (Oklahoma, USA) · MD Anderson Cancer Center (Texas, USA)
  6. PublicationsScientific papers in reconstructive surgery, including perforator flaps for lower-extremity soft-tissue defects

Practice

Practice of Op. Dr. Yakup Duman

Address
Barbaros Mah., Al Zambak Sok., Varyap Meridian No:2/32, 34746 Ataşehir / Istanbul, Türkiye
Consultations
Monday – Saturday
09:00 – 19:00 · by appointment
Phone · WhatsApp
+90 507 501 11 11

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