Scarless Facelift vs. Deep Plane Facelift: What’s the Real Difference?

"Scarless Facelift"

If you’ve been thinking about facial rejuvenation but aren’t quite sure which type of facelift is right for you, you’re not alone. Many patients come in wondering, “Do I need a deep plane facelift? Or can I get that lifted, refreshed look without visible scars?”

Let’s break it down in a simple, clear, and patient-friendly way, so you can understand exactly what makes these two techniques different and which one may be the best fit for your goals.

The Traditional Deep Plane Facelift:Powerful, Comprehensive, and Classic

A deep plane facelift works by lifting the SMAS — the deeper structural layer beneath the skin — to reposition the face from the foundation, not just the surface.This technique creates some of the longest-lasting and most natural results in facial rejuvenation.

Here’s how it works:

• The incision is placed around the ear, starting inside, extending behind the ear, and blending into the natural creases.

• The incision continues into the hairline, where it becomes virtually invisible.

• This allows the surgeon to lift the lower face and neck powerfully and precisely.

Because of the access this incision provides, a deep plane facelift is ideal for:

• sagging in the lower face

• jowls

• loss of definition along the jawline

• significant neck laxity

  
  

It’s a strong, effective approach — especially for patients who want a dramatic, long-lasting improvement.

The “Scarless” Facelift: Minimal Incisions, Maximum Lift

Now, let’s talk about the technique everyone is curious about — the so-called “scarless” facelift. The term “scarless” is used in quotes for a reason:There is a scar… it’s just hidden so well that you won’t see it.

This approach uses a small incision placed entirely within the hairline, behind the ear. That means:

• no incision in front of the ear

• no visible scar along the tragus or sideburn

• the hair naturally conceals the entry point

  
  

Through this discreet incision, the surgeon can lift and reposition the tissues of the mid- and lower face, creating a refreshed, youthful look without altering the natural contours of the ear.

It’s ideal for:

• younger patients

• those with early to moderate sagging

• people who don’t need neck correction

• anyone wanting a lift without visible scars around the ear

  
  

The result is a powerful elevation of the facial tissues with an incision that’s practically invisible — making it a popular choice for patients wanting subtle rejuvenation with low scar visibility.

When Is a Neck Lift Needed?

Here’s the key difference:

If you have neck laxity, such as bands, loose skin, or loss of contour, the scarless approach alone may not give you the complete result you’re looking for.Neck tightening typically requires that traditional incision around and behind the ear to allow full access.

However, not all patients need that. Many younger individuals — or those with mild aging changes — can achieve excellent results through the scarless, hairline-incision approach alone.

Deep Plane Lift - Before x After

How to Know Which One Is Right for You

Choosing between a deep plane facelift and a scarless facelift depends on:

• your anatomy

• your age

• the degree of sagging

• whether your neck needs correction

• how important scar placement is to you

• your goals for lift and longevity

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At West Coast Plastic Surgery Center, Dr. Gorodisky evaluates all of this during your consultation to create a personalized plan that fits your unique facial structure and desired outcome. Both techniques are powerful. Both create natural, refreshed, long-lasting results. The difference is simply which approach gives you the outcome you want with the incision pattern you prefer.

Thinking About a Facelift? Let’s Find the Perfect Technique for You.

Contact us today to schedule a consultation and find out how we can help you achieve your best health.Call (805) 983-1999.