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Deep Plane Face & NeckliftNatural Deep Plane Facelift & Neck Lift Scottsdale, AZ

Restore your natural, youthful contours with a unified deep plane facelift and structural neck lift, performed by a facial reconstructive expert focused on safety.

The Art of Deep Plane Rejuvenation

An exceptional facelift and neck lift does not change who you look like—it reveals the most vibrant, rested version of yourself. Over time, gravity, sun exposure, and the natural loss of skin elasticity cause the facial tissues to descend, resulting in jowls, loss of jawline definition, flat cheekbones with pronounced cheek folds, deep lines around the mouth, and sagging neck bands.

Dr. Nate Jowett specializes in advanced deep plane lifts that go beneath the surface layer of the skin. By repositioning the deeper muscular foundation of the face (the SMAS layer) and performing a complete structural neck platysmaplasty, he achieves a smooth, defined jawline and elevated cheeks without the tight, "windswept" look associated with outdated skin lifts.

The goal is harmony: incisions hidden within the natural contours of the ear and hairline, allowing you to wear your hair styled however you choose with confidence.

Conventional Techniques

Conventional Skin & Plication Lifts

Conventional face and neck lifts pull and place tension on the skin itself, separating it from the underlying muscular layer. This tension may compromise blood flow to the skin, which increases risks of skin necrosis and wound complications. Further, because skin cells divide when placed under prolonged tension, the results of conventional facelift fade within a few months or years, causing laxity and jowls to return. These methods also risk a tight, "windswept" appearance because they fail to correct the actual muscle foundation.

Tension on skin • High risk of scars & necrosis • Short-lived results (3-5 years)
The Deep Plane Approach

Structural Deep Plane Restoration

A deep plane lift repositions the skin and SMAS muscle together as a thick, cohesive unit. Leaving the skin attached to the muscle preserves the natural blood supply and vascular network. This limits skin complications and necrosis.

Further, release of the facial ligaments in the deep plane allows for natural repositioning of the soft tissues of the face to their more youthful positions, avoiding tension while anchoring the lift to the structural layers of the face instead of the skin, allowing the skin to drape without strain. This yields beautiful, durable, and natural results that last ten to fifteen years or more.

Tension on muscle • Preserved blood supply • Durable results (10-15 years)

Case Studies

PATIENT CASE PROFILE

Secondary Facelift

Complex Deep Plane Revision & Structural Reconstruction

This case demonstrates an advanced revision deep plane facelift for a patient who had a prior facelift, rhinoplasty, and upper blepharoplasty elsewhere. She presented with recurrence of facial laxity, heavy jowls, and loss of jawline/neck definition. Dr. Jowett performed a complex deep plane secondary facelift, including submental platysmaplasty, structure neck contouring including sub-mandibular gland debulking, micro-fat grafting to restore youthful midface volume, and full-face fractional laser resurfacing to reverse the effects of decades of natural aging and solar damage.

Prior Procedures Done Elsewhere

Facelift, rhinoplasty, upper blepharoplasty

Additional Procedures Performed

Structural neck lift, fat grafting, laser resurfacing

Surgical Fact Sheet

  • Patient Demographics61-year-old Female
  • Operative Duration7 Hours
  • Anesthesia AdministeredSedation
  • Self-care recovery window12 - 24 Hours
  • Social Recovery Window3 Weeks
Secondary Facelift - Before - Right lateralBEFORE
Secondary Facelift - After - Right lateral6 MONTHS AFTER
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Right lateral

Restored midface fullness and smooth, defined jawline contours

6-month post-operative photos
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PATIENT CASE PROFILE

Primary Structural Neck Lift

Deep Platysmaplasty & Submental Contouring

This case highlights a primary structural neck lift without facelift for a male patient desiring improvement in his lateral neck profile, the cervicomental angle. He presented with submental fullness, separation of the midline of the superficial neck muscles (platysmal bands), and loss of cervical contour. Dr. Jowett performed a deep structural platysmaplasty under sedation, lacing the platysma muscle together in the midline and re-suspending the skin and muscle. The procedure yielded considerable improvement in the jaw and neck contour with camouflaged incisions and no skin tension.

Prior Procedures Done Elsewhere

None

Additional Procedures Performed

None

Surgical Fact Sheet

  • Patient Demographics61-year-old Male
  • Operative Duration3 Hours
  • Anesthesia AdministeredLocal or Sedation
  • Self-care recovery windowImmediate
  • Social Recovery Window7 - 10 Days
Primary Structural Neck Lift - Before - Right lateralBEFORE
Primary Structural Neck Lift - After - Right lateral6 MONTHS AFTER
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Right lateral

Complete elimination of submental fullness and heavy jowl laxity

6-month post-operative photos
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The Reconstructive Advantage: From Facial Reanimation to Deep Plane Mastery

Dr. Nate Jowett is a world-recognized expert in facial reconstruction and facial reanimation—the delicate microsurgical science of restoring movement and emotional expression to paralyzed faces. When surgical success is measured in single millimeters to restore a smile, cosmetic deep plane surgery is executed with an elite standard of precision.

While some cosmetic surgeons limit deep tissue release due to nerve concerns, Dr. Jowett operates in these deep anatomical spaces with precision and expertise gained from decades of training and reconstructive experience. His deep anatomic knowledge and experience allows him to perform facial suspensory ligament releases and deep plane (SMAS) mobilizations that yield natural restoration of youthful facial contours and crisp contouring of the neck, while minimizing the risk of nerve injury.

Safety First Approach

An international expert in facial reconstruction and nerve reanimation, Dr. Jowett operates with precision across complex facial anatomy. His unmatched structural understanding and focus on safety ensure patients are in safe hands.

Deep Structural Muscle Release

Dr. Jowett does not just pull the skin; he performs true deep plane SMAS releases and robust platysmal corsets to create a lasting, youthful architectural foundation.

Preservation of Natural Smile

His reconstructive career is dedicated to restoring smiles. He applies this exact standard to cosmetic surgery, ensuring your face remains dynamic, expressive, and yours.

Aesthetic Goals Achieved

  • Crisp, Sharp Jawline: Eradicates sagging skin and heavy jowls to restore a clean, defined transition between the face and neck.
  • Elevated Cheek & Midface Volume: Lifts descended cheek fat pads back to their youthful positions over the cheekbones, smoothing deep smile folds.
  • Elimination of Neck Bands: Laces vertical muscle bands under the chin tight to form a firm, smooth, and beautiful neck profile.
  • Sleek Profile & Cervicomental Angle: Reconstructs a sharp 90-degree angle from the chin to the throat, erasing submental fullness (double chin).
  • Camouflaged Incisions: Meticulous multi-layered, tension-free closure techniques ensure scars are hidden inside natural ear creases and hairline contours.
  • Restored Skin Quality: Combining the lift with state-of-the-art fractional CO2 laser resurfacing reverses solar damage, brown spots, and fine lines.

Schedule Your Private Consultation

Surgical facial rejuvenation is a personal journey. Dr. Nate Jowett dedicates significant time during your private consultation to analyze your unique bony landmarks, evaluate skin laxity, and discuss your aesthetic goals.

At Revitalis, we believe that the ultimate luxury in cosmetic surgery is absolute peace of mind. By entrusting your face and neck lift to a surgeon who writes the textbook on facial nerve anatomy, you guarantee yourself the safest, most refined, and natural aesthetic outcome.

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