A deep plane facelift is one of the most comprehensive surgical approaches available for facial rejuvenation, and at FacesFirst Cosmetic Surgery in Denver, Colorado, this procedure is performed by two double board-certified surgeons with over 40 years of combined experience in facial plastic surgery. If you have been researching a deep plane facelift and want to understand what the procedure involves, what recovery looks like, and how to determine whether you may be a candidate, this page is designed to give you the honest, detailed information you need.

To speak with our team directly, please contact us today.

What Is a Deep Plane Facelift? 

A deep plane facelift is a surgical technique that addresses the deeper structural layers of the face, specifically a layer of tissue known as the superficial musculoaponeurotic system, or SMAS, along with the facial ligaments that support it. Unlike more surface-level approaches, this technique works beneath that muscular layer to reposition tissues that have descended over time due to the natural aging process.

This approach may help address concerns including deep nasolabial folds, jowling along the jawline, midface descent, and loss of definition in the neck and lower face. Because the repositioning occurs at a deeper level, results tend to look more natural compared to techniques that only address superficial skin. At FacesFirst, Dr. Nicolette Picerno and Dr. Christopher Cote evaluate each patient’s facial anatomy individually to determine which technique, or combination of techniques, may produce the most appropriate outcome for that person’s goals. Individual results may vary.

Are You a Candidate for a Deep Plane Facelift? 

Candidates for a deep plane facelift are typically adults who have noticed significant changes in the midface, jawline, or neck that have not responded adequately to non-surgical options. Common concerns that may make someone a good candidate include visible jowling, deep facial folds, loss of volume and support in the cheek area, or significant laxity in the neck.

Good general health, non-smoker status, and realistic expectations about outcomes are also important considerations. Age is less of a determining factor than the degree of tissue change and overall health. Some patients may benefit from combining a deep plane facelift with complementary procedures such as blepharoplasty for eyelid rejuvenation or non-surgical treatments to address skin texture.

The most reliable way to understand whether this procedure is right for you is to schedule a consultation with Dr. Picerno or Dr. Cote. During that appointment, your surgeon will review your medical history, assess your facial anatomy, discuss your aesthetic goals, and recommend a personalized treatment plan. That conversation is the appropriate starting point for any candidacy question.

The Deep Plane Facelift Process at FacesFirst Cosmetic Surgery 

Understanding what to expect at each stage of your deep plane facelift experience can help you feel confident and prepared from consultation through recovery.

Consultation 

Your initial consultation with Dr. Picerno or Dr. Cote will typically involve a thorough review of your health history, a physical assessment of your facial structure, and an open discussion about what you hope to achieve. Your surgeon will explain the deep plane facelift technique in detail, discuss how it differs from other approaches, and outline what a realistic outcome may look like for your specific anatomy. This is also the appropriate time to ask questions about cost, downtime, and what the recovery period involves.

Procedure 

A deep plane facelift is performed under general anesthesia or deep sedation, typically in an accredited surgical facility. The procedure generally takes several hours, depending on the extent of correction and whether complementary procedures are performed at the same time. Incisions are typically placed along the hairline and around the ears, following natural contours to minimize visible scarring. The surgeon then works beneath the SMAS layer to release and reposition the deeper facial tissues before re-draping the skin with minimal tension.

Recovery 

Most patients can expect some degree of swelling, bruising, and tightness in the days following surgery. Most patients can return to light activity within two weeks, though full recovery, including resolution of residual swelling, typically takes several months. Your surgical team at FacesFirst will provide detailed post-operative instructions and schedule follow-up appointments to monitor your progress.

Results 

As swelling subsides over several weeks to months, patients typically begin to see a more defined jawline, improved midface contour, and a smoother neck profile. Individual results may vary. You can review examples of outcomes in our before-and-after photo gallery.

Why Choose FacesFirst for a Deep Plane Facelift in Denver? 

Choosing the right surgical team for a deep plane facelift is one of the most important decisions you will make throughout this process. At FacesFirst, Dr. Nicolette Picerno and Dr. Christopher Cote are both double board-certified in facial plastic surgery and otolaryngology. This dual certification reflects a level of specialization in the anatomy of the head and neck that is directly relevant to facial rejuvenation surgery.

Both surgeons are affiliated with the American Academy of Otolaryngology and the American Academy of Facial Plastic Surgery, and both have been recognized as Top Doctors by Castle Connolly in 2023, 2024, and 2025. Dr. Cote was also named among Newsweek’s America’s Best Plastic Surgeons in rhinoplasty for 2023 and 2024, and Dr. Picerno brings the same depth of clinical expertise to every patient she treats. You can learn more about each surgeon’s background by visiting the profiles for Dr. Nicolette Picerno and Dr. Christopher Cote.

FacesFirst has been serving the Denver community for over 40 years, and also welcomes patients from Lone Tree, Castle Rock, and surrounding areas throughout the greater Denver metro region. The practice’s long-standing presence in Colorado reflects a consistent commitment to patient care and surgical excellence.

Results and What to Expect from a Deep Plane Facelift 

Most patients who undergo a deep plane facelift at FacesFirst report a more refreshed, naturally youthful facial appearance as their final results develop. Because this technique works at a structural level, outcomes typically have a more balanced, less operated look compared to surface-only procedures.

Improvement is generally visible within the first few weeks, with more refined results becoming apparent over three to six months as swelling fully resolves. Maintaining a healthy lifestyle, practicing consistent sun protection, and incorporating appropriate skin care, such as the options available through our non-surgical skin care services, may help support and extend your results over time. Individual results may vary.

Ready to take the next step? Call FacesFirst today to schedule your consultation with Dr. Picerno or Dr. Cote.

Frequently Asked Questions About Deep Plane Facelifts in Denver 

How does a deep plane facelift differ from a traditional facelift? 

A traditional facelift typically addresses skin and the superficial SMAS layer, while a deep plane facelift releases and repositions the deeper facial tissues, including the underlying ligaments. This deeper approach may produce a more natural-looking result, particularly in the midface and along the jawline. Your surgeon at FacesFirst can explain which technique may be most appropriate for your anatomy during a consultation.

How long does recovery from a deep plane facelift typically take? 

Most patients return to light daily activities within two weeks following a deep plane facelift, though some residual swelling may persist for several months. Strenuous activity is typically restricted for a longer period, as directed by your surgical team. Following your post-operative instructions carefully is one of the most important factors in a smooth recovery.

What factors influence the cost of a deep plane facelift? 

The cost of a deep plane facelift depends on several variables, including the complexity of the procedure, whether additional treatments are performed at the same time, anesthesia fees, and facility costs. FacesFirst offers financing options to help patients plan for their procedure. Specific pricing is discussed during your personal consultation.

Can a deep plane facelift be combined with other procedures? 

Yes, many patients choose to combine a deep plane facelift with complementary procedures for a more comprehensive result. Common additions include blepharoplasty, fat transfer for volume restoration, or skin resurfacing treatments such as Renuvion plasma lift technology. Your surgeon will help you determine which combination, if any, aligns with your goals and is appropriate to perform safely at the same time.

How do I choose the right surgeon for a deep plane facelift? 

Board certification in facial plastic surgery, specific experience with the deep plane technique, and a thorough consultation process are all important factors when selecting a surgeon. At FacesFirst, both Dr. Picerno and Dr. Cote hold dual board certification in facial plastic surgery and otolaryngology and have received consistent recognition from Castle Connolly as Top Doctors. Reviewing a practice’s before and after results and asking detailed questions during your consultation can also help you feel confident in your decision.

Will the results of a deep plane facelift look natural? 

Because the deep plane technique repositions tissue rather than simply pulling skin tight, many patients achieve results that look refreshed and proportionate rather than operated on. That said, individual results vary based on facial anatomy, skin quality, and other factors. Your surgeon will provide an honest assessment of what outcomes may be realistic for you specifically during your consultation.

Schedule Your Deep Plane Facelift Consultation in Denver 

If you are considering a deep plane facelift and want to speak with a double board-certified facial plastic surgeon in Denver, FacesFirst is ready to help. Dr. Picerno and Dr. Cote bring over 40 years of combined experience to every consultation and are committed to honest, personalized guidance at every step. Contact us today to schedule your appointment.

Dr. Christopher Cote and Dr. Nicolette Picerno

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Dr. Christopher Cote and Dr. Nicolette Picerno are board-certified facial plastic surgeons practicing in Denver, Lone Tree, and Castle Rock, Colorado. They have over 50 years of combined experience together in facial plastic surgery. Both Dr. Cote and Dr. Picerno specialize in procedures like Facelift, Browlift, Facial Rejuvenation, Nose Surgery, and many other types of cosmetic procedures at FacesFirst.