Facelift (Deep Plane Facelift)

Dr. Avashia performs traditional and deep-plane facelifts that reposition structural facial tissues beneath the facial ligaments rather than simply tightening skin. This sub-SMAS approach restores volume to the midface and cheek contours, minimises visible scarring, and avoids the pulled or windblown look associated with older techniques. Results typically last 10–15 years.

Facial ageing involves changes at multiple tissue layers — skin loses elasticity, subcutaneous fat redistributes, and deeper structural compartments descend along defined ligament pathways. Surface-only tightening procedures address the most superficial of these changes and tend to relax quickly. The deep-plane facelift, which Dr. Avashia performs in Dallas, works at the level of the SMAS (superficial musculoaponeurotic system) and beyond the retaining ligaments — repositioning the entire composite of skin, fat, and muscle as a single unit back toward its original, more youthful position. Because tension is distributed across deeper structures rather than concentrated at the skin closure, the visible scar lines are under minimal pull, healing more discretely behind the ear and within the hairline. The result is a more natural, refreshed appearance with restored midface fullness and defined jawline — without the tell-tale stigmata of facial surgery. Dr. Avashia tailors the extent of the dissection to each patient's anatomy and degree of facial descent. Some patients benefit from a traditional SMAS-based lift, while others with more significant midface ptosis are best served by extending the plane through the zygomatic ligaments into the cheek. A comprehensive consultation includes facial analysis, photography, and a frank discussion of realistic outcomes and recovery expectations. Patients in the Dallas–Fort Worth metroplex — including Plano, Frisco, McKinney, and Southlake — travel to Dr. Avashia's Central Expressway practice for facelift procedures performed at the Dallas Plastic Surgery Institute surgical centre. Post-operative care is coordinated at the same location, with follow-up extending through the full healing arc. Recovery typically involves 2–3 weeks of social downtime before most swelling and bruising resolve.