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2 yr results | Facelift on a patient that has had BSSO surgery. How I created a beautiful jawline.

T. Gerald O’Daniel, MD, FACS · 2026-07-14 · 1 minutes

From the channel

This patient previously had bilateral sagittal split osteotomy (BSSO) surgery, therefore, part of her jawline has zero bone. I used her own soft tissue to create a jawline that will last the rest of her life. + Deep Plane Facelift + Deep Neck Lift + Submandibular Gland Reduction + Buccal Ft Pad Repositioning + Gonial Triad Technique + Chin Implant + Upper & Lower Blepharoplasty T. Gerald O’Daniel,

Deep-plane facelift

A deep-plane facelift lifts the skin, fat and SMAS as one flap after releasing the ligaments that hold the cheek down, instead of lifting skin and SMAS separately. It dates to Hamra's 1990 paper and is now the most-used facelift among surveyed facial plastic surgeons, though head-to-head evidence of longer-lasting results is limited.

The technique, its anatomy and the papers behind it

Newest research on deep plane facelift

From the PubMed facelift record.

2026
Conservation facelift: The mesoface
Quinodoz P, Scampa M, Belhaouari L · JPRAS Open · PMID 42630822
2026
Tunneled Deep-plane Lift: A Novel Approach to Lower Facial and Neck Laxity
Stanford N, Ramírez B, Varela A · Plast Reconstr Surg Glob Open · PMID 42719910
2026
Deep Plane Facelifts: A Systematic Review and Meta-Analysis of Outcomes
Koroma P, Reji N, Burridge I, Shah M, Gopi P, Lee K, et al. · Aesthetic Plast Surg · PMID 42576065