Anyone who starts researching facelifts quickly notices how confusing the landscape can be. Online, you’ll come across a tangle of terms and techniques: mini lift, S-lift, MACS lift, ponytail lift, vertical restore, deep-plane facelift—often with major price differences and very little explanation of what those differences actually mean. That makes it difficult to understand what is right for you, and why one facelift cannot simply be compared to another.
On this page, we therefore explain in a calm and clear way what facial ageing really involves, why the face ages the way it does, and why at Gooimeer Clinics we almost always choose a deep-plane facelift when surgical rejuvenation is being considered.
Facial ageing is almost never caused by a single problem. It is not simply a matter of a few wrinkles or a bit of excess skin. Over the years, the soft tissues of the face gradually descend as a whole. As a result, the face loses its natural contours—especially along the jawline and in the neck. This often creates a tired, heavier, or sterner appearance, even though someone may still feel vital on the inside. The most natural and long-lasting results are therefore not achieved by treating isolated symptoms, but by addressing this overall descent at its source.
Although everyone is unique, we almost always see the same patterns. This can lead to:
marionette lines, as cheek tissue descends past the corners of the mouth
jowls, where the lower cheek begins to hang over the jawline
deepening of the nasolabial fold, caused by differences in mobility between the cheek and the upper lip
neck laxity, as descended facial tissue accumulates in the neck area
under-eye bags and tear trough formation, due to weakening support structures around the eye
drooping eyebrows, as the forehead as a whole can also descend
It is important to understand: these are not purely skin problems.
They are deeper shifts and descent of volume and supporting tissue.
To understand this properly, a small amount of anatomy is important. The face consists of several layers:
the skin
the subcutaneous fat
a firm connective-tissue layer: the SMAS (Superficial Musculo-Aponeurotic System)
the facial muscles
the underlying bone
Between some of these layers, movement must be possible. We call these mobile zones gliding planes. They allow us to smile, talk, frown, and use facial expression. In other areas, the layers are firmly connected via so-called zones of adhesion: natural suspension points where skin, fat, and muscles are anchored to the bone by connective tissue.
Through years of facial movement—talking, smiling, eating—the tissues in front of the ear become increasingly mobile. At the same time, connective tissue loses firmness with age. The result is that the tissue in front of an imaginary line from the outer corner of the eye to the angle of the jaw slowly slides downward, while the tissue just in front of the ear remains relatively fixed. This creates typical signs of aging such as jowls and loss of a sharp jawline.
This process is influenced by factors such as:
genetic predisposition
sun exposure
smoking
weight fluctuations
and in women: hormonal changes around menopause
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The essence of a good facelift is therefore:
restoring sagging volume to its original position, without adding extra volume.
That is exactly what a deep-plane facelift makes possible. By working beneath the SMAS layer, the natural suspension points can be released and the tissue can be moved upward and backward as a single unit. This improves the jawline, neck, and cheek contours in an anatomically correct way.
The goal is not to remove every fine line, but to restore harmony and balance to the face. A few age-appropriate wrinkles are not bothersome at all.
A so-called mini-lift is usually a skin-only lift: the skin is loosened, pulled tight, and excess skin is removed. That sounds appealing—less invasive, faster recovery—but the effect is often limited and temporary.
Because the skin is elastic, it gradually stretches again over time. Moreover, a skin-only lift does not address the true sagging, which can make the result look tight, unnatural, or distorted. To achieve a visible effect, a lot of tension often has to be placed on the skin, which increases the risk of wider scars and wound-healing problems.
Deep-plane facelift: the most advanced technique for a safe and natural-looking result that you can truly enjoy for a long time
With a deep-plane facelift, the fixed SMAS zone in front of the ear is bypassed in the subcutaneous plane, and the fascial layer is opened at the level of the sagging zone. From there, the tissue beneath the SMAS can be further released and repositioned as a whole.
This has several advantages:
the true problem area can be reached
the effect is stronger and more natural
the result is long-lasting (often 10–15 years)
the volume moves with the lift, instead of being flattened
At Gooimeer Clinics, we almost always treat the face and neck in combination. A facelift without addressing the neck rarely gives a harmonious result. A deep neck lift is therefore a standard part of our deep-plane facelift.
Dr. Wouter van der Pot and Dr. Kalam Ahmed have continued to refine their deep-plane facelift and neck lift technique over the past 15 years. Through intensive international training, ongoing education, and extensive operative experience, they strive for a result that is safe, natural, and durable.
The starting point is always the same: you should not look “operated on,” but like yourself again—relaxed and in balance.
The operation is performed under general anesthesia. You stay in the clinic for one night for observation. The next morning, the pressure dressing is removed and you go home with a supportive facial garment, antibiotics, and pain relief.
Recovery differs per person, but in general:
after 3–4 weeks you are socially presentable again
after ±12 weeks you are largely recovered
we only assess the final result after about one year, when the scars have fully matured as well
The procedure is generally not extremely painful, but it can be uncomfortable during the first few days due to swelling and a stiff neck.
Every operation carries risks, including a facelift. Fortunately, serious complications are exceptionally rare with an experienced facelift surgeon.
Possible complications include:
Bleeding (hematoma), usually within the first 24 hours
Infection, rare and usually treatable
Neuropraxia: temporary loss of function or weakness of a facial nerve. This may sound scary, but it is generally not a major issue; the main nerve branches lie deep and are essentially never a problem. There are two smaller branches that lie more superficially and can be bruised more easily during surgery because they run over a small “edge” of tissue; one runs along the jawline to the lower lip, and the other (much rarer) runs over the cheekbone margin toward the forehead. In about 1 in 30 patients, you may see that, for example, one side of the lower lip moves slightly differently than the other side. This is not a problem; it ALWAYS resolves spontaneously, in most cases within a few weeks and at most within 6 weeks.
During the consultation, we discuss these risks in depth and with complete openness.
Wrinkles are folds in the skin that arise from repeated movement. They can often be treated well with Botox or fillers. But you cannot solve tissue sagging that way. That is why the term liquid facelift is misleading: injectables cannot perform a true lift.
In fact, trying to camouflage sagging by adding more and more volume often leads to an unnatural appearance. The volume has usually not disappeared, but has descended. If you add volume higher up without repositioning it, you eventually create a distorted look in which someone no longer recognizes themselves.
The essence of a good facelift is therefore:
restoring sagging volume to its original position, without adding extra volume.
That is exactly what a deep-plane facelift makes possible. By working beneath the SMAS layer, the natural suspension points can be released and the tissue can be moved upward and backward as a single unit. This improves the jawline, neck, and cheek contours in an anatomically correct way.
The goal is not to remove every fine line, but to restore harmony and balance to the face. A few age-appropriate wrinkles are not bothersome at all.
A so-called mini-lift is usually a skin-only lift: the skin is loosened, pulled tight, and excess skin is removed. That sounds appealing—less invasive, faster recovery—but the effect is often limited and temporary.
Because the skin is elastic, it gradually stretches again over time. Moreover, a skin-only lift does not address the true sagging, which can make the result look tight, unnatural, or distorted. To achieve a visible effect, a lot of tension often has to be placed on the skin, which increases the risk of wider scars and wound-healing problems.
Deep-plane facelift: the most advanced technique for a safe and natural-looking result that you can truly enjoy for a long time
With a deep-plane facelift, the fixed SMAS zone in front of the ear is bypassed in the subcutaneous plane, and the fascial layer is opened at the level of the sagging zone. From there, the tissue beneath the SMAS can be further released and repositioned as a whole.
This has several advantages:
the true problem area can be reached
the effect is stronger and more natural
the result is long-lasting (often 10–15 years)
the volume moves with the lift, instead of being flattened
At Gooimeer Clinics, we almost always treat the face and neck in combination. A facelift without addressing the neck rarely gives a harmonious result. A deep neck lift is therefore a standard part of our deep-plane facelift.
Dr. Wouter van der Pot and Dr. Kalam Ahmed have continued to refine their deep-plane facelift and neck lift technique over the past 15 years. Through intensive international training, ongoing education, and extensive operative experience, they strive for a result that is safe, natural, and durable.
The starting point is always the same: you should not look “operated on,” but like yourself again—relaxed and in balance.
The operation is performed under general anesthesia. You stay in the clinic for one night for observation. The next morning, the pressure dressing is removed and you go home with a supportive facial garment, antibiotics, and pain relief.
Recovery differs per person, but in general:
after 3–4 weeks you are socially presentable again
after ±12 weeks you are largely recovered
we only assess the final result after about one year, when the scars have fully matured as well
The procedure is generally not extremely painful, but it can be uncomfortable during the first few days due to swelling and a stiff neck.
Every operation carries risks, including a facelift. Fortunately, serious complications are exceptionally rare with an experienced facelift surgeon.
Possible complications include:
Bleeding (hematoma), usually within the first 24 hours
Infection, rare and usually treatable
Neuropraxia: temporary loss of function or weakness of a facial nerve. This may sound scary, but it is generally not a major issue; the main nerve branches lie deep and are essentially never a problem. There are two smaller branches that lie more superficially and can be bruised more easily during surgery because they run over a small “edge” of tissue; one runs along the jawline to the lower lip, and the other (much rarer) runs over the cheekbone margin toward the forehead. In about 1 in 30 patients, you may see that, for example, one side of the lower lip moves slightly differently than the other side. This is not a problem; it ALWAYS resolves spontaneously, in most cases within a few weeks and at most within 6 weeks.
During the consultation, we discuss these risks in depth and with complete openness.
Wrinkles are folds in the skin that arise from repeated movement. They can often be treated well with Botox or fillers. But you cannot solve tissue sagging that way. That is why the term liquid facelift is misleading: injectables cannot perform a true lift.
In fact, trying to camouflage sagging by adding more and more volume often leads to an unnatural appearance. The volume has usually not disappeared, but has descended. If you add volume higher up without repositioning it, you eventually create a distorted look in which someone no longer recognizes themselves.
Click on the video to find more information about this treatment
Click on an questions to see the answer
What is the difference between a deep-plane facelift and other facelifts?
The main difference lies in the depth at which the procedure is performed. A deep-plane facelift moves the deeper tissues and volume as a whole, while other techniques often mainly pull on the skin or superficial layers.
How long do the results of a facelift last?
On average, 10–15 years. Ageing does not stop, of course, but you will always look younger than you would without surgery. We sometimes say: you turn the clock back 10–15 years, but it keeps ticking.
Does a deep-plane facelift look natural?
Yes. Precisely because the volume is moved rather than tightened, your facial expressions remain intact and you will still recognise yourself in the mirror.
Is a facelift painful?
Most patients mainly experience discomfort and swelling, not severe pain. This can be treated effectively with medication.
When can I get back to work after a facelift?
For sedentary or light occupations, often after 2–3 weeks. Physically demanding work requires more recovery time. Most people are socially presentable again after 3–4 weeks, but to be on the safe side, we recommend taking a month off to allow yourself time to recover.
Is a liquid facelift an alternative option?
No. Injectables can soften wrinkles, but they do not resolve tissue sagging and can give an unnatural appearance if used excessively.
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