DEEP PLANE FACELIFT - TURNING BACK TIME
Modern facelift at the Noah Clinic since 2016: Deep Plane Facelift
At what age does a facelift make sense: at 40, 50, 60? "When the perceived age no longer matches the reflection in the mirror and minimally invasive methods are no longer effective, is the right time for a facelift," says Prof. Dr. E. Magnus Noah.
The facelift is the supreme discipline of aesthetic plastic surgery and its results are unrivalled. No other procedure is able to correct the signs of ageing in the face so effectively. "State-of-the art is the SMAS facelift," explains facelift expert Noah. With this procedure, not only the skin is tightened, but also the underlying deeper tissue of muscles, fat and connective tissue.

The so-called SMAS (Superficial Muscular Aponeurotic System) plays the main role in the complex ageing processes of the face: if its elasticity decreases, the face sags downwards and loses its youthful contour.
"The fear of a surgical lift is unfounded, because thanks to innovative surgical techniques, a lift today is less invasive than in the past. The combination with autologous fat and, if necessary, eyelid plastic surgery allows for natural and harmonious results," explains Prof. Noah, who performs a further development of the SMAS lift - the so-called Deep Plane Facelift - at the Noahklinik für Plastische Chirurgie in Kassel.
A milestone: the Deep Plane facelift
In the face, there are "fixed" and "mobile" SMAS parts, but the ageing process mainly takes place in the mobile parts. For this reason, he only prepares and tightens the tissue in these mobile areas while maintaining the classic incision. "Although this technique is more demanding to operate and requires very good anatomical knowledge, it is more comfortable for the patient as the healing process is faster. The results are even more stable than if you were to prepare the entire SMAS," says Prof. Noah, praising the advantages of the Deep Plane technique.
In order to reverse the ageing process in the long term, the face is rejuvenated in its entirety. The plastic surgeon reduces the mobile SMAS areas as well as the fatty tissue with sure instinct and thus restores the youthful contours. The result is a natural and unoperated appearance. The face looks the same as it did about ten years ago.
"Of course, the ageing process continues after the lift," says Noah, "but the years gained remain for life." So if a patient looks ten years younger after a facelift, she will look that much younger in 15 years.
We have been carrying out the deep plane facelift since 2016
The decisive breakthrough in the development of the method came with the work of Dr Brian Mendelson. His anatomical studies showed that certain avascular (vessel-free) spaces exist under the SMAS. These allow particularly safe and effective preparation at depth. The so-called retaining ligaments - holding structures in the face - can be specifically released and the tissue repositioned in its natural direction.
Based on these findings, we have been performing the Deep Plane Facelift in its most modern form at the Noah Clinic since 2016. Several hundred successful procedures confirm the effectiveness of this method.
Note on the following download:
The article is a technical article. It contains images from operations.
Questions and answers
What makes the Deep Plane Facelift so special?
In contrast to many other techniques, the Deep Plane Facelift not only tightens the skin, but also prepares and repositions a composite flap of skin, subcutaneous tissue and SMAS in one piece. This ensures a particularly natural, youthful appearance - without any "mask-like" effects.
- Minimal skin incision, fast recovery
- Natural lifting vector - along the individual ageing process
- Long-lasting results
- Can be combined with neck lift and additional corrections (e.g. tongue base muscle, salivary glands)
The deep-plane technique is also used on the neck - often supplemented by a small incision under the chin to tighten the neck muscle in a targeted manner and correct other structures if necessary.
What are the advantages of a Deep Plane Facelift?
- Good and natural long-term results
- Good results for deep nasolabial folds
- Works well on facial features and the neck area
- Deeper tissues are treated
- Also suitable for smokers
What are the disadvantages of a Deep Plane Facelift?
None compared to conventional surgical techniques - however, extensive experience of the surgeon is necessary.
How long is the recovery time after a Deep Plane Facelift?
You can return to work after about 2 weeks. You should avoid physically strenuous activities for 6 weeks.
When is a Deep Plane Facelift an option?
A Deep Plane Lift is suitable for the elimination of visible ageing changes. Here are some examples:
- Correction of deepened smile lines or nasolabial folds
- Correction of sagging cheeks (so-called "jowls")
- Correction of lateral wrinkling at the corner of the mouth
- Correction of pronounced marionette lines, mentolabial folds or wrinkles at the corners of the mouth
- Restoration of a clear lower jaw/chin line ("Jawline")
- Elimination of wrinkles including sagging, drooping skin and correction of the muscles in the neck area - often colloquially referred to as turkey neck.
- Restoration of a visually pleasing chin-neck angle (cervico-mental angle)

What does a Deep Plane Facelift cost?
The costs for an operation always depend on the effort involved. This results from your individual initial situation and your desired result. Since every person is unique, no information can be given about your costs without an examination. Usually the Costs for a facelift can be between EUR 9500 and EUR 15000. We can give you more precise information about this during an examination and detailed anamnesis.
Your specialist for your DEep Plane Facelift
The Noahklinik in Kassel was one of the first clinics in Germany to introduce and continuously develop the Deep Plane Facelift. Since 1999, we have been using state-of-the-art facelift techniques that go far beyond conventional methods - for particularly natural, long-lasting and harmonious results.
Prof. Dr. med. Ernst Magnus Noah is a specialist in plastic and aesthetic surgery in Kassel. Before Prof. Dr. Noah set up his own practice, he was the head physician of a clinic department for plastic, reconstructive and aesthetic surgery for many years.
He specialises in facial treatments such as facelifts. Take advantage of his extensive knowledge and years of experience. Prof. Dr. Noah has made a name for himself in facial plastic surgery and is known for his expertise in facelift surgery - particularly the deep plane facelift. Since 2018, he has been the official German National Secretary of the ISAPS (International Society of Aesthetic Plastic Surgery).
Lectures by Prof Dr Noah on Deep Plane Facelift:
Thanks to his many years of extensive experience in performing deep plane facelifts, Prof. Noah is a sought-after speaker at international congresses of the specialist societies for aesthetic plastic surgery.
An extract from his lectures:
- 2017 Lecture at the VDÄPC annual conference in Hanover
- 2019: Deep Plane Face Lift at DGPRÄC conference
- 2019: Krakow Polish Society: Deep plane technique in Face Lift
- 2022 in Soap Bremen : Secondary Facelift
- 2023 in Bucharest : Romanien Society : Memdelson Spaces
- 2023 VDÄPC Berlin : Tricks in Deep Plane Facelifts
- 2024 Düsseldorf 50 years of Kaserswerth
- 2025 IMACS Paris
- 2025 VDÄPC Berlin "Quest to Deep Plane Facelift"
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