Deep Plane Facelift

The Deep Plane Facelift at V CLINIC Brno targets the underlying facial musculature (SMAS layer) as well as skin and subcutaneous tissue, repositioning all three layers back toward their original anatomical positions. Unlike procedures that only address the skin surface, this technique simultaneously corrects the neck, resolving tissue descent, fat accumulation, undefined jawlines, and deep nasolabial folds. Surgery takes approximately 2.5 hours and typically involves one night of monitored recovery in the clinic's facility. Performed by MUDr. Tomáš Ventruba — one of the highest-volume facelift surgeons in Central Europe with over 300 deep-plane procedures per year — under local, sedation, or general anaesthesia depending on the patient's profile and preferences.

The deep plane facelift is widely considered the most comprehensive surgical facial rejuvenation technique available, and V CLINIC Brno's volume of over 300 procedures per year positions the clinic among the most experienced providers in Central Europe. The approach works by accessing a discrete anatomical plane beneath the superficial muscular aponeurotic system (SMAS), releasing the retaining ligaments that tether facial tissues downward and then vertically repositioning skin, fat, and muscle together as a single composite unit. Because the movement is three-dimensional rather than a simple horizontal pull, results are notably natural — eliminating the tell-tale 'windswept' effect associated with skin-only lifts. At V CLINIC, the procedure addresses the mid and lower face as well as the neck in one surgical session, making it particularly effective for patients with significant tissue descent, deep nasolabial folds, jowling, and an undefined jawline. The approximately 2.5-hour surgery is performed under local anaesthesia, local plus analgosedation, or general anaesthesia, with the choice made during a pre-operative consultation to match the patient's medical profile and comfort level. The post-operative protocol is structured and closely monitored: patients stay one night in the clinic's facility for observation, return for dressing changes on days 2 and 5–6, and have sutures removed at day 14. Absorbable internal sutures are used throughout, meaning no visible external stitches remain after removal. Final results continue to refine for up to one year as deeper tissues settle. The procedure is commonly combined with deep necklift, upper eyelid surgery, or bullhorn lip lift in the same session for a comprehensive facial transformation. Patients are advised to stop blood-thinning medications three weeks prior and to plan two weeks of active recovery and four weeks of general rest post-operatively.