What Is a Deep Plane Facelift?

Unlike traditional facelifts that primarily tighten the skin, this method works beneath the surface, repositioning the deeper layers of muscle, fat, and connective tissue to better restore facial harmony and definition.

By addressing the SMAS layer, (Superficial Musculo-Aponeurotic System), this approach targets the root causes of the appearance of facial aging. 

The result is not a stretched or altered look, but rather a rejuvenated version of yourself - restoring youthful volume and refined contours along the cheeks, jawline, and midface.

Dr. Pruitt performs every detail of the procedure, from precise planning to the artistic, gentle, surgical tissue repositioning. He has a singular goal: to restore a youthful, good look without compromising personal identity. Dr. Pruitt’s patients most often describe their results as natural, refined, elegant, and - most importantly - true to themselves.

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Meet Dr. Bryan Pruitt

Dr. Bryan Pruitt is a nationally recognized, board-certified plastic surgeon based in Dallas, Texas, renowned for his expertise in facial plastic surgery and rejuvenation. Combining advanced surgical techniques with a refined aesthetic sensibility, he delivers natural, bespoke results tailored to each patient’s unique facial structure and goals. Dr. Pruitt approaches facial aging comprehensively, addressing not only the skin but also the deeper musculature, fat pads, and bone structure to restore balance, definition, and youthful vitality.

His signature Deep Plane Facelift can be performed as a standalone procedure or strategically combined with complementary treatments such as Deep Necklift, Temporal Lifting, Eyelid Surgery, or Fat Transfer to enhance harmony across the entire face. Known for his meticulous attention to detail, professional demeanor, and commitment to patient comfort and confidentiality, Dr. Pruitt blends science and artistry to achieve elegant, natural-looking results that preserve each patient’s character while subtly enhancing rejuvenation.

The Right Time: When to Consider a Deep Plane Facelift

While age is only one factor, many patients begin considering a Deep Plane Facelift in their 40s to 60s, as visible signs of facial aging become more pronounced. However, the ideal time for surgery depends less on an age number and more on the degree of structural aging or change over time, lifestyle, and personal aesthetic goals.

You may benefit from a Deep Plane Facelift in Dallas if you’ve noticed:

  •  Sagging or any heaviness in the midface or cheeks

  • Deeper creases or nasolabial folds or marionette lines

  • Jowling or drooping of cheek tissues
  • Loss of jawline definition

  • Laxity in the lower face and neck


*Actual Facelift Patient

Who Is a Candidate?

Ideal candidates for Dr. Pruitt’s Deep Plane Facelift are typically individuals experiencing moderate to advanced facial aging - including sagging cheeks, deep folds around the mouth, jowling, or laxity extending down into the neck. If you're seeking comprehensive improvement to the mid and lower face, this technique may offer the transformative results most people are seeking.

Dr. Pruitt believes that patients should be in good health and possess realistic expectations. While the Deep Plane Facelift can significantly rewind the visible signs of aging, it can’t stop time or the aging process. A thorough consultation with Dr. Pruitt ensures that the procedure is aligned with your personal goals and overall wellness.

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Your Private Consultation: A Three-Step Approach

Dr. Pruitt’s consultations are comprehensive and patient-centered, offering the clarity and peace of mind needed to move forward with confidence. During your private appointment, the process typically includes:

Medical History Review

Dr. Pruitt carefully reviews your medical history to determine if there are health-related factors to consider. He wants to be sure that you are a suitable medical candidate, since safety is always his priority, and that the plan aligns with your overall health.

 

Anatomical Assessment

Your facial structure and proportion, tissue positions at all levels, skin quality, and unique aging patterns are all examined to determine if his Deep Plane Facelift is the most appropriate solution.


Questions & Customization

Dr. Pruitt answers all your questions thoroughly and transparently. Then IF he thinks you are a candidate for aesthetic procedures, he will outline a fully customized surgical plan that reflects your goals and lifestyle.

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Facelift Options: How Dr. Pruitt’s Deep Plane Differs

There are many “facelift” techniques used by different surgeons, each of which can be further modified if necessary. (Surgical techniques are often called or labeled by different names that can mean exactly the same thing anatomically.)

Not all “Deep Plane Facelifts” are created equal. Dr. Bryan Pruitt’s Deep Plane Facelift is performed with his own personal techniques and precisely developed technical modifications developed over 20 years which many believe provide the most comprehensive, artistic, and enduring enhancement. His procedure may be ideal for patients seeking a truly rejuvenated, yet authentic, appearance.

These are some of the basic names, each intended to meet different aging concerns:

  • Traditional Facelift: Focuses on surface-level tightening, offering modest improvement in skin laxity.
  • SMAS Facelift: This can mean many things. The SMAS is the muscular-fascial layer deeper in the face. (Lifting this layer is the approach to the Deep Plane.) Tightening the surface of this layer or repositioning a portion of it is called by some surgeons a “SMAS Facelift.”
  • “Mini” Facelift: Often used to indicate a quick, minimal approach - may be an option for very early signs of aging for a limited number of patients.


  • Deep Plane Facelift: Elevates the SMAS layer completely releasing attachments holding the face down and then repositions the deep tissues from beneath the SMAS layer, offering a deeper, longer lasting, and more natural rejuvenation.


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What to Expect: The Procedure

Usually performed under IV sedation with local, the Dr. Pruitt’s Deep Plane Facelift and associated procedures typically takes 4 to 6 hours, depending on complexity and the number of additional procedures - like a Neck lift or Eyelid surgery. Dr. Pruitt performs every aspect of the surgery himself and does not have medical students, residents, or fellows-in-training operating with him. Although not deep general anesthesia, patients feel nothing due to sedation and local numbing medicine, and typically wake up quickly—often saying they ‘had a good nap’ while talking, smiling, or laughing with the nurses within minutes after surgery.

Incision lines are typically placed discreetly inside and behind the ear and in natural creases to give the very best long-term appearance. Through these access points, Dr. Pruitt releases and repositions deeper tissue structures, achieving lifted contours without a “pulled” look or any excessive tension on the skin. This technique minimizes scarring and maximizes a smooth, refined result.

Clientele

Dr. Pruitt’s practice welcomes a discreet, high-profile clientele, including business executives, public figures, and individuals who prioritize privacy, artistry, and long-term results. The atmosphere is boutique and confidential, ensuring each patient receives personalized attention in a calm, professional environment.

Whether local or traveling from out of state or abroad, patients value the exclusive, one-on-one approach Dr. Pruitt provides. From consultation through recovery, the experience is designed individually for comfort, discretion, and a level of care that reflects the significance of the decision to undergo facial rejuvenation.

Before & After Gallery

To uphold patient privacy, before-and-after photos of Dr. Pruitt’s Deep Plane Facelift clients are not publicly available online or on social media. Instead, he provides exclusive access to a private gallery of over 500 patient images during in-office consultations. Each photo is shared with new clients only with the prior patient’s signed consent, ensuring a secure and personalized experience.

These images highlight the subtle yet striking transformations possible, offering a realistic understanding of the results Dr. Pruitt can achieve with his signature Deep Plane Facelift in Dallas.

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Procedure Cost

The total cost of a Deep Plane Facelift depends on the procedure’s scope and any additional treatments, covering Dr. Pruitt’s professional fee, anesthesia, and facility costs. During your consultation, Dr. Pruitt will assess your individual goals and anatomy, then his team will provide a detailed, personalized quote.

While this is a significant investment, many patients find facial surgery to be a transformative experience, enhancing their confidence and helping them feel their best.

Maintaining Your Results

Dr. Pruitt’s Deep Plane Facelift delivers long-lasting results, but proactive care helps maintain them. His team provides guidance on medical-grade skincare, sun protection, and optional non-surgical maintenance treatments such as resurfacing therapies or injectables. By addressing the underlying facial architecture, the facelift produces stable, enduring results. While aging continues, patients typically look younger than they would have without surgery. Long-term follow-ups show outcomes that are natural, beautiful, and refreshed, with a smoother, more youthful profile that ages gracefully.”

Recovery Timeline after Deep Plan Facelift

Recovery is often more comfortable than patients anticipate. Here’s what to expect on average:

  •  Days 1–3: Puffiness and sometimes discoloration. Discomfort is usually limited and is managed with prescription medication if necessary. Rest and elevation are essential.


  • Week 1: Edema or puffiness begins to resolve and may be down 50% on average after 7 days. Most of the sutures dissolve, but others must be removed at the correct times. Light activity can be resumed and many can resume work activities on-line or by computer or phone.


  • Week 2: More resolution of edema and any discoloration that may have occurred. Visible signs of facial plastic surgery beginning to fade. Many patients feel more confident returning to work or light social activity.


  • Weeks 3–4: The face continues to refine as residual swelling or puffiness subsides. Aerobic Exercise can be resumed 3 weeks after surgery in most cases and most patients return to normal routines.


  • 6 Weeks and Beyond: Although external appearance may be excellent, internal healing continues for many weeks while deep and internal sutures dissolve. Final results continue to mature over the next few months, with ongoing improvement in definition and contour.

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Dr. Pruitt with female patient

Why Choose Dr. Pruitt?

Choosing a surgeon for your facial aesthetic surgery or Deep Plane Facelift is a highly personal decision. Dr. Bryan Pruitt is trusted by patients who seek discreet, high-quality care and exceptional, uncompromising results. He approaches each case with thoughtful precision, deep anatomical knowledge and experience, and a firm commitment to enhancing - not altering - your natural beauty. His patients benefit from both his surgical mastery, his artistic vision, and the support of a compassionate, experienced team.

Complementary Procedures for a Balanced Result

For patients seeking a complete facial transformation, the Deep Plane Facelift can be paired with other refined procedures to ensure a balanced, harmonious aesthetic.

Depending on your unique goals, Dr. Pruitt may recommend additional enhancements such as:

  • Neck Lift: To refine the neckline and eliminate laxity beneath the jaw.
  • Deep Necklift: To sculpt and contour deeper tissues in the neck for dramatically improved neck contour in those with genetically unfavorable tissue profiles.
  • Blepharoplasty: To refresh the eyes and address drooping lids or puffiness.
  • Temporal Lift: To lift the outer portion of the forehead and reshape the brow, for better lid and lateral temporal balance.
  • Brow Lift: Upper facial lifting if necessary to improve droop or heaviness from genetic influences or aging or both
  • Fat Transfer: To restore youthful volume to the high cheek bone area, temples, under-eye hollows and other areas
  • Earlobe Reduction: To reduce large aging earlobes to a more youthful look.
  • Upper Lip Lift: To lift aging upper lips that tend to elongate over the years

Deep Plane Facelift FAQs

Will my facial expressions change after a Deep Plane Facelift?

How does a Deep Plane Facelift address facial volume loss compared to fillers?

Can this procedure help correct a previous poorly done facelift?

How discreet will my recovery be? Can I maintain my privacy?

Is there a benefit to choosing a Dr. Pruitt’s Deep Plane Facelift earlier, rather than waiting?

How does Dr. Pruitt tailor the Deep Plane Facelift for male patients?

Will I need future procedures or touch-ups?

Will my facial expressions change after a Deep Plane Facelift?

No. Dr. Pruitt’s technique is designed to enhance facial tissue position without affecting expression or personality. By releasing and repositioning deeper tissues rather than pulling the skin, or SMAS or other tissues, natural movement is preserved. Patients consistently report that they look much better and more rested - not different - and continue to express themselves just as they always have.

How does a Deep Plane Facelift address facial volume loss compared to fillers?

While injectable fillers usually offer temporary volume restoration by placing material under the skin, Dr. Pruitt’s Deep Plane Facelift repositions your natural facial tissues and fat pads to their original, more youthful locations. This avoids the risk of looking overfilled or puffy, and provides a more elegant, long-term restoration of midface volume without foreign substances.

Can this procedure help correct a previous poorly done facelift?

Yes, but it depends on what was done during the previous surgery. For patients who have experienced an unnatural or unsatisfactory facelift elsewhere, Dr. Pruitt’s Deep Plane approach can often provide a sophisticated solution to correct abnormal pulling, asymmetry, or loss of definition. Dr. Pruitt is highly experienced in secondary revision facelifts, and his deep tissue technique allows for a more natural, balanced outcome - even in previously operated areas. These patients are often referred to him by other plastic surgeons for his expertise in the challenges of correcting previous facelifts or neck lifts done elsewhere.

How discreet will my recovery be? Can I maintain my privacy?

Dr. Pruitt is known for his work with high-profile patients who prioritize confidentiality. Recovery protocols are designed with privacy in mind, and his team can assist with private transportation, discreet scheduling, off-hour visits, and post-op accommodations that support your recovery while protecting your identity and privacy. He has been privileged to operate on some of the most famous faces in the world, so his team is very sensitive to issues of privacy and confidentiality.

Is there a benefit to choosing a Dr. Pruitt’s Deep Plane Facelift earlier, rather than waiting?

Yes. Usually, patients in their late 40s or early 50s achieve some of the most natural-looking results, as their skin quality and tissue elasticity remain healthier and stronger. Earlier intervention also allows a longer lasting result and more subtle enhancements that may reduce the need for more extensive procedures later. It's all about treating the early signs of facial aging so that this can eventually occur more gracefully, not reactively.

How does Dr. Pruitt tailor the Deep Plane Facelift for male patients?

Men require a different aesthetic approach, emphasizing male jawline strength and a masculine look. Dr. Pruitt tailors his technique to respect masculine features, using discreet incision lines and tissue repositioning that enhances male definition. The planned procedures, vector or direction of lift beneath the SMAS in the Deep Plane, and the sculpting of tissues is always performed by Dr. Pruitt to improve the masculine look and contours.

Will I need future procedures or touch-ups?

The Deep Plane Facelift can offer long-term results, but aging continues. Some patients opt for non-surgical maintenance, such as resurfacing or minor volume adjustments, every few years. Others may pursue additional procedures down the line, though the foundation created by his signature lift significantly delays this.

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A Word from Dr. Pruitt

"I approach each facelift with the goal of restoring - not reinventing - my patients’ appearance. My objective is to create results that look refreshed and youthful, but always natural. A successful outcome is one where friends and family notice that you look healthy, well-rested, more youthful, and vibrant - usually without ever knowing you’ve had surgery."


- Dr. Bryan Pruitt

Schedule Your Private Consultation

Your journey to facial rejuvenation begins with a conversation. Dr. Bryan Pruitt offers a highly personalized, one-on-one consultation in a confidential, boutique setting where your goals, desires and comfort come first.

If you're considering a Deep Plane Facelift and want results that are elegant, natural, and entirely your own, we invite you to connect with our team. Contact us today to schedule your private consultation with Dr. Pruitt - and take the first step toward a more refreshed, confident you.

Start your journey to a
younger appearing, more confident self.

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