Consultation
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.


A deep plane face and neck lift repositions deeper facial and neck tissues to create natural, comprehensive facial rejuvenation. Signature Facial Plastic Surgery serves patients in Rockville, Bethesda, and the greater Washington, DC area.
Comprehensive, natural facial rejuvenation
As the face ages, deeper facial tissues—not just skin—descend and lose support, contributing to jowls, a less defined jawline, and looseness in the neck. A deep plane face and neck lift addresses this by repositioning these deeper structures, rather than simply pulling and tightening skin.
At Signature Facial Plastic Surgery, this comprehensive approach is designed to achieve more natural, longer-lasting rejuvenation than skin-only techniques.
A deep plane facelift is a more extensive procedure than a skin-only lift, and isn't the right choice for every patient or every degree of aging. Dr. Osayande will discuss whether this comprehensive approach, or a more limited procedure, best fits your goals and anatomy.
Thoughtful patient selection

You may be a candidate for a deep plane face and neck lift if you have moderate to significant facial aging affecting the jawline, cheeks, and neck, and are seeking comprehensive, longer-lasting rejuvenation. Good candidates are in good general health with realistic expectations about recovery and results.
This procedure involves a more significant recovery than smaller facial procedures, so your consultation will include a thorough discussion of what to expect throughout the process.
A comprehensive, structural approach
Rather than simply tightening skin, Dr. Osayande repositions the deeper facial tissues (the SMAS layer) to their more youthful position, addressing the underlying cause of facial descent rather than just its surface effects.
This approach typically produces more natural, longer-lasting results than skin-only facelifts, since it addresses structural support rather than relying on skin tension alone.
“A facelift shouldn't just pull skin tight—it should restore support to the deeper structures that have descended over time. That's what creates a natural, refreshed look rather than a 'done' appearance.”
From consultation through recovery
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.
Your incision pattern, degree of repositioning, anesthesia plan, and whether another procedure would add meaningful benefit are selected for your anatomy—not from a standard formula.
Brow lift surgery is performed with anesthesia appropriate to the planned technique and setting. The tissues are carefully repositioned and secured while the incisions are closed with attention to scar quality.
Scheduled postoperative visits allow Dr. Osayande to monitor swelling, incision healing, brow position, and your gradual return to normal activities.
Planning your downtime
Healing varies by patient, but the following timeline offers a general framework.
Significant swelling, bruising, and tightness are expected; drains are typically in place.
Drains are usually removed; swelling and bruising remain significant but begin to improve.
Most visible bruising resolves, and many patients feel comfortable in social settings with makeup.
Residual swelling continues to resolve, with tissues settling into their final position over several months.
Initial swelling substantially affects early appearance; final results typically become apparent by 3–6 months.
Deep plane facelift results are generally longer-lasting than skin-only techniques, often 10 years or more, though the face continues to age naturally.
Bleeding, infection, nerve injury, asymmetry, hair loss near incisions, and prolonged swelling.
Considering upper-face rejuvenation?
Your consultation will determine whether the change you see comes primarily from the brow, upper eyelids, dynamic muscle activity, or a combination of factors.

Why choose Signature
Dr. Bella Osayande is a fellowship-trained facial plastic surgeon whose practice is focused on the face, eyes, brows, nose, neck, and hair. That focused training supports a comprehensive, whole-face approach to every procedure she performs.
Her approach emphasizes precise planning, natural facial expression, honest treatment recommendations, and results that feel proportionate to the individual—not a predetermined aesthetic ideal.
Frequently asked questions
Clear answers to common questions about surgery, recovery, scars, and treatment selection.
Good candidates have moderate to significant facial aging affecting the jawline and neck, are in good health, and can accommodate a more significant recovery period.
A deep plane lift repositions deeper facial tissues rather than relying primarily on skin tightening, often producing more natural, longer-lasting results.
Most patients experience 2–3 weeks of significant swelling and bruising before feeling comfortable in social settings.
The goal of a deep plane lift is natural rejuvenation—restoring a more youthful appearance without an overly tight or “done” look.
Deep plane facelift results are generally longer-lasting than skin-only techniques, often a decade or more.
Yes, it's frequently combined with procedures like blepharoplasty, brow lift, or fat transfer for comprehensive rejuvenation.