The Evolution of the Modern Facelift

Early facelifts focused on tightening skin or superficially manipulating the SMAS layer, which could create results that appeared “pulled.” However, facial aging doesn’t occur solely at the surface. The skin, fat pads, ligaments, and the fibrous layer of muscle and tissue below the skin gradually sag, softening the midface and creating jowls, which blur the once-crisp line between the jaw and neck.

I am now 6 weeks out from my facelift, neck lift, fat transfer, and full-face CO2 laser treatment. My results are amazing, natural and have exceeded all my expectations! I chose Dr. Roy for my surgery after conducting extensive research and having three different consultations with other surgeons who also specialize in facial surgery. I am so grateful and fortunate to have found Dr. Roy and his team. 

Cristie B., 5-Star Google review

Facelift
 Before & After Photos

Featured Case: 1 of 9
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Featured Case: 1 of 9
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Before & After Facelift Case 1039 View 1 View in Los Gatos & San Jose, CA

This early 40’s female was interested in early intervention and preventative treatments to help reverse the lower face and neck laxity she was experiencing. She was particularly interested in office-based procedures, and reached out to double board certified Dr. Sudeep Roy to inquire about his mini-lower facelift and Renuvion skin tightening tre... Read More
Before & After Facelift Case 1014 View 1 View in Los Gatos & San Jose, CA

This early 60’s female presented for concerns related to significant lower face and neck laxity, which in her words, she simply had to do something about. Although she came in to find out more about less invasive options as she was not mentally prepared to undergo “her mother’s full lower facelift”, she had some underwhelming results with skin t... Read More
Before & After Facelift Case 1003 View 1 View in Los Gatos & San Jose, CA

This early 50’s female presented with several concerns related to aging, specifically heaviness above her eyelids, crepey and wrinkled skin, sinking jowls, and noticeable neck skin laxity. Having seen other close family members undergoing facelifts and eyelid surgery, she was very concerned about looking natural, not stretched out, or with any o... Read More
Before & After Facelift Case 1049 View 1 View in Los Gatos & San Jose, CA

This early 40’s female was concerned about laxity in her lower face and neck. She opted for a limited incision lower mini-facelift, which significantly improved her jowls. She was amazed by how well her incisions healed, with scars that are barely visible. Double board certified Dr. Sudeep Roy ensured that the patient’s facelift was both effecti... Read More
Before & After Facelift Case 1057 View 1 View in Los Gatos & San Jose, CA

This early 50’s female was significantly concerned about lower face laxity and a hereditary “turkey neck” that runs in her family. Working in the cosmetic/beauty industry, she frequently sees her reflection and wanted to address these concerns. After a lower face and neck lift, she saw significant improvement in her neck and jawline definition,... Read More
Before & After Facelift Case 1058 View 1 View in Los Gatos & San Jose, CA

This late 50’s female had age-related concerns about her lower face and neck, having previously undergone a mini facelift in her 30s. She was also concerned about the elongation of her upper lip, which lip filler had not improved. She underwent a lower facelift with cervical liposuction and platysmaplasty, bilateral earlobe reduction, and a modi... Read More
Before & After Facelift Case 1010 View 1 View in Los Gatos & San Jose, CA

This mid 50’s female presented for concerns related to lower facial laxity resulting in a very tired, droopy appearance of her jowl and jawline area. She also wanted to improve the contours of her neck which she felt had also begun to sag more. The patient had heard about Dr. Sudeep Roy’s in-office mini-facelift (i.e. the limited incision lower... Read More
Before & After Facelift Case 1074 View 1 View in Los Gatos & San Jose, CA

This mid 50’s female, recently experienced dramatic weight changes and became bothered by the laxity in her lower face and neck. To address these concerns, she underwent a lower face and neck lift. Post-surgery, she was pleased with the improvement in the side profile of her lower face and neck, as well as the reduction of heaviness around her m... Read More

Keep in mind that each patient is unique and your results may vary.

Studio portrait of woman with long blonde hair on gray background

What Is a Deep Plane Facelift?

A deep plane facelift releases and repositions the SMAS-platysma—interconnected layers of the face and neck­— as a single unit. By releasing and repositioning the SMAS–platysma as one unit and lifting it vertically, the face can be restored to its youthful shape without tension on the skin.

Dr. Roy’s preservation-style extended deep plane facelift in Los Gatos blends this anatomic lift with tissue-sparing refinements to reduce trauma, speed recovery, and keep your expressions natural. If necessary, Dr. Roy may combine the deep plane lift with a structural neck lift to ensure the midface, jawline, and neck appear harmonious from every angle.

How Dr. Roy’s Approach Is Different

Dr. Roy’s preservation-style approach minimizes unnecessary skin separation, maintains healthy blood flow, and keeps swelling to a minimum, while still rejuvenating the midface, jawline, and neck. The result is a smooth, natural-looking lift that lets your skin settle softly into place, revealing a refreshed version of you that still looks entirely authentic.

Highlights of his method include:

  • Vertical repositioning of descended tissues for a natural, upward lift
  • Limited skin separation to protect vascularity and reduce bruising
  • Skin that redrapes smoothly because the lift comes from deep layers, not surface pull
  • Faster, more comfortable recovery with no surgical drains in most cases
  • Reduced tension minimizes scarring

Dr. Roy handles every deep plane facelift from the first incision to the final closure, attends every post-operative appointment, and remains available to every patient throughout recovery.

Dr. Roy in a suit, smiling, while seated in office lounge

“I was very critical about the results I was seeing with standard techniques; I wanted to take it further. So I started pioneering combinations of the deep plane facelift with a high SMAS approach, just constantly improving, trying to figure out how to deliver the very best result for every patient.” 

– Dr. Sudeep Roy
Dr. Sudeep Roy
Dr. Sudeep Roy
Double Board-Certified Facial Plastic Surgeon

Dr. Roy's personable bedside manner inspires the confidence and trust of our facial plastic surgery patients. A graduate of Stanford University, Dr. Roy completed a rigorous 5-year otolaryngology—head and neck surgery residency focused on facial plastic surgery and fellowship training with the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). He performs one case per surgical day, personally handles every procedure from the first incision to the final closure, attends every post-operative appointment, and remains available to every patient through recovery.

Meet Dr. Sudeep Roy
Facial Plastic Surgeon
Double Board-Certified Facial Plastic Surgeon

Comparing Facelift Techniques

Understanding the differences between facelift techniques helps patients choose the approach that best fits their goals, anatomy, and lifestyle. While every method aims to restore youthful contours, they vary in terms of depth, recovery time, and the naturalness and longevity of the results. The chart below highlights how Dr. Roy’s approach compares to other common techniques.

TechniquePlane of DissectionTypical LookLongevityDowntimeKey Limitations
Mini FaceliftTightens tissues primarily along the lower face with limited dissectionSubtle lift and refreshed jawlineShort to moderateShortLess correction for significant laxity in the midface or neck
SMAS LiftTightens SMAS layer superficiallyCan appear tight or pulledModerateShorterLimited midface/neck improvement
Traditional Deep PlaneReleases & repositions SMAS–platysmaNatural and verticalLong-lastingModerateWider skin undermining, longer swelling
Dr. Roy’s Preservation Extended Deep Plane LiftFull deep plane elevation with minimal skin separationNaturally rejuvenated, soft, balancedLongest-lastingReducedLess trauma, faster recovery, no drains

A Reputation Built on Results

Dr Roy does amazing work. He is a true artist. He thoroughly explained the procedure, very helpful with...
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The ‘Extended’ and ‘Structural’ Difference

Dr. Roy’s extended technique means the lift continues seamlessly through the midface, jawline, and into the neck so the lower face looks coherent—not lifted in one area and ignored in another. When deeper neck elements contribute to fullness or banding, Dr. Roy selectively adds a structural neck lift to refine internal contours without unnecessary dissection. This targeted approach maintains natural transitions while precisely smoothing the neck.

Structural refinements may include:

  • Careful removal of deeper neck fat to create a smoother, more defined neckline.
  • Gentle refinement of the underlying neck muscles and glands when needed to smooth fullness or create a more elegant contour.

Complementary Procedures for Comprehensive Facial Rejuvenation

A deep plane facelift restores youthful lift and shape. Strategic refinements can complete the picture for a polished, glowing appearance.

  • Endoscopic brow lift: Small, hidden incisions to subtly create a more alert appearance while preserving authentic expression
  • Customized fat grafting: Microfat restores volume where it was lost (temples, cheeks, lips, chin) and can improve skin quality through regenerative effects
  • Skin resurfacing: Fractionated ablative laser or chemical peels refine tone and texture so your skin looks as vibrant as the contours beneath
Clinician performs skin-tightening treatment on woman's face

Ideal Candidates

You may be a good candidate if you see heaviness in your lower face, such as jowling, softening of the midface, or neck laxity and you want an outcome that looks refreshed rather than operated on. Many patients choose this approach because they want comprehensive facial improvement with shorter downtime and results that endure gracefully.

Rapid Recovery Protocols

Smoother recovery after Dr. Roy’s extended deep plane facelift isn’t coincidental. Comfort and rapid recovery are central to Dr. Roy’s technique. His advanced protocol integrates regenerative medicine to reduce inflammation and minimize swelling and bruising. Dr. Roy’s protocol layers meticulous surgical technique with regenerative therapies to help you feel like yourself sooner.

What this can look like:

  • No drains or prolonged compression wraps for most patients
  • Fibrin glue seals tissues and limits bruising without the need for drains.
  • IV hydration therapy replenishes nutrients and supports tissue recovery.
  • Peptide therapy provides key compounds, such as BPC-157 or TB-500 that support the healing process.
  • Hyperbaric oxygen therapy (HBOT) increases oxygen absorption and circulation to promote faster healing.

Only at RefinedMD: Qualifying facelift procedures include Dr. Roy’s Comprehensive Surgical Recovery Experience signature treatment package, which consists of 3 HBOT sessions and 1 IV therapy.

With our rapid recovery protocols, deep plane facelift patients commonly report less swelling and bruising, as well as a steadier, more confident return to daily life, compared with traditional approaches. Many resume light activities within days, with visible swelling and redness improving steadily during the first week.

Recovery Timeline

Most people describe the sensation in the first days as pressure or tightness rather than pain. Swelling is tempered by fibrin sealant and cooling protocols.

Even though your recovery is unique, here’s a typical timeline:

  • Days 1 to 3: Low-grade discomfort; swelling well-controlled with the protocol
  • Days 5 to 7: Most sutures removed; bruising limited and often camouflaged with light makeup
  • Days 10 to 14: Return to work or social activities is common
  • Months 1 to 3: Definition sharpens along the jawline and neck as deep swelling resolves
  • Months 1 to 6: Expect scars’ initial firmness or mild pinkness to peak and then gradually fade

Results highlight a lifted midface, defined jawline, and refined neck that can last for years. Optional IV, peptide, and hyperbaric oxygen therapies are available to optimize healing and outcomes.

Rediscover Your Natural Contours

Dr. Roy is a double board-certified facial plastic surgeon with advanced training in deep plane anatomy and preservation techniques. He has performed nearly 600 deep plane lower facelifts over the course of his career, at a pace of 2 to 3 procedures per week. Patients from Los Gatos, Saratoga, Campbell, and across the Bay Area seek him out for precise, natural outcomes and a patient-first experience.  

If you are considering a facelift and want a natural, long-lasting result with a better recovery, a personal consultation is the next best step. Dr. Roy will examine your facial anatomy, discuss your goals, and design a personalized plan that may include an extended deep plane facelift, a structural neck lift, and any complementary refinements to complete your look.

Request a Consultation

Request a consultation using the online form to learn how the preservation extended deep plane facelift with structural neck lift performed by Dr. Roy can rejuvenate your face and neck with minimal downtime and beautifully enduring results. You can also call us at (408) 688-2082.

Request a Consultation
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Reviewed for clinical accuracy by a RefinedMD Medical Editor on October 13th, 2026.

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