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The Deep Plane Facelift: A-Listers Head to Mexico for Dr. Miramontes’ Specialty

You’ll be booking tickets ASAP.
August 27, 2020 by Karen Merritt, Patient Care Coordinator

It’s a fine line, isn’t it? 

In more ways than one. 

You want to look like you, but those fine lines around your eyes and those troubling regions of hanging skin under your chin are no longer fun. 

To the extent that you’re now engaging in soul-searching conversations with yourself about whether to ‘grow old gracefully’ or have plastic surgery. And besides, what does ‘grow old gracefully’ even mean? 

Like a fish in a fishbowl, ‘round and ‘round you go.

Well, you might want to follow the tide out of that murky water. And here’s how. 

The gateway from Los Angeles to Mexico has recently come under the spotlight with celeb sightings such as, well, ‘our sources’ really can’t say. But they can tell you this much.

Recently, special requests for private meetings have been established between ‘ahem’ and the King of Facial Aesthetics himself, Dr. Miramontes, the Guadalajara-based plastic surgeon who is the internationally acclaimed expert in the specialized ‘deep plane facelift’ method.

And yes, the iconic term “The King” rings as true for Dr. Miramontes, as it did for Elvis Presley in the ’60s.  

Elvis was one of the most idolized figures in history, named the King of Rock ‘n Roll.

With ‘fans’ expressing their enthusiasm and adoration, Dr. Miramontes is to facial aesthetic surgery as Elvis Presley is to music.

You simply, ‘Can’t Help Falling in Love.’ 

“So happy, I can’t believe the difference,” one patient said. 

” The team of Dr. Hector was so good to me, like being in a spa. ” 

“Just returned from Mexico, wow, that was so wonderful,” another added. “I love my new face!” 

Besides basking in the glow of spa-like services, regular patients and celebs alike can skip back to their careers looking 15 years younger to cast for new positions and roles once considered off limits.

“It makes a huge difference when you look in the mirror and you like what you see,”

testifies a patient on Dr. Miramontes’ website. 

“Dr. Miramontes is a gamechanger!” added another. 

So, what exactly is the ‘deep plane facelift’? And how does it differ from the common facelift? Keep reading to find out. 

Before and after photos of the ‘superhigh SMAS deep plane facelift’ by Dr. Miramontes.

WHAT IS THE ‘DEEP PLANE FACELIFT’? 

According to San Francisco-based plastic surgeon Timothy Marten, a Diplomat of the American Board of Plastic Surgery, the ‘deep plane’ approach was popularized by Dr. Hamra in the ’90s. 

Before that, face-lifting was primarily based on skin pulling, which led to unnatural and short-lived results. Surgeons learned that because the skin is an elastic material and can easily stretch, it lacks the strength to hold up a facelift.

So, Dr. Hamra and other surgeons focused more on what is called the SMAS (superficial muscular aponeurotic system). It’s the support structure of the face and neck.

The SMAS, like the material and thickness of a heavy corset, performs in much the same way, only it starts at the base of your neck and ends at your lower eyelids. It holds true to form by keeping your facial features lifted, smooth, and tight. 

It makes sense, therefore, that once the SMAS starts to loosen, it needs to be tightened, though it’s more complicated than merely lifting, because the technique the surgeon uses and the directions (vectors) he pulls the SMAS will define your facelift results. The SMAS is quite the big deal.

WHAT IS THE DIFFERENCE BETWEEN THE SMAS, DEEP PLANE, HIGH SMAS, AND SUPERHIGH SMAS FACELIFT? 

“In SMAS face-lifting, the standard facelift, it is technically less demanding and time- consuming,” Dr. Marten explains. 

It’s the facelift that’s notorious for that awful ‘windblown’ look, because the technique pulls the cheeks to the sides of your face, flattening them.  Although surgeons today compensate by using injectable fillers or grafted fat to lift those cheekbones, they generally overfill, resulting in a more plastic look which is evident by an unnatural and frozen look to facial expressions.So outdated.

The ‘deep plane’ technique does not merely stitch the SMAS to shorten it; the surgeon dissects underneath it, freeing the SMAS from ligament restraints. 

According to Dr. Jacono, a New York City-based plastic surgeon, the Deep Plane technique, which lifts the skin and muscle (SMAS) together as one unit and repositions all deep facial musculature, restores significant volume to the midface region without the addition of any injectable fillers or grafted fat. 

Still, the major downside of the Deep Plane technique, according to Dr. Miramontes, is that the skin remains attached to the SMAS ‘as one unit.’ This places stress on your skin, making you susceptible still to that tight, unnatural appearance. Definitely not ideal. But it gets better. Keep reading to find out.

On the left, Dr. Miramontes draws, in purple, his deep plane ligament detachments while in red, his vector advancements. This is taken from a lecture series, which is scheduled for the 2020 Panama City Plastic Surgery conference by Dr. Miramontes, an international speaker. 

WHAT IS THE BEST ‘DEEP PLANE’ FACELIFT? 

With the ‘High SMAS,’ the surgeon frees the SMAS like in the Deep Plane technique, but he also lifts the skin from the SMAS (in proper areas) ensuring the facelift most celebrated for natural results. 

Renowned as the “Father of the Modern Facelift,” Dr. Bruce Connell created this technique. 

He developed what is known today as an intricate high SMAS, deep plane face and neck lift DESIGN, resulting in what he coined the ‘submental sling.’ This elevates the midface, jawline, and neck as one unit, creating a tension-free, long-lasting result.

Dr. Miramontes’ ‘superhigh SMAS facelift’ builds on the ‘high SMAS’ facelift, which provides a more detailed blending between the lower eyes and the newly elevated cheekbones. 

“The procedure works by combining the optimal features of the ‘high SMAS’ with the addition of more significant lower eyelid suspension, resulting in a tighter, more well-contoured and youthful looking lid-cheek junction,” explains Dr. Miramontes

“And, with keeping true to the Deep Plane technique, the entire midface (malar fat pad, lower eyes, corner of the mouth), jawline, and neck are lifted as one unit to where injectable fillers or grafted fat are not needed.” 

Obviously, there is going to be a considerable difference between the results of the quick bit of a ‘nip and tuck’ seen in the regular SMAS face-lifting versus the Deep Plane technique that keeps the integrity of the SMAS complete.

Still, the hallmark of Dr. Miramontes’ craft remains the delivery of Connell’s ‘submental sling’ that redefines a youthful jawline. You certainly see those amazing heart-shaped faces throughout his art.  

HOW LONG DOES THE SUPERHIGH SMAS FACELIFT SURGERY TAKE? 

Dr. Miramontes typically spends four to five hours performing the ‘superhigh SMAS’ facelift method for patients. His surgical team has been with him for many years. He performs only one facelift surgery a day. 

WHERE ARE THE DEEP PLANE SUPERHIGH SMAS INCISIONS? 

All incisions are well hidden in the natural creases of both your ears and hairline.

The incisions heal with minimal to zero visible scarring. Because tension is directed to the ‘deep plane’ layer (the ‘SMAS corset’), there is no tension or pulling on the skin or incision lines. This tension-free design allows the incision to heal nearly invisibly. 

IS A FACELIFT MAJOR SURGERY? 

While the common SMAS facelift will send a patient home following surgery, the ‘superhigh SMAS facelift’ in Guadalajara, Mexico requires a two-night stay at the exclusively plastic surgery hospital called Innovare

According to Karen Merritt, Dr. Miramontes’ Patient Care Coordinator, Innovare is more like a spa than a hospital. Patients enjoy both private rooms and private nursing care. While Dr. Miramontes’ patients are receiving VIP status, he is close by. It’s definitely a worry-free environment. 

WHAT’S IT LIKE IN GUADALAJARA, MEXICO? 

It’s an amazing international city. Although you can touch down for a fun-filled getaway, Dr. Miramontes says to plan on resting at the spa and your hotel. Then off-site for a quiet dinner. 

WHERE DO I STAY POST-OP IN MEXICO?

Staybridge Suites with kitchenettes clearly makes the grade when it comes to accommodations, full breakfast, and proximity to Innovare, restaurants, and plazas. In addition, the hotel gives Dr. Miramontes’ patients a discount rate, making it easier to purchase ‘in-home nursing care, please’, though not necessarily a must-have.

WHAT’S THE POST-OP LIKE?

Your biggest challenge is to keep your neck at a 90-degree angle for your length of time in Mexico. You are taught the details by Dr. Miramontes. 

There are no chin straps or wrapping. Dr. Miramontes says it’s because the heat from obstructions can cause damage to the healing tissues. He wants them to breathe with ease. 

HOW LONG WILL I STAY IN MEXICO?

Dr. Miramontes recommends a stay of 10 days before flying home. 

WHAT’S THE GENERAL RECOVERY TIME FOR THE SUPERHIGH SMAS FACELIFT? 

Overall, it’s 10 to 14 days before patients can get back to gentle routine activities. The eyes and above your lips typically will look reddish pink for a while, but a bit of concealer will blend your skin tones until the redness completely fades.

And there’s more good news. 

Because the ‘superhigh SMAS deep plane facelift‘ lifts areas of the SKIN separately from the SMAS, it stimulates collagen production. And, much like having the benefits of laser treatment, you will continue to see skin tone improvements over 6 months. 

WHAT IS A DEEP PLANE, SUPERHIGH SMAS COMPLICATION? 

The biggest challenge for patients is to keep their neck at a 90-degree angle post-operatively for 10 days, even though it’s a critical last step in the ‘superhigh SMAS facelift’ method. And, of course, by carrying out Dr. Miramontes’ instructions exactly, you will remain complication free.

Patient came back for his second ’superhigh SMAS deep plane facelift’ touch up some 12 or so years later, which is evident in the middle photo.

HOW LONG DOES THE DEEP PLANE SUPERHIGH SMAS FACELIFT LAST? 

Dr. Miramontes says typically patients receive a lifetime of happiness from Deep Plane support and Superhigh SMAS design. Some patients have returned 10-12 years later for touchups.

HOW MUCH DOES A FACELIFT COST? 

For a traditional facelift in Mexico, it could cost as little as $6,000, but that’s for the regular bit of a ‘nip and tuck’ SMAS face-lifting. Dr. Miramontes, the international facial plastic surgeon in Mexico, is well above that mark. Still, he is way below the $35,000 to $45,000 that you’d expect to pay for a renowned surgeon from the U.S. or Canada. 

Before you commit to anything, however, know the name of the technique that the surgeon is recommending, because if it’s the authentic Deep Plane, High SMAS or Superhigh SMAS facelift method, then it’s without the addition of any injectable fillers or grafted fat. Anything less, be suspicious. 

And, if, of course, you like the natural look of Dr. Miramontes’ ‘before and after’ photos seen on his website, then it’s a fantastic win to drop into Guadalajara, Mexico. Along with plenty of pesos to spare, you can clearly and remarkably ‘grow old gracefully.’


Karen-MerritAbout the author: Karen Merritt is the Patient Care Coordinator a of Dr. Miramontes, master of the ‘deep plane facelift’ technique in Mexico, who helps aging beauties put “OMG! Is That Me In the Mirror?” back in their lives. Get her 5 Easy To Follow Instructions For Proper Selfies Submission For Your Free World-Class Facelift Diagnoses By Dr. Miramontes.

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Dr. Hector Gonzales Miramontes is recommended by American surgeons as the top physician in the field in Mexico, and many of his patients come from Europe, Australia, and the United States.

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