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Rejuvenation That Goes Beneath the Surface

If you’re frustrated by jowls, deep nasolabial folds, and sagging cheeks that make you look older or tired, the deep plane facelift offers a more advanced solution. Unlike traditional facelifts that focus on tightening the skin, this technique lifts the deeper layers of the face as a single unit, releasing tension and restoring youthful fullness in a way that looks effortlessly natural. At Accents Cosmetic Surgery, Dr. Mark Berkowitz performs the deep plane facelift with exceptional precision. He uses his surgical skill and aesthetic eye to create balanced, age-defying results that reflect your inner vitality.

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What Is a Deep Plane Facelift?

A deep plane facelift is a surgical procedure that lifts and repositions the SMAS layer (Superficial Musculoaponeurotic System) and the overlying skin and fat as one unified unit. Going beneath this layer into the “deep plane” allows for more comprehensive lifting, especially around the mid-face, jawline, and neck.

Unlike traditional SMAS facelifts, which rely on pulling or folding the SMAS, the deep plane facelift releases key facial ligaments, allowing the tissue to move more freely and naturally into a youthful position. The result: a smoother, lifted look with no pulled or “done” appearance.

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Patient Testimonials

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Both Dr. Berkowitz and Maria were terrific and I really enjoyed discussing an FUE procedure with them. They were open and honest about my level of hair loss, and were realistic ...

Both Dr. Berkowitz and Maria were terrific and I really enjoyed discussing an FUE procedure with them. They were open and honest about my level of hair loss, and were realistic and clear about what was possible to achieve. They weren't pushy and left the decision entirely within my hands on whether to proceed. I ultimately didn't go through with the procedure as I felt that what was achievable wasn't worth the cost. I would very much recommend their office and staff to anyone interested in FUE.

–Nicholas L.

Low wait times. Came in for a consult for hairloss. I felt everything was explained thoroughly. I’m considering him as an option, but so far only positive things to say of...

Low wait times. Came in for a consult for hairloss. I felt everything was explained thoroughly. I’m considering him as an option, but so far only positive things to say of the practice.

–Lena J.

Long time patient of Dr. Berkowits, service was great! People were friendly. Looking forward to seeing him again.

–Jean B.

I feel he’s highly skilled in all things cosmetic. Over the years, I’ve seen Dr. Berkowitz for several thing and always left satisfied.

–Elenora B.

I couldn’t be more impressed with the experience I had with Dr. Berkowitz. I feel he’s good at he does. Always a 5-star experience.

–Rosalyn M.

I've seen Mei for injections for years now and she is THE best!! She makes me feel so comfortable and does a wonderful job explaining everything every step of the way. She is ex...

I've seen Mei for injections for years now and she is THE best!! She makes me feel so comfortable and does a wonderful job explaining everything every step of the way. She is extremely talented and I have never had a single issue.

–SE BK

Kalye is the best!!! I was scheduled with her to do some injections into my scalp for hair loss and she couldn’t have been more kind, informative and really made me feel t...

Kalye is the best!!! I was scheduled with her to do some injections into my scalp for hair loss and she couldn’t have been more kind, informative and really made me feel taken care of as a patient and a client. She went above and beyond to make sure I was comfortable and understood the process - she even inconvenienced her own schedule in order to accommodate mine and ensure I received the best results. I have so much more confidence for the journey ahead, knowing I am in such great hands with Kalye.

–Lauren P.

I loved this clinic! Maria helped me schedule everything and answered each and every question I had like the pro that she is. Megan and Monica were the technicians working on me...

I loved this clinic! Maria helped me schedule everything and answered each and every question I had like the pro that she is. Megan and Monica were the technicians working on me. They did an absolutely amazing job. I was so happy with the treatment and appreciated how absolutely meticulous they were throughout the entire process. Excellent team work and excellent bedside manners. Definitely recommend.

–Sara M.

Dr. Berkowitz and his team have proven to be an excellent cosmetic practice! I had a lower eyelid blepharoplasty procedure in October 2020. Dr Berkowitz took the time to let me ...

Dr. Berkowitz and his team have proven to be an excellent cosmetic practice! I had a lower eyelid blepharoplasty procedure in October 2020. Dr Berkowitz took the time to let me know what to expect in every detail. The procedure went smoothly, and I healed rather quickly without any complications. After recovery, the results have been exactly what I was hoping they would be. For anyone considering this surgery, I would highly recommend it. Addressing the aging around the eyes takes years off the overall appearance! You can surely trust that the entire team at Accents Cosmetic Surgery will take amazing care of you through every step of the way.

–Rachel L.

From making the appointment to actually meeting Dr. Alford, everything was smooth and amazing! I’m surprised I’m the first to even leave a review about how wonderful...

From making the appointment to actually meeting Dr. Alford, everything was smooth and amazing! I’m surprised I’m the first to even leave a review about how wonderful he is. He listened, modeled patience and made me feel comfortable. He did a breast augmentation on me and when I say I was nervous, that’s an understatement, but he assured me I’d be just fine, and I was. His work is phenomenal and I’d recommend him to anyone! Thank you so much Dr. Alford. I will be sure to update this review according to my healing and future results!!!

–Tia J.

I can't say enough nice things about Accents medical spa. I am always completely satisfied with any procedure I receive. Everyone who works in the West Bloomfield office is the ...

I can't say enough nice things about Accents medical spa. I am always completely satisfied with any procedure I receive. Everyone who works in the West Bloomfield office is the best. They are always welcoming, kind, and professional. I highly recommend their services. You can completely trust them to make you look and feel your best

–Lori N.

I had an upper and lower blepharoplasty with a brow lift. Along my healing journey I had many questions and concerns as my body was going through different stages of healing. Dr...

I had an upper and lower blepharoplasty with a brow lift. Along my healing journey I had many questions and concerns as my body was going through different stages of healing. Dr. Berkowitz and his team answered everything very quickly, and assured me that all was within a normal range of healing. Dr. Berkowitz is a perfectionist making him a leading expert in his field. I would highly recommend him for any kind of plastic surgery!! I am grateful to him for making me look like myself again, which improved my vision and quality of life!!

–Jenny

Came in for a consult, a close friend of mine referred them to me. I had a great experience. The staff was welcoming, no pressure into making decisions. All my questions were an...

Came in for a consult, a close friend of mine referred them to me. I had a great experience. The staff was welcoming, no pressure into making decisions. All my questions were answered. Will update, but so far would recommend.

–Patricia M.

My girlfriend and I come here quite often and we always leave happy with our experiences. Bianca is always great. Can’t say enough positive things about them.

–Betty N.

Kalye is so kind and patient. Wouldn’t get Botox from anyone else. She makes you feel so comfortable and has very gentle hands. Would highly recommend her.

–Kara D.

Experience, procedure and results were way higher than I expected. Highly recommend. My eyebrows look amazing and gave me an entirely new and improved look. I loved the staff an...

Experience, procedure and results were way higher than I expected. Highly recommend. My eyebrows look amazing and gave me an entirely new and improved look. I loved the staff and especially the two ladies who helped me during my procedure.

–Anonymous

Couldn’t be happier with my results. Everything went exactly how Dr. Berkowitz said it would. They answered every question I had and made me feel comfortable throughout, f...

Couldn’t be happier with my results. Everything went exactly how Dr. Berkowitz said it would. They answered every question I had and made me feel comfortable throughout, from the first call to my year follow.

–Anonymous

I received Juvederm lip fillers by Dr. Berkowitz a while back, and wanted to go on to share my experience. I went to him, as a c lose friend of mine had seen him in the past and...

I received Juvederm lip fillers by Dr. Berkowitz a while back, and wanted to go on to share my experience. I went to him, as a c lose friend of mine had seen him in the past and I loved her results. This was my first time coming in, and I'm overly thrilled with the results. I feel he did a fantastic job. He was able to give me a very natural look.

–Anonymous

Dr. Berkowitz was a pleasure to work with. I've been struggling with hair loss for the longest time, and thought there was no hope. I feel he was very understanding, up front, e...

Dr. Berkowitz was a pleasure to work with. I've been struggling with hair loss for the longest time, and thought there was no hope. I feel he was very understanding, up front, explained things well. It's been a handful of months since I've seen him, and I'm seeing amazing results. I'm not disappointed in the slightest. I'd highly recommend him and the rest of his office staff.

–Mars

Little to no pain or swelling my experience with Maria and Dr Berkowitz was top tier best money I couldve spent anybody suffering from thinning hair or receding hairlines like I...

Little to no pain or swelling my experience with Maria and Dr Berkowitz was top tier best money I couldve spent anybody suffering from thinning hair or receding hairlines like I was go see Dr B and get your confidence and swagger back

–Robert

About 10 months back, I had chose Dr. Berkowitz to help with my thinning hair. The process wasn't as painful as I thought it would be, and I'm beyond thrilled with how things ha...

About 10 months back, I had chose Dr. Berkowitz to help with my thinning hair. The process wasn't as painful as I thought it would be, and I'm beyond thrilled with how things have been progressing over this past 10 months. I'd recommend him

–Anonymous

Some of the best care I’ve ever received. I’ve been seeing Dr. Berkowitz for cosmetic reasons and like how things have been moving forward. They do amazing laser wor...

Some of the best care I’ve ever received. I’ve been seeing Dr. Berkowitz for cosmetic reasons and like how things have been moving forward. They do amazing laser work here.

–Anonymous

I wouldn’t trust anyone else when it comes to my face! Dr. Berkowitz has always been amazing over the years. Highly recommend him.

–Anonymous

I started to see Dr. Berkowitz for my receding hairline. The experience I had with him was amazing. No scaring, very minimal pain. The pre and post op process were good. Very re...

I started to see Dr. Berkowitz for my receding hairline. The experience I had with him was amazing. No scaring, very minimal pain. The pre and post op process were good. Very realistic results.

–Anonymous

I've been seeing Dr. Berkowitz for hair loss treatment, and I've been noticing a significant change since I've been under his care. I've always been very insecure when it would ...

I've been seeing Dr. Berkowitz for hair loss treatment, and I've been noticing a significant change since I've been under his care. I've always been very insecure when it would come to my looks, wearing hats, avoiding public situations, and so on. He's been very helpful since I started seeing him. I've already referred him to a close friend.

–Anonymous

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The Benefits of a Deep Plane Facelift

  • Natural Rejuvenation: It avoids the tight or “windblown” look by lifting all facial layers together for seamless, organic results.
  • More Lift Where It Matters: This technique dramatically improves jowls, nasolabial folds, and sagging cheeks—areas where other lifts often fall short.
  • Long-Lasting Results: Because deeper structures are repositioned, results typically last 10–15 years longer than most other facelift types.
  • Midface Volume Restoration: The procedure restores natural cheek volume without requiring fillers or implants.
  • Improved Neck and Jawline Definition: Many patients enjoy a refined jawline and tighter neck without a separate procedure.
  • Minimal Skin Tension: By lifting under the surface, there’s little stress on the skin—leading to more comfortable healing and subtle scars.
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Is a Deep Plane Facelift Right for Me?

You may be a great candidate for a deep plane facelift if you:

  • Are in your 40s to 70s with moderate to severe facial aging
  • Want dramatic, long-lasting results that still look natural
  • Are concerned about midface sagging, jowls, and deep folds
  • Are in good health and a non-smoker (or willing to stop)
  • Are open to surgical downtime in exchange for transformative results

During your consultation, Dr. Berkowitz will assess your facial anatomy, skin elasticity, and goals to ensure this procedure is right or recommend an alternative approach that better suits your needs.

What to Expect Your Deep Plane Facelift

Consultation & Planning

Your journey begins with an in-depth consultation to evaluate your concerns and create a custom surgical plan.

Surgery Day

Our accredited surgical center performs the deep plane facelift under general anesthesia or IV sedation.

Precision Technique

Dr. Berkowitz makes discreet incisions around the ears and hairline, then lifts the skin and deeper tissues together—freeing and repositioning them for optimal lift.

Layered Closure

Once the tissues are repositioned, the skin is gently redraped and sutured without tension for minimal scarring.

Post-Op Recovery

You'll return home the same day with compression wraps, medications, and detailed care instructions.

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Deep Plane Facelift Results & Recovery

Recovery from a deep plane facelift is slightly longer than that from less invasive lifts, but the tradeoff is a bigger transformation, with longer-lasting results. You can expect:

  • 1–2 weeks of swelling and bruising
  • Return to work or social events in 2–3 weeks
  • Full healing and final results in 3–6 months

Your face will improve over time as swelling resolves—revealing a smoother, lifted, and completely natural look that lasts a decade or more.

Why Choose Accents Cosmetic Surgery?

Deep plane facelifts require exceptional surgical skill and an in-depth understanding of facial anatomy. Dr. Mark Berkowitz brings both. As a board-certified oculofacial plastic surgeon, he is known for combining advanced technique with a meticulous, artistic approach. He performs every facelift in our fully accredited surgical center, ensuring you receive personalized, high-level care at every step. At Accents Cosmetic Surgery, you’ll never feel like just another patient. We take the time to understand your vision and guide you toward the most flattering, natural-looking outcome.

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Choose a Deeper Lift for More Dramatic, Lasting Results

Book your consultation to explore whether a deep plane facelift is the right step toward long-lasting facial rejuvenation.

Frequently Asked Questions Deep Plane Facelift

How is a deep plane facelift different from a traditional facelift?

A traditional facelift lifts the skin and tightens the SMAS layer separately. A deep plane facelift lifts the skin and SMAS as one unit, allowing for more natural, longer-lasting results—especially in the midface.

Where are the incisions made?

Incisions are typically placed around the ears and along the hairline, where they are well-concealed and fade over time.

Will I look pulled or overdone?

Not at all. Because the deep plane technique avoids pulling the skin and instead lifts deeper structures, the results are soft, refreshed, and natural—not tight or artificial.

How long do results last?

Most patients enjoy results for 10–15 years, although natural aging will continue.

Can a deep plane facelift be combined with other procedures?

Yes, it’s often combined with eyelid surgery, fat transfer, or laser skin resurfacing for a more complete facial transformation.

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