Deep Plane FaceliftLong Island, NY
The term "deep plane facelift" has become one of the most searched phrases in aesthetic surgery — and one of the most misused. Many surgeons describe their procedure as deep plane.
Very few are actually operating at the anatomical depth, technical complexity, and comprehensive neck treatment that defines a true deep plane result. Dr. Marotta's deep plane facelift is among the most technically demanding versions of this procedure performed anywhere in the United States. Here is what that actually means for your result.
Dr. James Marotta
Marotta Hair Restoration
Marotta Plastic Surgery Specialists
Marotta MedSpa
Long Island Deep Plane Facelift surgeon, Dr. Marotta's signature procedure. Comprehensive deep plane dissection with full neck treatment including platysmal work, submental fat reduction, and vertical repositioning of the facial soft tissue. For patients with moderate to significant facial descent and neck laxity. Duration: approximately 5 hours.
Dr. Marotta's most comprehensive facial rejuvenation procedure. Everything included in the Deep Plane Face and Neck Lift, plus submandibular gland reduction, digastric muscle treatment, and deep submental fat pad reduction. For patients who want the most complete possible neck and jawline result. Duration: approximately 6 hours. This is the procedure that defines Dr. Marotta's most dramatic and long-lasting transformations.
A refined, limited-incision version of the deep plane approach for patients in the earlier stages of facial aging who want meaningful improvement without the full recovery of a comprehensive facelift. Duration: approximately 2-3 hours.
Deep plane facelifts are not defined by age — they are defined by anatomy and degree of change sought. Ideal Deep Plane Facelift candidates typically present with jowling along the jawline, descent of the midface and cheek, visible neck laxity or banding, and a desire for results that will last a decade or more rather than a few years.
Candidates for the Deep Plane Facelift with Deep Neck Contouring additionally present with submandibular fullness that persists despite weight management, deep neck heaviness or irregularity, or have had previous neck procedures that did not fully address the deep anatomical structures. Dr. Marotta evaluates every patient individually. The procedure he recommends is based entirely on your specific anatomy, not a standard protocol. During your consultation, he will show you exactly what he sees, explain what he plans to address and why, and give you a realistic picture of what your result can achieve.
Dual board-certified in facial plastic surgery AND otolaryngology, head and neck surgery. This dual certification is exceptionally rare — fewer than one in ten plastic surgeons hold both boards. It means Dr. Marotta's training encompasses the full anatomy of the head and neck at the deepest level, which directly informs his approach to the complex deep neck work that defines his most advanced procedures.
20 years of specialization in facial plastic surgery. Dr. Marotta performs facial procedures exclusively — he does not divide his attention across the full spectrum of plastic surgery. His facelift results reflect two decades of refinement of a single craft.
7,000+ procedures performed. 3,000+ five-star reviews. Consistently voted Best Cosmetic Surgeon on Long Island since 2013. Castle Connolly Top Doctor. NewBeauty Top Doctor. These recognitions are meaningful — they reflect what patients actually experience, not just surgical credentials.
Out-of-town patients are welcome. Dr. Marotta has developed a streamlined program for patients traveling from outside Long Island. Virtual consultations, coordinated pre-operative care, and comprehensive post-operative support make it practical for patients throughout the New York metro area and beyond to access his practice.
A SMAS facelift operates on the superficial muscular aponeurotic layer without releasing the underlying retaining ligaments. A true deep plane facelift releases these ligaments and repositions tissue at a deeper anatomical level — allowing more complete treatment of the midface, jowl, and neck with results that are more natural and more durable. The trade-off is greater technical complexity, longer operative time, and a surgeon who must be trained and experienced at this anatomical depth.
The additional structures addressed in the Deep Plane with Deep Neck Contouring procedure do not meaningfully extend recovery time. The recovery timeline is driven primarily by the deep plane dissection itself. Most patients experience a similar recovery arc regardless of whether deep neck work is included.
Deep plane facelift results are permanent in terms of the repositioning achieved — the tissue does not descend back to where it was. Most patients maintain their result for 10-15 years before any secondary treatment becomes desirable. This longevity is one of the primary reasons patients choose deep plane surgery over less invasive alternatives.
Yes, in many cases. Dr. Marotta has extensive experience with revision facelift surgery and regularly treats patients whose prior procedures — whether SMAS or skin-only lifts — did not adequately address the deeper structures or produced results they are dissatisfied with. Each revision case requires individual evaluation.
This is determined entirely during deep plane facelift consultation based on your anatomy. Dr. Marotta will evaluate the specific structures contributing to your neck appearance and recommend the appropriate level of treatment. Many patients who assume they need the comprehensive procedure do well with the standard approach, and vice versa. There is no protocol — the recommendation is always anatomy-specific.
To schedule a consultation with Dr. Marotta, call (631) 982-2022 or book online. Virtual consultations are available for patients outside the Long Island area.
Mon-Thurs: 9am – 7pm
Friday: 9am – 5pm
