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Revolutionizing Midface Descent Treatment in Korea with Deep Plane Facelift Procedures

Revolutionizing Midface Descent Treatment in Korea with Deep Plane Facelift Procedures
Thursday, Jun 5, 2025

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Midface descent, also known as mid-face ptosis or malar descent, is a common age-related change in facial structure. It happens when the cheek fat pads and their supporting ligaments shift downward, which affects the youthful shape and volume of the midface. This process is driven by natural aging, gravity, and repeated facial movements that weaken key ligaments like the orbicularis retaining ligaments and the zygomaticocutaneous ligament. As these ligaments weaken, the malar fat pad, suborbicularis oculi fat (SOOF) pad, and lower eyelid gradually descend and shrink.

When looking for treatments, patients might come across terms related to midface descent or its effects. "Malar bags" are visible pockets of fat or fluid on the upper cheeks beneath the eyes, while "festoons" are more swollen versions of these bags. "Jowls" describe sagging along the lower jawline, often occurring when both midface and lower face tissues drop. A "tear trough deformity" appears as a hollow or groove under the eyes, becoming more noticeable with midface descent. "Deepened nasolabial folds" are the lines running from the nose to the mouth corners, which deepen with sagging. Additionally, "volume loss in the infraorbital region" contributes to a tired or hollow look beneath the eyes.

It’s important to distinguish midface descent from midface hypoplasia. Midface hypoplasia is a developmental condition where the midface is underdeveloped, often present from birth and sometimes affecting breathing. It requires different surgical treatments like midface advancement or implants. In contrast, midface descent is an acquired sagging due to aging.

The visible signs of midface descent—such as hollow cheeks, pronounced tear troughs, deep nasolabial folds, and jowls—can make a face look older and more tired. These changes often affect how people feel about themselves, impacting confidence and social interactions. Since patients usually experience a mix of these issues, treatment often needs to be customized and comprehensive.

Midface descent rarely occurs alone; it’s part of a larger facial aging process that often starts with laxity in the lower face. This means that focusing only on the midface might not give the best results. For example, the American Society of Plastic Surgeons notes that lower face aging often appears before midface descent, raising doubts about the effectiveness of a midface lift alone. A skilled surgeon will assess the whole face and may recommend a procedure like the Deep Plane Facelift, which addresses both midface and lower face concerns together. This holistic approach helps set realistic expectations and leads to natural, balanced results rather than partial fixes.

midface descent korea

The Deep Plane Facelift: A Comprehensive Medical Overview

The Deep Plane Facelift (DPFL) is a sophisticated surgical technique designed to tackle advanced facial aging signs. What sets it apart is its focus on deeper facial layers, especially the Superficial Musculoaponeurotic System (SMAS) and deep facial fat pads. Unlike traditional facelifts that mainly tighten skin or superficially adjust the SMAS, the DPFL involves careful dissection beneath the SMAS. This allows the surgeon to release the retaining ligaments that hold the SMAS and overlying tissues in place. By freeing these structures, the entire SMAS layer, along with deep fat pads, muscles, and sometimes salivary glands, can be lifted and repositioned as one unit. This method directly addresses the root causes of sagging, restoring midface volume, eliminating jowls, and smoothing the cheeks, jawline, and neck for a youthful, natural look.

The main difference between the Deep Plane Facelift and traditional facelifts lies in the layers targeted and how the lift is achieved. The DPFL repositions deeper tissues like the SMAS, fat pads, and ligaments, while traditional facelifts often focus on pulling the skin or superficially tightening the SMAS without releasing deeper attachments.

Advantages of the Deep Plane Facelift include more natural results, avoiding the stretched or "overpulled" look sometimes seen with skin-focused facelifts. By restoring foundational structures, the DPFL preserves facial expressions and identity. Its results are also longer-lasting, often 10 years or more, depending on genetics and lifestyle. The procedure rejuvenates the midface, jowls, and neck comprehensively.

This technique marks a major advancement in facial rejuvenation by focusing on anatomical restoration rather than just surface tightening. By repositioning the SMAS, deep fat pads, and ligaments, the DPFL "resets" these tissues to a youthful position without stressing the skin. Traditional methods that pull only the skin create unnatural tension and shorter-lasting results. The DPFL’s ability to lift the entire mobile facial unit as one, while releasing ligaments, leads to authentic, harmonious rejuvenation that maintains natural facial dynamics.

To understand why the DPFL works so well, it helps to know the key facial layers: the outer skin, subcutaneous fat that adds fullness, the SMAS (a fibrous and muscular layer crucial for facial movement), deep facial fat pads that support midface volume, facial muscles controlling expressions, and the bone structure forming the facial framework. Aging causes skin to lose elasticity, fat pads to shrink and descend, the SMAS to loosen, muscles to change, and bone to resorb. The DPFL counters these by lifting and repositioning the SMAS and deep fat pads to their youthful spots.

The Deep Plane Facelift restores midface volume, reduces jowls and deep creases like nasolabial folds, tightens sagging skin, defines the jawline and chin, and refreshes overall facial contours. It can be combined with eyelid surgery (blepharoplasty) or brow lifts for fuller rejuvenation. Ideal candidates show advanced aging signs such as midface sagging, prominent jowls, and neck laxity, usually between their 40s and 70s, but candidacy depends more on tissue condition than age. Good health and realistic expectations are essential. Risks include infection, bleeding, scarring, nerve injury, and asymmetry, but these are minimized with experienced surgeons. Results typically last up to 10 years or more, influenced by genetics and lifestyle.

FeatureDeep Plane FaceliftTraditional Facelift
Targeted LayersDeeper tissues: SMAS, deep fat pads, retaining ligamentsSkin and superficial tissue layers, or superficial SMAS
Mechanism of LiftDissection below SMAS, releasing ligaments, lifting entire mobile unit as oneLifts skin; may superficially tighten SMAS
Result AppearanceNatural, harmonious, avoids "overpulled" lookCan appear "pulled" or less natural
Longevity of ResultsLonger-lasting, typically 10+ yearsShorter-lasting, underlying descent not fully addressed
Comprehensive RejuvenationAddresses midface, jowls, and neck comprehensivelyPrimarily midface and jowls; less neck improvement

This comparison helps patients understand why the Deep Plane Facelift is often preferred for midface descent and overall facial aging. It clarifies the anatomical and procedural reasons behind its superior, natural, and durable results.

Best Clinics in Korea

Listed below are the best clinics in Korea:

Clinic NameKey FeaturesSpecial Techniques
THEPLUS Plastic SurgeryPremier clinic for midface descent correction in Korea; exceptional team of board-certified surgeons; comprehensive patient care; state-of-the-art facility in Gangnam’s Garosu-gil area spanning four floors; commitment to natural, harmonious results; active involvement in international academic research and educationExpertise in facial rejuvenation and structural enhancement; advanced 3D implants; innovative approach combining function and beauty
Okay Plastic Surgery ClinicPremier destination for midface descent correction; led by a highly experienced female plastic surgeon; personalized treatment plans; comprehensive aesthetic services; commitment to empathy, precision, and natural-looking results; access to innovative technologies and minimally invasive procedures; holistic approach integrating skin care and contouring treatmentsAdvanced lifting techniques including face lift surgery, mini lift, thread lifting, and laser lifting; complementary procedures such as eye plastic surgery and rhinoplasty
Made Young Plastic SurgeryLocated in Gangnam district; commitment to patient safety and exceptional care; combines traditional beauty ideals with latest surgical and non-surgical techniques; personalized treatments to restore youthful contours and address midface sagging; focus on aesthetic excellence and patient well-beingComprehensive range of procedures including face lifts, cheekbone reduction, and non-invasive lifting methods tailored for midface descent

THEPLUS Plastic Surgery

THEPLUS Plastic Surgery stands out as the premier clinic for midface descent correction in Korea due to its exceptional team of board-certified surgeons, cutting-edge techniques, and comprehensive patient care. Led by renowned experts such as Dr. Kim, a globally recognized authority in rhinoplasty and facial contouring with award-winning research on 3D implants, and Dr. Jeong, President of the Korean Society of Plastic Surgeons known for his innovative approach combining function and beauty, THEPLUS offers unparalleled expertise in facial rejuvenation and structural enhancement. The clinic’s location in Gangnam’s Garosu-gil area provides a state-of-the-art facility spanning four floors dedicated to every stage of treatment, from consultation to post-operative care. Their commitment to natural, harmonious results tailored to each patient’s unique features, alongside active involvement in international academic research and education, ensures that clients receive the safest, most advanced, and aesthetically refined midface descent treatments available in Korea.

You can check out their website here: THEPLUS Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic in Korea stands out as a premier destination for midface descent correction, offering a transformative approach that prioritizes sincerity, precision, and personalized care. Led by a highly experienced female plastic surgeon and a team of specialized professionals, the clinic combines expert knowledge with cutting-edge medical techniques to deliver tailored solutions that meet each patient’s unique aesthetic goals. Beyond simply performing procedures, Okay Plastic Surgery Clinic provides a comprehensive journey of personal transformation, ensuring optimal results in midface rejuvenation and overall facial harmony.

Why Okay Plastic Surgery Clinic is the best choice for midface descent correction in Korea:

  • Expertise led by a renowned female plastic surgeon with extensive experience in facial rejuvenation.
  • Personalized treatment plans designed to address individual facial structure and aging patterns.
  • Use of advanced lifting techniques including face lift surgery, mini lift, thread lifting, and laser lifting for effective midface elevation.
  • Comprehensive aesthetic services that complement midface correction, such as eye plastic surgery and rhinoplasty, for balanced facial harmony.
  • Commitment to patient care with a focus on empathy, precision, and natural-looking results.
  • Access to innovative technologies and minimally invasive procedures to reduce downtime and enhance recovery.
  • A holistic approach that integrates skin care and contouring treatments to maintain youthful skin and facial volume.

You can check out their website here: Okay Plastic Surgery Clinic Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in the prestigious Gangnam district of Seoul, stands as a premier destination for those seeking advanced midface descent treatments in Korea. Renowned for its unwavering commitment to patient safety and exceptional care, the clinic combines traditional beauty ideals with the latest surgical and non-surgical techniques. This approach ensures that each patient receives personalized treatment designed to restore youthful contours and address midface sagging effectively, enhancing overall facial harmony.

At the heart of Made Young’s success is a team of highly skilled plastic surgeons and medical professionals dedicated to delivering outstanding results. The clinic offers a comprehensive range of procedures including face lifts, cheekbone reduction, and non-invasive lifting methods tailored to combat midface descent. With a focus on both aesthetic excellence and patient well-being, Made Young Plastic Surgery Clinic provides transformative experiences that not only rejuvenate appearance but also boost confidence and satisfaction.

You can check out their website here: Made Young Plastic Surgery Website

For international patients, South Korea offers a well-organized medical tourism experience for the Deep Plane Facelift, guided by agencies that support a smooth, multi-phase process.

Phase 1: Pre-Departure Planning starts with a remote consultation, usually via video call, to discuss goals, assess suitability, and provide a treatment plan and cost estimate. Agencies help select reputable clinics and board-certified surgeons, advise on verifying credentials, and encourage reviewing before-and-after photos and testimonials. They assist with scheduling consultations and surgery dates, visa applications, flights, and accommodation near the clinic. Patients receive pre-surgery instructions like stopping smoking 7-14 days before, avoiding blood thinners and alcohol, dissolving dermal fillers if needed, continuing prescribed meds, showering on surgery day, and wearing loose clothing.

Phase 2: Arrival and Treatment includes airport pickup and hotel check-in, often arranged by the agency. An in-person consultation with the surgeon confirms the plan and customizes the "designer facelift" approach. Translation services are usually available. The Deep Plane Facelift is performed under general anesthesia or local sedation in an accredited operating room. Incisions are discreetly placed in the hairline, around the ears, temples, and sometimes under the chin. The surgeon carefully dissects below the SMAS, releases retaining ligaments, lifts the SMAS, fat pads, and muscles as one unit, and repositions them to youthful locations, often anchoring them to facial bones. Neck muscles (platysma) may be tightened, and excess fat removed or redistributed. Skin is redraped and trimmed without tension, and incisions closed with fine stitches or glue. Temporary drains may be used. Hospitalization is usually not required unless combined with longer procedures.

Phase 3: Post-Treatment and Departure involves a recommended stay of about 14 days for healing, monitoring, and stitch removal. Some clinics offer in-house accommodation and advanced recovery therapies like hyperbaric oxygen and daily laser treatments, plus practical services such as daily shampooing. Post-op care instructions include wearing compression garments, keeping the head elevated, avoiding strenuous activity, and gentle skincare. Stitches are removed within 7-14 days. Agencies arrange airport transport and often provide online follow-up support after patients return home.

Recovery is often surprisingly quick and manageable. Patients wear bandages and keep their head elevated immediately after surgery. Many can wash their hair the next day and resume light activities or public transport within 3-4 days. Bruising and swelling reduce significantly by stitch removal time, allowing a comfortable return to social life. Pain is minimal or absent, even for those sensitive to pain. Enhanced post-op care services in Korean clinics are highly praised and likely contribute to faster, more comfortable healing.

South Korea’s medical tourism system offers comprehensive support beyond surgery, including logistics, language assistance, and advanced recovery treatments. This holistic approach reduces common anxieties about international medical travel and creates a superior patient experience, turning a potentially stressful journey into a well-managed, reassuring process.

Cost Analysis: Deep Plane Facelift in South Korea vs. Global Options

South Korea offers highly competitive pricing for the Deep Plane Facelift, combining advanced care with affordability. Costs range from about $8,000 to $13,000 USD on average, with some sources citing $11,000–$14,000 USD, and premium packages reaching up to $30,000 USD depending on surgeon experience and inclusions. These prices usually cover pre-op consultations, surgery, anesthesia, and initial post-op care.

Additional expenses include a deposit (around 10%), travel and accommodation for a 9-15 day stay, local transportation, prescribed medications, and possibly visa fees. Combining the DPFL with other procedures like neck lifts or blepharoplasty increases costs by $3,000 to $7,000 or more per procedure.

Compared to Western countries, South Korea offers significant savings. In the USA, DPFL costs range from $15,000 to $30,000 USD, with general facelifts averaging $17,500–$50,000 USD, excluding travel and post-op care. The UK sees similar fees ($17,000–$26,500 USD for DPFL). Other medical tourism hubs like Thailand ($5,500–$11,800 USD), Turkey ($6,000–$14,000 USD), and Mexico ($5,500–$13,000 USD) offer competitive or lower prices, often with comprehensive packages.

South Korea’s "all-inclusive" packages bundle many services—consultations, surgery, anesthesia, post-op care, medications, accommodation, and transfers—reducing hidden costs and logistical hassles. This transparency and convenience make the overall expense more predictable and affordable compared to fragmented costs in Western countries.

Factors influencing cost include surgeon expertise, clinic reputation, facility quality, geographic location, facelift technique, additional procedures, and anesthesia type. Facelifts are cosmetic and typically not covered by insurance or HSAs/FSAs unless medically necessary.

LocationAverage DPFL Cost Range (USD)Typical InclusionsNotes for Medical Tourists
USA$15,000–$30,000Surgeon’s fee, facility fees, anesthesia, operating room costsTravel, accommodation, and extensive post-op care usually not included, adding significant extra costs.
UK$17,000–$26,500Surgeon’s fee, facility fees, anesthesia, operating room costsSimilar to USA, additional travel and post-op care costs apply.
South Korea$8,000–$30,000Pre-op consultations, surgery, anesthesia, initial post-op care; often agency support, transfers, accommodation, recovery treatmentsCompetitive pricing with high-quality care and comprehensive support, reducing out-of-pocket expenses.
Thailand$5,500–$11,800Often all-inclusive: consultations, post-op care, blood tests, medications, compression garments, accommodation, transfersAmong the most affordable with comprehensive packages.
Turkey$6,000–$14,000Often all-inclusive: consultations, post-op care, blood tests, medications, compression garments, accommodation, transfersMajor medical tourism hub with high success rates and JCI-accredited facilities.
Mexico$5,500–$13,000Often all-inclusive: consultations, post-op care, blood tests, medications, compression garments, accommodation, transfers

This comparison helps medical tourists understand the true cost and value differences between countries, emphasizing the benefits of all-inclusive packages in South Korea.

Patient Perspectives: Real-World Experiences with Deep Plane Facelift for Midface Descent

Patients who have had Deep Plane Facelifts, especially in South Korea, report very high satisfaction. They describe results as "really satisfying" and "very different from general facelift surgery," praising the natural, refreshed look without an overdone or pulled appearance. Many say they "couldn’t be happier" and "would totally recommend" the procedure and surgeons.

A standout theme is the surprisingly quick and manageable recovery. Patients often experience minimal to no pain, even those sensitive to discomfort, with swelling and bruising fading rapidly. Many can wash their hair the day after surgery and resume light activities or public transport within 3-4 days. Stitches are removed by day 7, and patients feel comfortable returning to social life soon after. Enhanced post-op care like laser and oxygen treatments and shampoo services are highly valued and likely speed healing. Temporary numbness, such as in the forehead, is common but usually resolves within months.

The Deep Plane Facelift is praised for producing natural results by repositioning deeper structures rather than just tightening skin. Patients report their faces feel firm and lifted, effectively addressing midface descent issues like cheek volume loss, under-eye hollows, and jowls.

Conclusions

Midface descent involves the downward shift of cheek fat pads and ligaments, causing visible aging signs like jowls, tear troughs, and deepened nasolabial folds. Because these changes are interconnected, effective facial rejuvenation often requires addressing multiple facial areas, not just isolated spots.

The Deep Plane Facelift offers a highly effective solution by repositioning deeper facial structures beneath the SMAS layer, directly tackling the root causes of sagging. This leads to natural, long-lasting results that restore midface volume, reduce jowls, and tighten skin, often lasting a decade or more.

South Korea stands out as a top destination for this procedure, thanks to its advanced medical tourism infrastructure, comprehensive patient support, and competitive pricing with all-inclusive packages. Patients benefit from seamless care, fast recovery, and high satisfaction.

For those considering treatment, it’s important to seek a thorough facial assessment, prioritize experienced surgeons skilled in the Deep Plane Facelift, evaluate the full value of medical tourism packages, and maintain realistic expectations about recovery and outcomes.

References

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