I’m Seriously Considering a Deep Plane Facelift. Here’s Where My Head Is At.

Real life in the in-between, right? This is one of those in-between moments.

And what I saw is what brought me here: I’m seriously considering a deep plane facelift.

What I’m Actually After

Let me be clear about what I’m not chasing. I don’t want to look 28. I don’t want that pulled-tight, wind-tunnel look where you can spot the surgery from across a parking lot. I want to look like a well-rested version of myself, maybe 10 years younger, not unrecognizably youthful. The kind of “refresh” where people say “you look great” and can’t quite figure out why, instead of “you look different.”

That’s exactly why the deep plane technique caught my attention in the first place. Unlike older facelift approaches that mostly pull and tighten the skin, deep plane works underneath — repositioning the actual muscle and connective tissue (the SMAS layer, for anyone who’s gone as deep into the research rabbit hole as I have) so the skin isn’t under tension. In theory, that’s what gives it that more natural, structural lift instead of a stretched one.

The Research Phase Is Real

If you know me, you know I don’t do anything halfway, and this has been no exception. I’ve spent months following, and I mean really following, the surgeons considered the best in this specific technique: Dr. Andrew Jacono in NYC, Dr. Mike Nayak in St. Louis, Dr. Konstantin Vasyukevich in NYC, Dr. Kevin Sadati in California, and Dr. Mike Roskies in Toronto. Their Instagram pages have become a strange kind of continuing education for me: before-and-afters, technique explanations, patient philosophy. You start to notice patterns in who talks about “natural” versus who’s really selling “transformation.” I know which camp I want my surgeon in.

Then There’s the Cost Conversation

Here’s where things got real. I reached out to Dr. Nayak directly to ask about pricing, and instead of a number, I got a figure that nearly knocked me off my chair: $300,000 for an extended deep plane facelift with a deep necklift.

Let that sink in for a second, because it did for me. For context, most board-certified surgeons doing this technique are quoting somewhere in the $25,000–$50,000 range, with even the most sought-after NYC and Beverly Hills names typically landing between $75,000 and $150,000. Three hundred thousand dollars is genuinely outlier territory — celebrity-tier pricing that most people, myself included, aren’t budgeting for.*

It was a useful gut check, honestly. It reminded me that “best in the field” doesn’t have one price tag, and that part of this process is going to be finding a surgeon whose skill, philosophy, and price point all actually line up — not just chasing the biggest name on my Explore page.

Where I Land, For Now

I’m not booking anything tomorrow. This is a big decision, and it deserves the same care I’d give any major investment in myself — physically, financially, emotionally. But I wanted to write this down while I’m in it, because I know I’m not the only midlife woman quietly Googling “deep plane facelift natural results” at 11pm.

More updates as this unfolds — consultations, questions I’m asking and whatever I decide. Real life in the in-between, indeed. I would love to hear from you. Are you considering a deep plane facelift? What have you learned?

Sources

*Sources: LEA Plastic Surgery / Newport Beach Plastic Surgery, citing RealSelf reviewer data: https://leaplasticsurgery.com/blogs/how-much-does-a-deep-plane-facelift-cost/, A similar RealSelf-sourced figure appears in a second source: Dr. Brian Harmych’s practice page, which also cites the ASPS average surgeon’s fee of $11,395 (excluding anesthesia/facility): https://www.harmychplasticsurgery.com/how-much-does-deep-plane-facelift-cost/, Facial Plastic Surgery Institute (Dallas): https://facialplasticsurgeryinstitute.com/2026/03/20/deep-plane-facelift-cost/ and https://facialplasticsurgeryinstitute.com/2026/02/16/deep-plane-facelift-cost-dallas/, From DEEPPLANE™’s 2026 pricing guide: https://deepplane.com/what-is-deep-plane-facelift, From Dr. David Gerth’s Miami practice: https://www.drgerthplasticsurgery.com/blog/how-much-does-a-deep-plane-facelift-cost/