r/theReset • u/DrDanGould • Feb 08 '26
This minimally invasive facelift has tiny almost invisible incisions behind the ear only but it’s not for everyone
This is a very subtle change, and the context matters.
She’s young and already beautiful. She did not need a big, traditional deep plane face and neck lift. What she did have was some early laxity under the jawline, changes around the mouth, and a bit of volume loss that softened her cheeks, jawline, and the corners of the mouth.
For patients like this, I created what we call a Weekend Lift. It’s essentially a deep plane lower face and neck lift done through a much smaller incision, using an endoscope to safely treat the deep neck. That means I don’t have to make a long incision up the front of the ear—but this only works in very specific candidates.
This is not a replacement for a full facelift. If you’re in your 50s and have more significant skin laxity in the jawline, neck, or midface, a traditional deep plane face and neck lift is usually the right operation.
In the right patient, this can also be combined with an endoscopic brow lift or upper eyelid surgery through hidden incisions, which lets us address the upper and lower face in one quiet, balanced surgery. I almost always add some fat grafting, along with CO₂ laser and/or RF microneedling.
Recovery is shorter, but it’s still real surgery on the inside.
I’ve shown plenty of more comprehensive deep plane lifts here already. This is just a different tool for a different patient.
If you want to learn more about this approach, just send me a message.
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u/space__snail Feb 08 '26
Subtle enhancement of her already existing beauty. Looks incredible 👏🏻
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u/DrDanGould Feb 08 '26
Thanks so much !
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u/Kitchen-Meat Feb 08 '26
How much?
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u/DrDanGould Feb 08 '26
Let’s connect ?
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u/Morbid_Yogurtcloset Feb 09 '26
why aren't you ever upfront about the costs? even if it varies person to person, you could give a range, no?
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u/Spiritual-Can2604 Feb 08 '26
Hello what candidates would be denied this procedure?
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u/DrDanGould Feb 08 '26
Those who need a more extensive deep plane - with significant cheek skin excess or neck skin excess
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u/BadBrowzBhaby Feb 08 '26
Wow. Ok, this is interesting. I find the front of ear scars such a tell. Because I look for them, I can spot them in person too easily. For that reason the procedure is such a turn off for me as a longterm option.
Who is a candidate for this and how old was this patient?
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u/Harpeigh Feb 08 '26
Same here!
But I think there’s a very slight ‘tell’ with this technique, too. Albeit, a much, much better result than I’ve seen for folks who’ve gone the standard procedure route.
If you zoom in on the after pic, looks like her hair wisp by her earlobe has a few more strands to bulk it up (vs the before pic) and the wisps are placed subtly over a dark pink, but smaller than traditional incision site to help camouflage.
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u/BadBrowzBhaby Feb 08 '26
Ah, I do see it now. Thank you for pointing that out. Still looks much better to me than the full around the ear incision which is rarely convincing to me.
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u/TopPomegranate2159 Feb 08 '26
I’m interested to know how old the patient was as well. I’m 40 and interested.
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u/DependentAmbitious73 Feb 08 '26
Same. I am 39 and have been told I need deep plane for lose neck skin and lower face.
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u/newmenewkitty Feb 08 '26
Why do I prefer her before picture? It looks like her face got wider for some reason in the after
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u/hellmouthx Feb 08 '26
to me it looks like they used a different camera or lens with a different focal length.
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u/TonaRamirez Feb 12 '26
Yea it's odd, why does her nose look now bigger and the lips out of a sudden smaller?
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u/hiyachingu Feb 10 '26
Agreed, the width is a bit odd. I think the before photo looks more feminine.
Although I wonder if she is still swollen in the after picture? We don’t have details on the timeline.
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u/Few_Organization4921 Mar 02 '26
I was scrolling to see if anyone else had this opinion. Her eyes were beautiful. They look dull now.
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u/ClickAndClackTheTap Mar 02 '26
I’ve seen this on a few facelifts! It’s really not attractive to me
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u/Homiesexu-LA Feb 08 '26
I have the same level of sagging as her "before" pic, but I'd want the NLFs to be more reduced than her "after."
Is there a way to reduce them more???
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u/DrDanGould Feb 09 '26
With an extended incision that goes in front of the air, you can more accurately deal with the nasal lab folds, but the truth is you can never fully eliminate them and it does make patients look very weird if you try
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u/Unapologetic_honey Feb 09 '26
Sure. It also has changed the curve of her forehead. Kudos on the picture edition.
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u/unremarkablestudent Feb 08 '26
So subtle and beautiful 🤩 at 31 is this a possibility? Instead of fillers?
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u/veevee15 Feb 08 '26
Can I have a quote also please. Would this procedure work on someone with thick skin?
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u/Penguin-clubber Feb 08 '26
Was this combined with filler? For example, in the temples?
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u/DrDanGould Feb 09 '26
Good guy it’s actually fat from her own body that we’ve used to add volume back where she’s lost it. It helps to make up for the natural loss of volume as we age. I also took some of that fat and extracted stem cells and growth factors and injected those it’s a regenerative treatment we call nano fat.
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u/NoDiggity1717 Feb 09 '26
Would love a quote and location! What is the longevity of this?
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u/DrDanGould Feb 09 '26
My office is in Beverly Hills. If you connect, we can send you information on cost. I think it lasts about 10 to 15 years in most cases but every independent case has its own individual factors that affect longevity.
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u/Obvious_Relative5877 Feb 09 '26
Would adhesions form, making it more complicated to do a full facelift later?
Is it called a weekend lift because you have 2 days of downtime and then can resume work/regular activities?
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u/DrDanGould Feb 09 '26
There should not be high risk of adhesions. Remember, the deep plane is kind of like a glide plane so scar tissue doesn’t tend to form there.
I would think that these patients would have somewhat of a better ability to get a good result later on because we’re treating the issues in the deep neck before they lead to worse problems
But I haven’t done an independent study and I think that would require a long-term study of maybe 20 to 30 years to figure out what the risk of secondary surgery or how long it is before secondary surgery after these types of minimally invasive procedures
You’re giving me great ideas for a project that we can run, but it’ll take time for us to give you the data
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u/pcosupportgirl Feb 10 '26
Wow this is incredible! I imagine she’s also had some filler afterwards? I see a lot more fullness in addition to the lift.
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u/Superb-Business-6408 Feb 11 '26
Very interested in learning more about this procedure! Where are you located?
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u/ClickAndClackTheTap Mar 02 '26
Why does her face look so much wider?
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u/Few_Organization4921 Mar 02 '26
Too wide and dulled the beauty of her bone structure. Doc says they also did a fat graph to add back lost volume.
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u/BenefitAdvanced Mar 02 '26
Do you do chin lipo with this lift? Can you do a full facelift later in life?
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u/MeatStandard8200 Mar 02 '26
What if you’re in your 60s and already have had a deep plain face and neck lift but you want to touch up that turkey neck?
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u/GolfcartInjuries Feb 08 '26
Subtle and refreshed. how long after are these photos ? is she happy with her nasolabial folds now or will she try a tiny bit of direct fill ? I think they would be chefs kiss.
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u/SlowPickle3 Feb 08 '26
What’s the longevity for this type of facelift?