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Many patients are candidates for the deep plane facelift, a technique in which a deep plane cheek flap is developed and attachments that hinder repositioning of this flap are released. The cheek flap, including the SMAS layer, is then repositioned in a more elevated, youthful position. Similarly, through an incision behind the ear and along the hairline, a deep plane neck flap is developed to allow repositioning of the superficial neck muscle, creating a sharper, more refined neck line. These deep flaps in the cheek and neck are held in position with deep sutures. These cheek and neck flaps are held in position with deep sutures, excess skin excised and the incisions meticulously closed.