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Deep Plane Facelift

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Deep Plane Facelift

Facelift before and after photos by Sherber and Rad in Washington, DC

Facelift before and after photos by Sherber and Rad in Washington, DC

Deep Plane Facelift

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dr ariel rad

@drarielrad

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Deep plane facelift and deep structural neck lift are the foundation of my approach to create naturally beautiful, long-lasting refreshed results.✨ What sets this apart is that it’s not just about lifting skin—it’s about reshaping the anatomy beneath.
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To truly optimize the face and neck, we have to understand the five anatomical layers and how they should modified:
1. Skin (layer 1) — a tensionless redrape is key.
2. Subcutaneous fat (layer 2) — preserving is key for plush smoothness form one subunit to the next.
3. Musculoaponeurotic layer (SMAS/platysma) (layer 3) — this is key layer for lifting.
4. Deep spaces and ligaments (layer 4) — the “deep plane” where total ligament release is key to mobilize layer 3.
5. Deep fascia (layer 5) — protects facial nerves and should not be violated.

Each layer plays a role in aging and must be addressed strategically for natural, lasting results. That’s why deep plane techniques, which work within the musculoaponeurotic and deep layers, are so powerful—they allow true repositioning, not just surface lifting.
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When it comes to the neck, I go deep:
1. Reducing (not removing) the submandibular glands for a smoother jaw contour and defined submandibular (under jawbone) hollow.
2. Reduction of deep subplatysmal fat and anterior strap muscles (digastric) for a sleek, supported neck
3. Lateral platysmaplasty (neck@muscle tightening) and inferior platysmal myotomy with central corset platysmaplasty to correct platysmal bands.
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This level of work requires precision, anatomical mastery, and a commitment to natural artistry. And the results speak for themselves. 💯
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#DeepPlaneFacelift #StructuralNeckLift #FacialOptimization #DeepNeckSculpting #NaturalFacelift #NeckLift #Platysmaplasty #FacialRejuvenation #RadRefresh #FaceOps #SherberAndRad #FaceliftExpert #AnatomyBasedAesthetics

Wow, she’s glowing after Total RAD ReFresh! 💫 What stands out in her transformation is her natural harmony from top to bottom where all facial subunits balance and flow—especially with brightened eyes, corrected neck and jawline definition, and improved facial proportions. Her previously recessed chin worsened the droop of deep neck structures — it’s like the bottom fell out. By deep structural neck lift, reducing saliva glands, fat and strap muscles — and lifting the platysma hammock, synergy is enhanced by adding chin projection. Her jawline and neckline are defined like never before.
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Subtlety makes all the difference:
🔹 Undetectable pre- and post-auricular scars hide within hills and valleys around the ears
🔹 Brighter, more open eyes from a lateral brow lift + gentle canthal lift
🔹 Elimination of marionette lines from fat grafting to pre-jowl sulcus and micro-liposuction of the inferior Melo fat pad (i.e. jowl)
🔹 Better facial balance with HDPPE (porous polyethylene) chin augmentation
🔹 Reversal of bottom heaviness to a light, bright and attractively refreshed complexion
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My favorite part is that her eyes are now brighter, more open, and beautifully shaped—thanks to the lateral brow lift and gentle lateral canthal elevation, which subtly enhanced her eye contour without changing her expression. Scars are hidden in natural creases and hair-bearing areas. This is the power of my deep plane technique: restoring youthful anatomy, with complete naturalness. Every lift I perform addresses the deep fascial layers—platysma in the neck, SMAS in the face, and TPF in the brow—done right my RAD ReFresh offers patients 15-20 year results. 💫
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• #BeforeAndAfter #FacialHarmony #deepplanefacelift #DeepStructuralNecklift #ChinAugmentation #endoscopicbrowlift #NaturalFacelift #UndetectableScars #FaceOptimization #DrArielRad #SherberAndRad #FaceliftExpert #AgingGracefully #BeautyInBalance

The “Undetectable Facelift” Part 2 (of 2): What does it mean and why is it trending? Well, for good reason: people want to look stunning without looking surgical. But how do you get results that are truly under the radar?
🧠 It starts with aesthetic principles, not a cookie-cutter formula. Here’s the breakdown ⬇️
1️⃣ Aesthetic Subunits: Eyes, nose, lips, and their boundaries must be beautifully proportioned and harmoniously spaced. 2️⃣ Smooth Transitions: No harsh lines, hollows, or bulges. Seamless blending between regions is key — especially in aging faces.
3️⃣ Facial Thirds: A balanced vertical proportion creates natural harmony. Forehead reduction can enhance balance and eye beauty.
4️⃣ Skeletal Support Matters: Issues like under-eye bags often stem from lacking bone structure, not tissue deficiency. That’s why I use orbital rim implants to enhance bone structure which supports tissues and helps to create youthful contour, rather than relying on tissue filling techniques alone or lifting on a poorly supported framework.
5️⃣ Synergy is Everything: Fat grafting, blepharoplasty, and deep plane lifts work together to recreate dynamic, natural anatomy. 6️⃣ Lower Face + Neck: deep structural necklift and jowl reduction possibly with chin augmentation and fat grafting to the pre-jowl hollows — it’s about sculpting a smooth, defined jawline and neck angle.
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When each region is optimized and transitions are seamless, the brain perceives beauty instantly — without ever noticing the surgery.💯
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#UndetectableFacelift #deepplanefacelift #FacialOptimization #NaturalResults #RadRefresh #FacialAesthetics #FacialSculpting #necklift #sherberandrad

The “Undetectable Facelift” Part 1 (of 2): What does it mean and why is it trending? Well, for good reason: people want to look stunning without looking surgical. But how do you get results that are truly under the radar?
🧠 It starts with aesthetic principles, not a cookie-cutter formula. Here’s the breakdown ⬇️
1️⃣ Aesthetic Subunits: Eyes, nose, lips, and their boundaries must be beautifully proportioned and harmoniously spaced. 2️⃣ Smooth Transitions: No harsh lines, hollows, or bulges. Seamless blending between regions is key — especially in aging faces.
3️⃣ Facial Thirds: A balanced vertical proportion creates natural harmony. Forehead reduction can enhance balance and eye beauty.
4️⃣ Skeletal Support Matters: Issues like under-eye bags often stem from lacking bone structure, not tissue deficiency. That’s why I use orbital rim implants to enhance bone structure which supports tissues and helps to create youthful contour, rather than relying on tissue filling techniques alone or lifting on a poorly supported framework.
5️⃣ Synergy is Everything: Fat grafting, blepharoplasty, and deep plane lifts work together to recreate dynamic, natural anatomy. 6️⃣ Lower Face + Neck: deep structural necklift and jowl reduction possibly with chin augmentation and fat grafting to the pre-jowl hollows — it’s about sculpting a smooth, defined jawline and neck angle.
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When each region is optimized and transitions are seamless, the brain perceives beauty instantly — without ever noticing the surgery.💯
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#UndetectableFacelift #deepplanefacelift #FacialOptimization #NaturalResults #RadRefresh #FacialAesthetics #FacialSculpting #necklift #sherberandrad

Deep plane facelift and deep structural neck lift are the foundation of my approach to creating naturally beautiful, long-lasting facial rejuvenation and optimization.
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These diagrams highlight my personal apprach to deep plane face and neck lifting. In the first 2 images, there are 2 tissue layers, or “planes,” of dissection: the yellow highlights the region of skin and subcutaneous fat (layers 1 & 2) lifted from the underlying muscle/fascia (ie SMAS, layer 3) from the ear to the blue line.
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The blue layer is the deep plane (layer 4), a gliding layer that allows movement of layer 3 over layer 5 (deep fascia) — it’s here in layer 4 where we dissect and cut the ligaments that anchor all tissue layers to the bone (“osteocutaneous”), crucial to mobilize the cheek fat pads that have descended into the nasolabial folds and marionette lines (“labiomandibular folds”). Once mobilized, all layers and cheek fat lift up and back, and the excess skin is trimmed in a tension free closure.
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The red region represents the deep structural necklift which I show in images 3 and 4: here the saliva gland, suspended by the digastric muscle sling, is oversized and reduced, with the hyoid bone pulled back by tightening the platysma. The sub-platysma fat and strap muscles are reduced and shaped to optimize and redefine the cervicomental angle for a more elegant, youthful neckline.
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Unlike superficial techniques that only tighten skin, the deep plane method releases and repositions the deeper fascia layers—restoring volume, softening folds, and recontouring the jawline without the tension or ‘pulled’ look. Every face is unique. That’s why each procedure is tailored using a precise, artistic eye and a deep understanding of facial anatomy. The goal isn’t just to reverse time—it’s to optimize your features so you still look like you, just refreshed, refined, and radiant, and the key is anatomy. 🔑
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{anatomical representation of submandibular gland/hyoid/digastric in images 3 & 4 adapted from @odanielstudios 🙏}
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#facelift #deepplanefacelift #RadReFresh #DeepPlaneLift #NaturalResults #FacialAesthetics #facialrejuvenation #PlasticSurgeryArt #sherberandrad

So happy to see my patient from Florida 3 months after forehead reduction with hairline lowering, deep plane facelift and deep structural necklift, lower blepharoplasty, closed rhinoplasty, and micro fat grafting. I love how her facial frame is more proportional, her eyes look softer despite more angular and chiseled jawline. Overall her face is more warm and inviting, more feminine and naturally refreshed like how she looked decades ago. And since it’s only been 3 months her tension-free scar lines will continue to fade beautifully into imperceptibility.
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When combining advanced procedures like these, safety is always the top priority. All surgeries are performed in a hospital-based facility with board-certified anesthesiologists and a highly experienced operating team. This environment ensures full monitoring, emergency preparedness, and the highest standards of care—giving my patients not only beautiful results, but also peace of mind. The art is in the subtlety. The foundation is safety, always. 🫶🏻
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#NaturalFacelift #DeepPlaneLift #DeepNeckLift #Blepharoplasty #FatGrafting #RadRefresh #BeforeAndAfter #SafetyFirst #FacialOptimization #sherberandrad

My lovely patient is now 6 months out from a transformative journey to natural results. ✨ I did an endoscopic brow lift, gentle canthal lift, lower blepharoplasty fat transposition, and midface + orbital rim augmentation using HD porous polyethylene implants—along with refined fat grafting for smooth, natural transitions.
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For 4 years, she tried fillers hoping for structure and lift—but instead felt her face becoming puffy, swollen, and unnatural. After consulting with 8 different surgeons, she found her way to me. What resonated wasn’t a quick fix—but a lasting solution based on enhanced bone structure, optimal aesthetics, natural results and safety.🎯
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Porous polyethylene is the most biocompatible implant material available, with 50+ years of safety data and successful use in millions of patients worldwide. It integrates seamlessly with facial tissues for durable, natural support and very low risk of infection, and zero risk of bone erosion unlike silicone or other solid implants.💯
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By restoring bone structure and gently lifting tissues, we achieved results that enhance her beauty—not mask it. No puffiness. No filler fatigue. Just elegant, harmonious rejuvenation. I’m so happy for her that she now feels confident, refreshed, and—most importantly—like herself again.🫶🏻
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#FacialOptimization #faceops #DeepPlaneLift #facialimplants #NaturalResults #FacialAesthetics #endoscopicbrowlift #blepharoplasty #fatgrafting#porouspolyethylene #facialrejuvenation #PlasticSurgeryArt #sherberandrad

Honored to join the faculty of the NYC Facelift & Rhinoplasty Master Course, thanks to the gracious invitation from @drkassir and @drsheilakassir This gathering of global experts in facial aesthetics was truly inspiring. 💯
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I had the opportunity to share my approach to deep plane facelift and deep structural necklift —techniques that can refresh beautifully, naturally and with minimal evidence of surgery. I also lectured on midfacial skeletal augmentation for patients with negative vector orbital anatomy, highlighting the importance of structural balance in achieving harmony around the eyes and midface. Finally, I spoke about branding as a reflection of core values: striving for excellence, prioritizing patient safety, and practicing gratitude for the privilege of this work. Consistently delivering exceptionally safe and beautiful results for my patients are what drives me every day. 🎯
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What made this course exceptional was its cross-disciplinary collaboration, uniting plastic surgeons and ENT facial plastic surgeons for a rich exchange of state-of-the-art techniques and aesthetic philosophies. Grateful to be part of such a forward-thinking, collaborative experience and excited for the future of aesthetics.🙏🫶🏻
@nycfaceliftmastercourse
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#FacialOptimization #NaturalFacelift #UndetectableResults #facialrejuvenation #FaceliftArtistry #RadRefresh #RadFaceOps#sherberandrad

Sometimes a simple selfie will do.😊 Over a decade ago, Sherber+Rad was born from a shared vision—and a shared journey. @drnoellesherber and I met serendipitously during our residency training at Johns Hopkins. Patient care brought us together when a cardiac surgery patient needed both dermatologic and plastic surgery care and we each happened to be consulting for our respective departments. That chance meeting sparked my interest (not hers initially, mind you), and our lives converged. ❤️ Love brought us together, and we realized we were both drawn to the pursuit of excellence, rigorous science, and the art of caring for others. That foundation led us to create a practice in the heart of Washington, D.C., built on those same values.
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We’ve never followed trends or fads. We’ve never engaged in paid advertising. And we’ve never strayed from our belief that real beauty comes from subtle, natural results grounded in evidence-based care and science-backed treatments. From D.C. to destinations around the world, our commitment remains the same: to deliver transformative, confidence-boosting outcomes that are natural and respect individuality.
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In recent years, we’ve faced the circle of life in the most profound way through the loss of all our parents. Their unwavering love and support have been the bedrock of our journey. Their legacy inspires us daily to uphold the highest standards in patient care and to honor the values they instilled in us.
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Sherber+Rad is our labor of love. And we’re so grateful to walk this journey with each of our patients.🫶🏻
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#sherberandrad #skinexpert #faceliftexpert

🫶🏻She’s a medical professional, anesthesia expert and entrepreneur who traveled from the Midwest — and I was honored to help her achieve a refreshed, naturally youthful look. My bespoke plan for her was focused on natural refresh to include an endoscopic brow lift, subtle canthal release and lift, deep plane face and neck lift with deep neck sculpting, fat grafting, and upper and lower blepharoplasty. Just a few months later, she’s radiant — with no trace of surgery.
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🧠A truly natural facelift isn’t about doing more — it’s about knowing how much of each change to make. My lifts are always done in the deep plane — layer 4. Lifting here means preserving natural expression and allowing the face to age gracefully. Since . Lifting superficially can look unnaturally stretched and lose its hold quicker. This is why deep plane anatomy is so important for surgeons to understand and master.
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The artistry lies in mastering thousands of tiny nuances: the tension on a suture, the angle of lift, the way light moves across cheek contours and creating smoothness with fat grafting. Each subtle adjustment contributes to a result that must feel effortless, harmonious, and undetectably refined. From facial rejuvenation to optimization, surgery is never like ordering from an à la carte menu. Every surgical plan is tailored to the unique architecture of each face — because the best facelift is the one no one notices… just that you look refreshed and no one knows why.
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#deepplanefacelift #FacialOptimization #NaturalFacelift #UndetectableResults #facialrejuvenation #RefreshedNotOverdone #FaceliftArtistry #BeautyInBalance #sherberandrad

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