Garnet Plastic Surgery · Apgujeong, Seoul — one board-certified surgeon, eye · nose · lifting
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Garnet/Facial Lifting/Deep-plane facelift
Board-certified Plastic Surgeon · Apgujeong, Seoul

Deep-plane facelift — released, repositioned, and supported deeper than the skin.

A deep-plane facelift repositions the deeper facial layer (the SMAS) and the ligaments that hold it, rather than pulling the skin. At Garnet it is planned and performed by one board-certified plastic surgeon, Dr. In-Soo Baek, from consultation through every follow-up.

~11 yrs
median to revision
3–4 hrs
operating time
1
surgeon, every step
Anaesthesia
Sedation / general
Surgery time
~3–4 hours
Sutures out
~7–10 days
Social downtime
~2–3 weeks
Follow-up
1 / 3 / 6 months
2,000+ facial lifts since 2011· Board-certified plastic surgeon — accredited member, Korean Society of Plastic & Reconstructive Surgeons· Foreign-patient programme registered· Single-surgeon practice

The bottom line

What it is
A facelift that releases and repositions the deeper layer of the face (SMAS) and its retaining ligaments as one unit with the skin — so tension sits on the deep tissue, not the skin surface.
Best for
Sagging of the mid-face, jowls and jawline where the deeper support has loosened — and a preference for a natural rather than pulled result.
Who performs it
Dr. In-Soo Baek only — a board-certified plastic surgeon and Garnet's sole operating doctor. The same surgeon consults, operates and follows up.
Downtime
Sutures out at ~7–10 days; most social downtime over by ~2–3 weeks; the deeper result settles over several months.
Longevity
Published 30-year data report a median of roughly 11 years before patients seek a revision (Levin & Frankel, 2026).
How to start
Send photos through WhatsApp or the form below for an honest, no-obligation pre-assessment before you travel.
Before & after Candidacy What it is How it's performed The anatomy Deep-plane vs SMAS Anaesthesia & safety Incisions & scars Recovery Longevity Combining Risks International patients FAQ

Before & After

Lifting & contouring results of actual Garnet patients (published with consent). Facelift before/after sets are reviewed privately at consultation, as faces are identifiable. Results, recovery and suitability vary by individual and are not guaranteed.

Is it right for you?

Often a good fit

  • Sagging of the mid-face, jowls or jawline that the deeper layer no longer supports
  • A wish for a change that sits naturally rather than a tight, pulled look
  • General good health and realistic, discussed expectations
  • Able to plan ~2–3 weeks of social downtime and the follow-up schedule
  • Looking for a longer-lasting structural result rather than a temporary lift

Worth discussing other options

  • Mainly skin-surface concerns (texture, fine lines) — non-surgical options may suit better
  • Looking for a same-week, no-downtime result
  • Uncontrolled medical conditions — assessed individually at consultation
  • Earlier or localised change, where a thread, mini or deep-mini approach may be more proportionate
  • Active smoking, which raises wound-healing risk — discussed and planned around
Dr. In-Soo Baek

Dr. In-Soo Baek

Director & sole operating surgeon
Korean medical licence no. 77407
  • Board-certified plastic surgeon
  • Korea University College of Medicine & graduate school (plastic surgery)
  • Member, Korean Society of Plastic and Reconstructive Surgeons (facial-contour, eye & rhinoplasty groups)
  • Every case planned, performed and followed up by the same surgeon
About the surgeon →

What patients say

4.8
★★★★★
92 verified patient reviews
Verified visit★★★★★

Garnet is well known for neck-wrinkle and lifting surgery. The facility is excellent and I’m thoroughly satisfied with the friendly consultation and the surgeon’s skill.

S
Song
Neck / lifting
Verified visit★★★★★

Director Baek In-soo, thank you so much. Thanks to you I keep getting told I look younger — it feels like I’ve gone back to my younger days.

V
Verified patient
Facial lifting
Verified visit★★★★★

I had upper and lower eyelid surgery and I’m really satisfied. The director and the manager were both so kind and clear.

V
Verified patient
Eye surgery
Verified visit★★★★★

I started with under-eye fat repositioning — the director and the manager are genuinely kind and good at what they do. I’ll be back.

V
Verified patient
Under-eye
Verified visit★★★★★

I came on a referral and was very satisfied thanks to the doctor’s kind consultation and clear explanations. The nurses were friendly too.

K
Kim
Consultation
Verified visit★★★★★

I kept reading the reviews and came trusting the many mentions of skill and kindness. The clinic was busy with patients and spotless.

V
Verified patient
First visit

A lift in the deeper layer

A deep-plane facelift is a facial-rejuvenation operation that releases and repositions the deeper musculo-aponeurotic layer of the face (the SMAS) together with the overlying skin as a single unit, after dividing the retaining ligaments that tether it. Because the lift is carried in a plane beneath the SMAS, the tension is taken by the deep tissue rather than by the skin itself.

As the face ages, the visible change — flattening of the cheek, deepening of the nasolabial fold, jowls along the jawline — is driven by the deeper tissues descending, not by the skin alone. A skin-only lift pulls a layer that was never the cause; it can look tight, and because skin stretches, the effect tends to fade.

The deep-plane approach works one layer down. The SMAS (superficial musculo-aponeurotic system) is a continuous sheet that links the superficial muscles of the face; it is anchored to the deeper structures by retaining ligaments. Releasing those ligaments and moving the SMAS and skin together lets the surgeon reposition the cheek and jawline where their support naturally belongs, and re-drape the skin without putting it under tension.

At Garnet this is a single-surgeon operation. Dr. Baek plans the case from the consultation, performs it himself, and reviews healing at set intervals; the clinic caps the day at two surgeries so each case has unhurried time. The stated aim is to address the concern you arrived with and to prevent foreseeable complications, rather than to chase the maximum possible change.

One surgeon, one plan

From incision design to the sub-SMAS release and fixation — every step by Dr. Baek.

Dr. In-Soo Baek performing surgery at Garnet Plastic Surgery, Apgujeong

A single surgeon, start to finish. Dr. Baek plans the case, performs the operation himself and reviews every follow-up. The clinic caps the day at two surgeries, so each operation has unhurried time.

The operation typically runs 3–4 hours under sedation or general anaesthesia. The steps below outline how a deep-plane lift is carried out at Garnet.

01

Consultation & planning

Dr. Baek assesses the face in person — skin quality, the degree of ligament laxity, the jawline and neck — and agrees the plan and incision design with you. Imaging (3D / CT / ultrasound) is used only where it adds something.

02

Incision design

Lines are placed along the hairline and in the natural creases in front of and behind the ear, so they settle into existing contours as they heal. The design is tailored to your hairline and ear anatomy.

03

Sub-SMAS release

Working in the deeper plane, the retaining ligaments are divided and the SMAS is released so the deep layer and skin move together as one composite flap, without separating the skin from the tissue beneath it.

04

Reposition & fixation

The SMAS is repositioned along its natural vector and fixed; the skin is then re-draped and trimmed without tension, which is what helps avoid the over-tight look of a skin-only lift.

05

Neck & adjuncts

Where the consultation shows it, a neck lift (with platysma work) or fat grafting is performed in the same sitting to balance the result.

06

Closure & review

Fine closure, dressing and light compression. Because Garnet is single-surgeon, Dr. Baek reviews you himself before you settle in and at each follow-up.

Deep-plane facelift registered technique certificate

The trademarked Deep mini facelift™ applies the same deep-plane principle through a shorter approach for earlier change. Trademark registration describes the named technique, not a superior outcome.

SMAS, ligaments & why it holds

Three structures explain why a deep-plane lift behaves differently from a skin or standard SMAS lift: the SMAS sheet, the retaining ligaments, and the spaces (glide planes) between them. The retaining ligaments — temporal, lateral-orbital, zygomatic, masseteric and mandibular — anchor the soft tissue to the facial skeleton, and their age-related laxity is a major contributor to sagging, jowling and volume descent (Mendelson, Aesthetic Plast Surg 2013; DOI 10.1007/s00266-013-0066-8).

In a deep-plane lift the dissection enters the natural space beneath the SMAS and divides the relevant ligaments so the whole composite flap — skin, fat and SMAS — can be moved as a unit. Because the released ligaments are what allowed the descent in the first place, addressing them directly is what lets the result sit naturally and hold. Garnet plans the release for each face individually; the same principles also inform the trademarked Deep mini facelift™ used for earlier, more localised change.

Deep-plane vs SMAS vs skin

Skin-only liftSMAS faceliftDeep-plane facelift
Layer addressedSkinSMAS folded / suturedSub-SMAS + ligaments released
Tension onSkinSMAS & skinDeep tissue (skin tension-free)
Natural-lookingCan look tightGoodDesigned to avoid a pulled look
Mid-face liftLimitedModerateGreater elevation
Typical useRarely alone nowMany casesMid-face / jowl descent

A systematic review and meta-analysis comparing the two deeper techniques is published in Aesthetic Plast Surg 2025 (DOI 10.1007/s00266-025-05118-x). The right choice is individual — the editorial guide deep-plane vs SMAS facelift walks through it, and Dr. Baek advises at consultation.

How your safety is handled

Anaesthesia

A deep-plane facelift is usually performed under deep sedation or general anaesthesia, decided with you and the anaesthesia team for comfort and safety over a 3–4 hour operation. Your medical history is reviewed beforehand.

Single-surgeon monitoring

Because Garnet caps the day at two surgeries, the operation is unhurried and the same surgeon who planned the case carries it out and reviews recovery — there is no separate operating doctor and no rotation of care.

Foreign-patient programme

Garnet is registered with Korea's foreign-patient programme; pre-operative checks, scheduling and after-care are coordinated for international visitors in English.

Honest assessment

If surgery is not appropriate, or a lighter option suits you better, that is said at the consultation. Photos can be reviewed before you travel.

Where the scars sit

Facelift incisions are placed where they can hide: within the hairline at the temple, following the natural fold in front of the ear, around the earlobe and into the crease behind the ear, then back into the hairline. The deep-plane technique re-drapes the skin without tension, which is one of the factors associated with finer, flatter scars over time.

Scars are permanent but are designed to settle into existing contours and the hairline, so they are not usually obvious in everyday settings once mature. Healing varies by individual and by skin type; Dr. Baek reviews scar maturation at the 1-, 3- and 6-month visits and advises on scar care.

Week by week

Days 1–3
Dressing and light compression. Swelling and bruising build then peak over the first few days. Rest with the head elevated, cold compresses as advised; the team reviews you before you settle in. Discomfort is usually manageable with prescribed medication.
Days 4–7
Swelling begins to turn the corner; bruising starts to fade. Gentle walking is encouraged. Most patients feel noticeably more themselves by the end of the first week.
Days 7–10
Sutures are removed in stages. Bruising fades further; residual swelling continues. Many international patients plan to stay in Korea through this point so removal is done by the surgeon.
Weeks 2–3
Most social downtime is over for everyday settings, with residual swelling and some firmness that keep easing. Light routine and most desk work resume as advised; strenuous exercise waits longer.
Months 1–6
The deeper result settles and the scars mature over the following months. Dr. Baek reviews healing at one, three and six months — in person, or by messenger after you return home.

Do

Keep the head elevated, use cold compresses early, take medication as prescribed, sleep on your back, walk gently, and keep your follow-up visits.

Avoid

Strenuous exercise, bending and heavy lifting early on, alcohol and smoking, very hot showers/saunas, and direct sun on healing scars until cleared.

How long does it last?

No facelift stops ageing, but a deep-plane lift is associated with durable structural support because it repositions the deep layer rather than relying on the skin. In a 30-year series characterising outcomes and longevity, patients waited a median of roughly 11 years before seeking a revision, with some going far longer (Levin & Frankel, Facial Plast Surg Aesthet Med 2026; DOI 10.1177/26893614261422044).

Individual longevity depends on tissue quality, lifestyle (sun, smoking, weight change) and how the face ages afterwards. Garnet's approach is to plan the lift so it sits naturally from the start, since a result that was never over-pulled tends to age more gracefully. Skin-surface ageing continues independently and can be maintained separately over time.

Often planned together

Neck lift

A facelift and a neck lift are frequently planned together, since the jawline and neck age as one unit; platysma work addresses neck bands and the Pelican™ procedure refines the under-chin.

Fat grafting

Fat grafting can restore lost volume in the mid-face or temples that lifting alone does not replace, for a more rested rather than only tighter look.

Eyes & brow

Upper or lower eyelid surgery or a brow/forehead lift may be combined where the upper face is part of the concern.

Deep mini option

For earlier or more localised change, the trademarked Deep mini facelift™ uses the same deep-plane principle through a shorter approach.

An honest word on risk

Every operation carries risk. For facelift surgery the most reported early complication is haematoma (a collection of blood under the skin), with infection much less common; in a large analysis of 11,300 facelift patients, haematoma occurred in about 1.1% and infection in about 0.3% (Aesthetic Surg J 2016; DOI 10.1093/asj/sjv162). Male sex and high blood pressure are recognised risk factors.

Other possible risks include temporary changes in skin sensation, asymmetry, scar-related issues, and — uncommonly — temporary or, rarely, lasting weakness of a facial-nerve branch. Smoking raises wound-healing and skin risks. These are explained individually at consultation.

What reduces risk in practice: careful patient selection and blood-pressure control, meticulous technique, a tension-free skin closure, and follow-up by the operating surgeon. Garnet's single-surgeon, low-volume model is built around exactly this kind of unhurried planning and personal after-care.

Planning from abroad

Most international patients plan roughly 10–14 days in Korea for a deep-plane facelift, so sutures can be removed by the surgeon before travel and the early swelling has settled. The coordinator confirms the timing for your specific plan.

Before you travel, send clear photos (front, three-quarter and side) and a note on your concern and dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment — including whether surgery is appropriate — rather than a hard sell.

Garnet is registered with Korea's foreign-patient programme and coordinates consultations, scheduling and after-care in English. After you return home, Dr. Baek can continue to review your recovery by messenger.

Guides for international patients

Questions about this procedure

Will a deep-plane facelift look pulled or unnatural?
The deep-plane technique repositions the deeper layer and re-drapes the skin without tension, which is intended to avoid the over-tight look that can follow a skin-only lift. The plan and the amount of change are discussed and agreed at consultation.
How is a deep-plane facelift different from a SMAS or skin-only facelift?
All three lift the face but at different layers. A skin-only lift pulls the skin and can look tight; a SMAS facelift folds or sutures the SMAS, giving a moderate mid-face lift with tension on the SMAS and skin; a deep-plane facelift first divides the retaining ligaments and moves the SMAS and skin together as one deeper composite, so the tension sits on the deep tissue (the skin stays tension-free) and the mid-face is elevated more. The right choice is individual — the editorial guide on this site compares the two deeper techniques in detail.
Skin-only liftSMAS faceliftDeep-plane facelift
Layer addressedSkinSMAS folded / suturedSub-SMAS + ligaments released
Tension onSkinSMAS & skinDeep tissue (skin tension-free)
Natural-lookingCan look tightGoodDesigned to avoid a pulled look
Mid-face liftLimitedModerateGreater elevation
Typical useRarely alone nowMany casesMid-face / jowl descent
Does Dr. Baek perform the surgery himself?
Yes. Garnet is a single-surgeon practice, so Dr. Baek handles the consultation, the operation and the follow-up personally — there is no separate operating doctor and no rotation of care.
How long does a deep-plane facelift last?
Published 30-year data report a median of roughly 11 years before patients seek a revision, though this varies by individual, tissue quality and lifestyle. No facelift stops ageing; skin-surface ageing continues and can be maintained separately.
How long should I stay in Korea?
Most international patients plan about 10–14 days, so sutures can be removed by the surgeon and early swelling settles before travel. The coordinator confirms timing for your plan.
What anaesthesia is used and how much pain is there?
Usually deep sedation or general anaesthesia over a 3–4 hour operation, decided with you after your history is reviewed. Most patients describe tightness and pressure rather than sharp pain in the first days, managed with prescribed medication.
Where are the scars and will they show?
Incisions sit within the hairline and the natural folds around the ear, and the skin is closed without tension. Scars are permanent but are designed to settle into existing contours and are not usually obvious once mature.
When will I look presentable?
Most social downtime is over by about 2–3 weeks for everyday settings, with residual swelling that keeps easing. The fuller, settled result develops over the following months.
When can I exercise again?
Gentle walking early; strenuous exercise, bending and heavy lifting wait several weeks and are cleared at follow-up, as raised blood pressure early on can increase bruising risk.
Can I combine it with a neck lift or eyes?
Yes. A neck lift, fat grafting, eyelid surgery or a brow lift are commonly planned in the same sitting where the consultation shows they balance the result.
What is the difference from a thread lift?
A thread lift is a non-surgical, shorter-lasting lift for earlier laxity. A deep-plane facelift is surgery that repositions the deep layer for a more substantial, longer-lasting structural change.
What are the main risks?
The most reported early risk is haematoma (about 1% in large series), with infection less common; temporary sensation changes and, rarely, nerve-branch weakness are also discussed individually at consultation.
Can I see facelift before-and-after photos?
Facelift results are identifiable, so full sets are reviewed privately at consultation with consent rather than published; lifting and contouring examples are shown on this site.
Do you perform revision facelifts?
Yes. Dr. Baek assesses revision cases individually, including the history of any previous surgery; bring records and photos to the consultation.
How do I start without flying to Korea first?
Send photos and your dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment — including whether surgery is appropriate — before you plan a trip.

Sources

  1. Levin M, Frankel A. Thirty Years of Deep Plane Facelifts: Characterizing Outcomes and Longevity. Facial Plast Surg Aesthet Med. 2026. DOI 10.1177/26893614261422044. link
  2. Deep Plane versus SMAS Facelift: A Systematic Review and Meta-Analysis. Aesthetic Plast Surg. 2025. DOI 10.1007/s00266-025-05118-x. link
  3. Mendelson BC, et al. Anatomic Study of the Retaining Ligaments of the Face and Applications for Facial Rejuvenation. Aesthetic Plast Surg. 2013. DOI 10.1007/s00266-013-0066-8. link
  4. Preoperative Risk Factors and Complication Rates in Facelift: Analysis of 11,300 Patients. Aesthetic Surg J. 2016. DOI 10.1093/asj/sjv162. link

Citations are provided for general education. This page is informational and does not replace an in-person consultation; suitability, technique and recovery are individual.

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Send photos and your question before you travel. An English-speaking coordinator reviews every enquiry and replies with honest guidance on whether surgery is appropriate, the likely plan and timing.

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