Introduction
The Deep plane / composite facelift is becoming increasingly popular following recent advances in understanding of facial anatomy that enable safe sub-SMAS dissection. This paper presents our technique of the deep plane facelift in Asian patients and reviews our experience and outcome with this procedure.

Material and Methods
Composite facelifts were performed on 128 Asian patients between Jan 2010 and June 2020. Ninety-four were primary facelifts and 34 were secondary or tertiary facelifts. Our surgical technique and adaptations for the specific requirements of Asian patients are described in detail. The mean follow-up was 26 months (range 6 to 108 months). Fat grafting was an integral part of our procedure with 95% having concomitant facial fat grafting with their facelift.

Results
Patient were followed up in accordance with a standardized schedule. The majority of patients reported high satisfaction with the aesthetic outcome of the technique, with natural long-lasting results. The facelift plane of dissection is through the facial soft tissue spaces which provide atraumatic sub-SMAS access with precise release of the intervening retaining ligaments for effective flap mobilization. By emphasizing tension on the composite flap with no tension on the skin closure, the scars were discrete in the great majority of patients. Complications were few, with no hematomas or skin flap necrosis. The temporary nerve injury rate was 1.5%, with no patient having a permanent nerve injury.

Conclusion
The deep plane facelift is an ideal technique for Asian faces as it delivers natural, long-lasting results, with a quick recovery and high patient satisfaction.