[Deep vertical facelift. Development of a concept].

An optimal result with minimal surgery is expected by our patients. The concept of deep layer rhytidectomy is based on the simultaneous vertical "en bloc" elevation of skin, fat and the SMAS. The extended undermining of this facial flap is so effective that it allows a simplification of the lifting reducing the subcutaneous undermining to one fourth of what is achieved in a standard face lift, eliminating the anterior platysmaraphy. Length of procedure is divided by two. Three hundred forty patients have undergone surgery according to this simplified procedure and we will show how "our" technique becomes soft.