February 2025

Advanced Facial Plastic Surgery Techniques
by Dr. John Burns


When it comes to facial rejuvenation, choosing an experienced and skilled board-certified plastic surgeon is key to achieving natural, lasting results. In Dallas, Dr. John Burns, MD, FACS, is known for offering advanced facial plastic surgery procedures that cater to both men and women looking to enhance their appearance and regain confidence. From subtle improvements to full transformations, Dr. Burns specializes in procedures that provide customized results tailored to each individual’s facial structure and aesthetic goals.

In this blog, we’ll explore the most sought-after facial surgeries offered by Dr. Burns and his professional approach to creating custom brow lifts, deep plane facelifts, mini deep plane facelifts, neck lifts, nose jobs (rhinoplasty), and blepharoplasties (eyelid surgery). 

Brow Lift

A brow lift, also known as a forehead lift, is designed to rejuvenate the upper third of the face by raising drooping brows, smoothing forehead wrinkles, and reducing frown lines between the eyebrows. Dr. Burns carefully tailors brow lifts to provide a natural, refreshed look.

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For Women:

Women frequently choose brow lifts to achieve a more open and youthful look, alleviating the heaviness or sagging often seen in the brow region. The arch of the brow in the outer third is particularly important for women. This can be effectively achieved through an endoscopic technique or a refined lateral subcutaneous approach, both targeting the arch in the lateral area. Ideally, a well-elevated female brow should position the eyebrow arch at least 1 cm above the lateral orbital rim or brow bone, creating a balanced and aesthetically pleasing appearance.

For Men:

 For men, the objective is to elevate the brow subtly while avoiding an exaggerated arch or overly feminine appearance. Dr. Burns prioritizes maintaining a strong, masculine brow, ensuring male patients enjoy a smoother forehead and diminished lines. Unlike women, men typically have a lower and straighter brow; arching it can lead to an undesired feminine look. Additionally, factors such as receding hairlines and male pattern baldness must be taken into account. Consequently, most male brow lifts are performed using an endoscopic technique. This approach allows for the elevation of both the medial and lateral sections of the brow while preserving its straight contour. Ideally, the male brow should rest even with the superior orbital rim or brow bone.

Learn More: Botox or Brow Lift- How To Tell What You Really Need

Deep Plane Facelift

Natural-looking one-of-a-kind results are centric to my professional philosophy around facelifts. Your facelift should provide 10 years of rejuvenation, but never leave you looking tight or pulled.

The deep plane facelift is one of the most advanced techniques for facial rejuvenation, offering dramatic, long-lasting results. Unlike traditional facelifts that focus on tightening the skin, the deep plane facelift repositions the deeper tissues of the face (muscle and fat), allowing for a more natural lift without creating a tight or "pulled" appearance.

Facelift Before and After in Dallas, TexasBefore and After Facelift with Micro and Nano Fat Grafting.png__PID:ddbc031f-dc9f-4f4e-8363-dc5532f8afda

For Women:

A deep plane facelift effectively rejuvenates facial contours by elevating the cheeks, softening nasolabial folds (smile lines), and tightening the jawline. Women experience beautifully natural results that significantly reduce the appearance of aging. Each facelift is customized to the unique shape of the patient’s face; for those with heart-shaped faces, the enhancements are tailored accordingly. In the case of rounder faces, a technique called SMASectomy involves removing a portion of the deep layer to create a slimmer appearance, while thinner faces benefit from a method known as SMAS stacking, which involves folding and suturing the SMAS layer for added volume. For individuals with advanced signs of aging, the SMAS is carefully undermined, elevated, and secured to the midface for optimal rejuvenation.

Lift & Fill

A prevalent consequence of aging is the loss of facial volume. Fat grafting, also known as fat transfer, effectively addresses this issue by replenishing the lost volume. In this procedure, fat is extracted using liposuction, then meticulously purified through washing and centrifugation before being reintroduced into the facial areas. Fat grafting can be performed independently or in conjunction with a facelift, forming a popular combination known as “Lift and Fill.” Common target areas for female fat transfer include the temples, cheeks, nasolabial folds, marionette lines, and lips.

For Men:

Men seeking a deep plane facelift typically focus on defining the jawline and eliminating jowls while keeping a strong, masculine facial structure. The deep plane technique ensures the results are subtle yet impactful, avoiding the overly tight look that some facelifts create. Men have square faces with stronger facial bones. In addition, incisions need to be carefully placed and camouflaged around the ears and tight to the hairline with shorter scars.   

Lift & Fill

Similar to the female procedure, a male fat transfer often necessitates grafting fat to various regions to create a more masculine contour. Men generally need additional fat to enhance key facial structures, such as the chin and jawline.

Read More: How To Tell If You Need A Facelift or Neck Lift
The Lift and Fill Facelift- Natural Results That Last
The Liquid Facelift- A 40 Year Old's Facelift In A Syringe

Mini Deep Plane Facelift

A mini deep plane facelift is a less invasive variation of the full deep plane facelift, targeting early signs of aging in the lower face and neck. It’s an ideal option for individuals looking for a more youthful appearance without undergoing a full facelift. A mini facelift is typically done for patients in their 40s or 50s with early gravitation aging of the face.  

Mini Facelift Before and After- Dallas, Texas- Dr. John Burns MD

For Women:

Women looking to revitalize their lower face, especially the jawline and jowls, frequently opt for a mini deep plane facelift due to its subtle rejuvenation and quicker recovery. This technique features shorter incisions around the ears, allowing for less extensive undermining and SMAS elevation. Given that there is often minimal platysma banding in the neck, an incision beneath the chin is rarely necessary in this approach.

Research The Mini Facelift + Before & Afters

For Men:

Men can greatly benefit from a mini facelift, as it enhances jawline definition and addresses minor sagging while avoiding the extensive commitment of a full facelift. This option is ideal for men seeking a natural-looking yet significant improvement with minimal recovery time. Similar to the female technique, the incisions, undermining, and SMAS elevation required in this procedure are also less extensive.

Learn More: The Mini Facelift
The Male Facelift- How It's Different

Neck Lift

A neck lift focuses on tightening loose skin, removing excess fat from the neck and jawline, and tightening the platysma muscles. It’s a popular procedure for both men and women who want to achieve a firmer, more defined neck and jaw contour. Often a neck lift is done in isolation for those patients who either don’t want or need a facelift.  

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For Women:

Women frequently opt for neck lifts to tackle sagging skin, often referred to as "turkey neck," to recontour and rejuvenate an elegant neckline. This surgery is an excellent choice for those aiming to restore definition to the lower face and neck. The procedure generally includes liposuction to eliminate excess fat from areas such as the chin, neck, and jowls. An incision is strategically placed beneath the chin to access the platysma muscle, which is then tightened in the midline to establish a pronounced 90-degree angle. Additionally, surplus skin is excised through incisions made discreetly behind the ears.

Deep Plane Neck Lift- Advanced Contouring Redefined

For Men:

Men can benefit from neck lifts by removing excess skin and fat that contribute to a bulky or sagging appearance. This procedure helps men attain a more defined and sculpted jawline, enhancing their overall facial profile. Typically, men carry more fat and experience less muscle damage, and their skin is often thicker, which can obscure the visibility of platysma banding. Similar to women, excess skin is excised through discreet incisions made behind the ears, ensuring minimal scarring.

Three Key Steps To An Effective Neck Lift

Nose Job (Rhinoplasty)

Rhinoplasty, or nose surgery, is one of the most popular facial surgeries for both men and women. Whether you're looking to refine the shape, size, or function of your nose, rhinoplasty can provide balance and harmony to your facial features. For effective communication and expectations, Dr. Burns uses 3D imaging to simulate proposed changes so the result can be customized for each patient.  

Rhinoplasty Before and After in Dallas, Texas- Dr. John Burns MD

For Women:

Women frequently pursue rhinoplasty to decrease nose size, refine the nasal tip, or address any asymmetry. Dr. Burns focuses on delivering results that appear natural and complement the overall facial aesthetics, enhancing feminine beauty. Typically, women have a narrower and gently curvilinear nasal dorsum with a subtle supratip break, along with a delicate tip and smaller alar bases.

Research Rhinoplasty For Women

For Men:

Men often seek rhinoplasty to enhance their strong, masculine nose while correcting bumps, asymmetry, or any functional issues like breathing difficulties. Many have experienced sports-related injuries that contribute to these concerns. Dr. Burns customizes the procedure to maintain masculine characteristics while achieving a harmonious profile and ensuring optimal breathing function. Typically, men prefer a straight dorsum complemented by a more prominent tip and appropriate projection, which further emphasizes their stronger facial features.

Research Male Rhinoplasty

Blepharoplasty (Eyelid Surgery)

Blepharoplasty is a procedure that removes excess skin and fat from the eyelids, creating a more refreshed, youthful appearance. This surgery can be performed on the upper eyelids, lower eyelids, or both, depending on the patient’s needs.

Before and After Eyelid Surgery- Dallas, Texas- Dr. John Burns MD

For Women:

For women, blepharoplasty is commonly performed to address sagging upper eyelids and under-eye puffiness, which can make them appear fatigued or older than their true age. This procedure results in a brighter, more youthful look. Due to the naturally wider and more oval shape of female eyes, Dr. Burns often removes a bit more skin for optimal enhancement. Contemporary blepharoplasty techniques prioritize a more conservative approach to eyelid fat removal, emphasizing fat repositioning or fat grafting to restore vitality to the eyelids.

Do I Need A Brow Lift, An Upper Eyelid Lift or Both?

For Men:

Men can benefit significantly from blepharoplasty, targeting heavy upper eyelids and under-eye bags that contribute to a tired or aged appearance. The objective is to achieve a refreshed, natural look while preserving masculine traits. Due to their typically narrower eyes, conservative skin removal is essential to maintain a strong and masculine aesthetic. Additionally, many men experience noticeable under-eye bags, making the removal of excess fat a valuable option for enhancing their overall facial harmony.

Choosing the Right Surgeon: Why Dr. John Burns is a Top Choice for Facial Plastic Surgery in Dallas

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When considering any facial procedure, choosing a surgeon with experience and a strong understanding of facial anatomy is essential. Dr. John Burns, a board-certified plastic surgeon with over 25 years of experience in facial plastic surgery is known for his expertise in creating lasting results that are natural and life-changing. He uses the most advanced techniques to ensure that each procedure is tailored to the patient’s unique facial structure and aesthetic goals.

Awards & Recognition: 

Dr. Burns takes a personalized approach, ensuring that men and women achieve natural, balanced results that enhance their appearance without looking overly done. Whether you're interested in a brow lift, deep plane facelift, neck lift, rhinoplasty, or blepharoplasty, Dr. Burns will work with you to develop a customized plan that delivers exceptional results.

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