Deep plane facelift
Facial surgery that works in the deep plane and repositions skin, fat and SMAS together, in a vertical direction.
With Dr. Fernando Mattioli, facial plastic surgeon in São Paulo, Brazil.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279

What it is
The deep plane facelift is a rhytidectomy technique in which the surgeon works beneath the SMAS, the musculo-aponeurotic layer that supports the tissues of the face. Instead of pulling only the skin, the technique releases the retaining ligaments and repositions skin, fat and SMAS as a single unit.
Over the years, the tissues of the face descend vertically. That is why, in Dr. Fernando Mattioli’s planning, repositioning is also vertical, following the direction in which the tissues moved.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
Who it is for
The indication is always individual and defined at the consultation. In general, a deep plane facelift is discussed in the following situations:
- Descent of the midface and cheek tissues
- Loss of definition of the jawline
- Deepening of the folds around the mouth related to tissue descent
- Planning face and neck in the same surgery, when indicated
Health history, physical examination and expectations are assessed at an in-person consultation. Surgery may not be indicated in every case.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
Patient accounts
Patients from São Paulo, other Brazilian states and abroad describe their care at the clinic.
- Testimonial to be providedA real, authorized account of the care received: welcome, explanations, team, travel or follow-up. No mention of results. Identification: first name, initial and city or country.
- Testimonial to be providedA real, authorized account of the care received: welcome, explanations, team, travel or follow-up. No mention of results. Identification: first name, initial and city or country.
- Testimonial to be providedA real, authorized account of the care received: welcome, explanations, team, travel or follow-up. No mention of results. Identification: first name, initial and city or country.
Accounts published with the patients’ authorization. They reflect individual experiences; each case is assessed at the consultation.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
How it works
- 01
Release of the deep plane
The surgeon accesses the plane beneath the SMAS and releases the ligaments that hold the tissues of the face.
- 02
Vertical repositioning
Skin, fat and SMAS are repositioned together, vertically, according to the plan defined at the consultation.
- 03
Combined steps
When indicated, the facelift is planned together with treatment of the neck, eyelids or forehead.
- 04
Hospital setting
The surgery is performed in a hospital. The type of anesthesia and the length of stay are defined by the team for each case.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279

Dr. Fernando Mattioli
Facial plastic surgeon in São Paulo, Brazil.
Five medical residencies: general surgery, plastic surgery, head and neck surgery, otolaryngology/craniofacial surgery and dermatology. Scientific coordinator for the face at BAPS and founder of PlasticFlix Academy Face and Elite Facelift Endoscopic Surgeons, training initiatives for plastic surgeons.
- ~30 years
- of plastic surgery practice
- 5 residencies
- over 11 years of medical training
- 3 titles
- of specialist certification
- Face
- practice dedicated exclusively to facial surgery
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
Hospitals where he operates
Surgeries are performed in São Paulo, in a hospital setting, at the following hospitals:
- Hospital Israelita Albert Einstein
- Hospital Sírio-Libanês
- Hospital Alemão Oswaldo Cruz
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
Most patients come from outside São Paulo
Patients from many Brazilian states and other countries, mainly the United States and Portugal, complete their care in São Paulo.
- 01First contactOn WhatsApp, with the clinic team.
- 02ConsultationIn-person assessment at the clinic, in São Paulo.
- 03SurgeryIn a hospital, in São Paulo.
- 04RecoveryInitial period with follow-up in the city.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
About your care
Where are the surgeries performed?
In São Paulo, in a hospital setting. Dr. Fernando Mattioli operates at Hospital Israelita Albert Einstein, Hospital Sírio-Libanês and Hospital Alemão Oswaldo Cruz.
How is the indication defined?
Only at an in-person consultation, after an individual assessment. The first contact on WhatsApp is for questions about the process and for booking the consultation; it does not replace a medical evaluation.
I live in another state or outside Brazil. How does it work?
Most patients come from outside São Paulo. The consultation, the surgery and the initial recovery period take place in São Paulo, and the team guides each step from the first contact on WhatsApp.
Where is the clinic?
Av. Juscelino Kubitschek, 1545, 15th floor, suite 154 — Edifício Horizonte JK, Vila Nova Conceição, São Paulo – SP, Brazil.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279
Talk to the clinic
The Clínica Mattioli team answers on WhatsApp, explains how care in São Paulo works and books your consultation.
Dr. Fernando Mattioli · CRM-SC 33502 | RQE 22687 | CRM-SP 96113 | RQE 61279