Dr. Andrew Jacono’s Facelift Technique Earns Global Recognition
When a plastic surgeon flies across the country to have another surgeon perform a facelift on them, it signals something about the recipient’s reputation. Dr. Paul Nassif, based in Beverly Hills, made exactly that trip to New York to undergo the extended deep-plane facelift with Dr. Andrew Jacono. The decision underscores what the broader surgical community thinks of the technique Jacono developed and refined over more than two decades.
Dr. Andrew Jacono introduced the Minimal Access Deep-Plane Extended facelift in the early 2000s, publishing the first formal documentation in the Aesthetic Surgery Journal in 2011. The paper covered 153 patients and reported complication rates below industry benchmarks. Revisions, hematomas, and temporary facial nerve injuries all occurred at rates lower than conventional facelift averages. Subsequent research showed that deep-plane dissection carries lower facial nerve risk than superficial techniques, because the anatomical approach is more deliberate and preserves tissue relationships.
Teaching the Technique Globally
Dr. Andrew Jacono has delivered master lectures at more than 100 international conferences, bringing his approach to surgical communities worldwide. In 2021, he published a medical textbook synthesizing lessons from over 2,000 facelift procedures, giving surgeons a comprehensive reference for applying the extended deep-plane methodology. That level of documentation reflects a commitment to advancing the field rather than guarding a competitive advantage.
He performs approximately 250 extended deep-plane facelifts per year at his Manhattan practice, a volume that is exceptional within facial plastic surgery. High case volume matters because nuanced technical decisions, including which ligaments to release and at what tension, rely on pattern recognition built through repetition. The New York facial plastic surgeon brings that accumulated judgment to each procedure, adjusting for individual anatomy in ways that standardized approaches cannot accommodate.
Results That Speak for Themselves
Marc Jacobs discussed his facelift with Dr. Andrew Jacono in Vogue in 2021, describing results that looked natural and undetectable as surgery. The extended deep-plane technique produces outcomes that last roughly twice as long as standard SMAS procedures, with many patients maintaining results beyond a decade. Some have seen results persist for 12 years or more. Lifestyle factors, skin quality, and follow-up care all influence longevity, but the structural depth of the technique provides a foundation that surface-level approaches cannot match. Refer to this article for related information.
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