Dr. Andrew Jacono’s Published Research Transformed Facelift Standards
Surgical innovations gain traction when they come supported by rigorous documentation. Dr. Andrew Jacono has built that foundation methodically, publishing clinical outcomes, refining the technique in peer-reviewed literature, and translating years of practice into a formal medical textbook. That body of work is one reason his extended deep-plane approach has spread from a single New York practice to operating rooms worldwide.
The technique, known as the Minimal Access Deep-Plane Extended facelift, departs from conventional methods by operating beneath the superficial musculoaponeurotic system. Skin, muscle, and fat are repositioned as a single unit after four facial retaining ligaments are released. This allows descended tissue in the midface, jawline, and neck to be moved vertically, addressing the underlying anatomy of facial aging rather than masking it with surface tension. Standard facelifts typically last six to eight years; the extended deep-plane approach regularly produces results that last more than a decade.
A Research Record Built Over 15 Years
Dr. Andrew Jacono first published this methodology in the Aesthetic Surgery Journal in 2011, reporting on 153 patients with complication rates below industry norms across revision, hematoma, and facial nerve injury categories. Later research confirmed that deep-plane dissection carries lower facial nerve risk than SMAS techniques because it maintains clearer anatomical relationships. In 2019, he introduced modifications for jawline rejuvenation and employed the mandibular defining line to document contour improvements with precision. His 2021 textbook, derived from over 2,000 procedures, became a resource for surgical peers seeking to adopt the approach.
Practice Volume and Peer Recognition
The New York facial plastic surgeon performs approximately 250 extended deep-plane facelifts per year at his Manhattan practice, an output that supports consistent outcomes and continuous learning. He has delivered master lectures at more than 100 international conferences, teaching the methodology to practitioners across specialties and geographies. Dr. Andrew Jacono was also chosen by Dr. Paul Nassif, a Beverly Hills plastic surgeon, as the surgeon to perform his own facelift, a peer endorsement that speaks plainly to the credibility of the approach. Fashion designer Marc Jacobs discussed his procedure with Vogue in 2021, describing natural-looking results. Incisions are roughly one-third the length of conventional facelifts and remain hidden along the hairline and behind the ear. Visit this page for additional information.
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