Medical innovation earns its place not when it appears in a single study but when other practitioners adopt it, test it, and teach it to the next generation. By that measure, Dr. Andrew Jacono‘s extended deep-plane facelift has become one of the more consequential developments in facial plastic surgery in recent decades. What began as a modification to an existing technique has matured into a global teaching curriculum and a clinical reference point for the field.
Changing the Philosophy, Not Just the Procedure
The conventional facelift operated on a simple premise: skin loosens with age, so tighten it. Dr. Andrew Jacono’s extended deep-plane facelift operates on a different premise entirely. Facial aging is structural. Fat pads descend. Retaining ligaments stretch. The SMAS layer shifts, pulling midface volume downward. Surface intervention manages the appearance of these changes without correcting them. Deep-plane intervention addresses the ligaments and tissue planes responsible, repositioning the face’s architecture rather than compressing its surface.
This philosophical shift produces measurable clinical differences. Dr. Jacono’s 2011 outcomes study in Aesthetic Surgery Journal, drawn from 153 cases, showed complication rates below industry benchmarks. Results documented in his practice last 12 to 15 years roughly twice the longevity of standard SMAS facelifts. The technique’s incisions run approximately one-third the traditional length and are hidden behind the ear or in the hairline. Dr. Andrew Jacono performs about 250 of these procedures annually, generating the case volume that supports ongoing refinement.
A Body of Work Built for the Profession
Dr. Jacono’s 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, synthesized findings from more than 2,000 cases into a reference for surgeons learning the method. Master classes and international conference lectures extend that education to practitioners who may never otherwise encounter the technique at scale. High-profile outcomes including procedures performed on fellow surgeon Dr. Paul Nassif and fashion designer Marc Jacobs provided public documentation of results under conditions where scrutiny is constant. Dr. Andrew Jacono has built not just a surgical technique but a framework for how facial rejuvenation gets taught, validated, and improved across an entire professional community. Visit this page on LinkedIn, for related information.
Learn more about Dr. Andrew Jacono on https://www.realself.com/dr/andrew-jacono-new-york-ny