Patients who consult facial plastic surgeons often carry the same concern: they want to look younger without looking as though they have had surgery. For most of the specialty’s history, delivering on that request reliably proved difficult. Dr. Andrew Jacono built his practice and his reputation around solving precisely that problem through a technique that changed what facial rejuvenation can accomplish.

Anatomy First, Aesthetics Second

The extended deep-plane facelift that Dr. Andrew Jacono introduced prioritizes anatomical correction before aesthetic outcome. This ordering is intentional. When tissue is returned to its proper structural position, the face naturally recaptures its youthful geometry the high cheekbones, defined jawline, and smooth neck that descend over years as fat pads migrate and ligaments stretch. Chasing those features through skin tightening alone produces approximations at best and distortions at worst.

Dr. Jacono’s technique releases the key facial retaining ligaments that anchor descended tissue, then repositions the connected mass of skin, muscle, and fat as a unified composite. The incisions required are about one-third the length of standard facelift incisions and are hidden behind the ear or along the hairline. Patients report being able to wear their hair pulled back without revealing surgical evidence a practical measure of how discreet the approach truly is.

Volume and Evidence Behind the Method

Dr. Jacono published initial outcome data in Aesthetic Surgery Journal in 2011, covering 153 patients and documenting complication rates that compared favorably to the field’s benchmarks. He now performs approximately 250 extended deep-plane facelifts each year and has compiled findings from more than 2,000 procedures in a 2021 textbook, The Art and Science of Extended Deep Plane Facelifting. Results last 12 to 15 years by his published measures roughly twice as long as standard SMAS facelifts because structural correction at the foundation of the face holds longer than surface manipulation. High-profile patients including Dr. Paul Nassif and Marc Jacobs have publicly credited Dr. Andrew Jacono, providing real-world verification of what the clinical data already showed. Refer to this article for related information.

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