Surgical techniques earn the designation of gold standard through accumulated evidence, not marketing. Dr. Andrew Jacono‘s extended deep-plane facelift has that evidence peer-reviewed studies, thousands of documented procedures, and adoption by surgeons trained in his method across multiple continents.

The Study That Started It

Dr. Jacono introduced the extended deep-plane facelift in the early 2000s and published his first formal outcomes study in 2011 in Aesthetic Surgery Journal. The paper covered 153 patients and reported a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% incidence of temporary facial nerve injury. All three metrics fell below standard industry averages. Research published later further established that deep-plane dissection carries a lower facial nerve injury risk than superficial facelift methods a finding that runs counter to the assumption that deeper surgery means greater danger. The explanation lies in anatomy: by working beneath the superficial musculoaponeurotic system and releasing ligaments carefully, the technique preserves the structural context that protects nerve pathways.

The method’s core departure from conventional practice involves treating skin, muscle, and fat as a composite unit. Traditional facelifts separate the skin from deeper tissue and reposition only the surface layer. Dr. Andrew Jacono keeps those layers intact and moves them together vertically, restoring the midface, jawline, and neck to positions they held in youth rather than stretching skin across unchanged structures below.

Scale, Training, and Recognition

Dr. Andrew Jacono performs approximately 250 extended deep-plane facelifts annually. In 2021, he published a comprehensive medical textbook drawing on insights from more than 2,000 procedures. He has conducted master classes and delivered lectures at international plastic surgery conferences, training surgeons worldwide in what he terms The Jacono Method.

High-profile cases have added visibility. Fashion designer Marc Jacobs credited Dr. Jacono publicly in 2021, and plastic surgeon Dr. Paul Nassif chose him for a deep-plane procedure in 2018. Results from the technique last 12 to 15 years roughly twice as long as standard SMAS facelifts with incisions one-third shorter and positioned to remain concealed along the hairline or behind the ear. Refer to this article to learn more.

Find more information about Dr. Andrew Jacono on https://www.instagram.com/drjacono/?hl=en