Facial plastic surgery has accumulated a range of techniques over decades, but few have drawn as much attention from both peers and patients as the extended deep-plane approach refined and championed by Dr. Andrew Jacono. The New York surgeon’s work demonstrates how a methodical commitment to anatomical accuracy can produce outcomes that conventional methods cannot achieve.

The standard facelift pulls skin taut over the face, producing a flat, stretched appearance that betrays the surgery. Dr. Andrew Jacono’s Minimal Access Deep-Plane Extended facelift avoids that problem by working beneath the superficial musculoaponeurotic system. Skin, muscle, and fat move together as one composite layer, preserving the structural relationships that give the face its natural appearance. Town & Country noted that Jacono keeps the skin, muscle, and fat as one unit when repositioning tissue, rather than separating them as conventional techniques require.

Measured Results from Clinical Data

Dr. Andrew Jacono published the first formal study of his technique in the Aesthetic Surgery Journal in 2011, covering 153 patients. The revision rate, hematoma rate, and rate of temporary facial nerve injury all fell below industry averages. Subsequent research in the field confirmed that deep-plane dissection carries lower facial nerve risk than superficial SMAS methods because the anatomical approach is more direct and blood supply is better preserved. In 2019, Dr. Andrew Jacono published refinements specifically targeting jawline rejuvenation, tracking improvements with the mandibular defining line as a measurable outcome.

His 2021 textbook synthesized more than 2,000 cases into a reference work for surgical practitioners. The New York facial plastic surgeon has also presented his methodology at more than 100 international conferences, spreading the technique across specialties and borders. His Manhattan practice performs approximately 250 extended deep-plane facelifts annually, a volume that supports both consistent outcomes and continuous refinement.

High-Profile Patients and Peer Endorsements

Marc Jacobs publicly credited Dr. Andrew Jacono for results that appeared natural and undone in a Vogue interview in 2021. Dr. Paul Nassif, a plastic surgeon working in Beverly Hills, traveled to New York specifically to have Jacono perform his facelift. That decision by a peer who understands surgical quality firsthand carries particular weight. Incisions measure roughly one-third the length of conventional approaches, concealed along the hairline and behind the ear. Results last approximately twice as long as standard facelifts, with many patients maintaining their outcomes for more than a decade. See related link for more information.

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