How Dr. Andrew Jacono Redefined the Modern Facelift
For most of cosmetic surgery’s history, facelift patients accepted a frustrating trade-off: choose a younger face or a natural one, but not both. The hallmark of a facelift was often the very thing patients feared most the stretched, overly taut look that announced surgical intervention to anyone paying attention. That compromise began to dissolve in the early 2000s when Dr. Andrew Jacono introduced a technique that fundamentally changed the architecture of facial rejuvenation.
A Technique Built on Anatomy, Not Tension
Dr. Andrew Jacono’s extended deep-plane facelift operates beneath the superficial musculoaponeurotic system, commonly known as the SMAS the tissue layer that connects facial muscles to the skin above. Traditional facelifts tightened this layer from the outside. Dr. Jacono works underneath it, releasing the key facial ligaments that anchor tissue in a descended position and repositioning the midface, jawline, and neck structures vertically. The skin moves with the deeper tissues as a unified unit, which eliminates the pulled, unnatural tension that skin-only manipulation creates.
Dr. Jacono published his first peer-reviewed study on the technique in Aesthetic Surgery Journal in 2011, documenting outcomes from 153 patients. That initial data showed a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% temporary facial nerve injury figures that compared favorably to industry averages for facelift procedures. The findings provided a clinical foundation for what surgeons who attended his early lectures already suspected: the method delivered cleaner, more durable results than the alternatives.
Longevity and Natural Appearance Set the Bar
Published outcome studies show results lasting 12 to 15 years, roughly twice the lifespan attributed to standard SMAS facelifts. This durability follows directly from the technique’s logic when structural problems are addressed at their source rather than masked at the surface, corrections hold longer. Patients consistently describe looking like refreshed versions of themselves, not visibly altered ones. Dr. Andrew Jacono now performs approximately 250 deep-plane facelifts annually, a volume that enables continuous refinement and the kind of precision that accumulates only through repetition at scale. The technique’s incisions measure about one-third the length of traditional facelift incisions, tucked behind the ear or along the hairline and invisible when patients wear their hair up. Refer to this page, for related information.
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