Behind any well-known surgical technique is a practice built to sustain it. Dr. Andrew Jacono performs roughly 250 extended deep plane facelifts every year from his Manhattan office, a volume that reflects both demand and two decades of refinement on a single procedure.
The technique in question, the Minimal Access Deep-Plane Extended facelift, departs from the SMAS approach that has defined facelift surgery for years. Rather than separating skin from the muscle layer and pulling it backward, Jacono’s method repositions skin, muscle and fat together as a unified structure.
Precision at Volume
Performing a specialized procedure at this frequency requires more than technical skill. It demands a consistent process, from releasing the four facial ligaments that anchor tissue to bone, to repositioning descended fat pads in the midface, jawline and neck vertically rather than relying on surface tension.
Dr. Andrew Jacono introduced this method in the early 2000s and formally documented outcomes in the Aesthetic Surgery Journal in 2011, based on 153 patients. That combination of published data and sustained annual case volume has made his Manhattan practice a reference point for surgeons studying the deep-plane approach.
Shorter Incisions, Consistent Results
One recurring detail across his practice is incision length, roughly one-third that of conventional facelift techniques, made possible by the deeper access point the procedure uses. Patients drawn to his practice often cite this combination of reduced scarring and structural correction as the reason for seeking him out specifically.
For a technique built on operating beneath the skin’s surface rather than simply tightening it, sustained volume over years offers a kind of validation that a single case study cannot.
High-volume specialized practices also tend to develop refined pre-operative and post-operative protocols simply through repetition, from anesthesia planning to swelling management during recovery. Patients researching a specific procedure often find that a surgeon’s case volume, alongside published outcomes, offers a more complete picture than photographs alone.
Anyone comparing facial plastic surgeons for a deep-plane procedure should feel comfortable asking directly how many of these specific operations a practice performs annually, since experience with the exact technique matters more than general facelift volume. See related link for additional information.
Follow for more about Dr. Andrew Jacono on https://www.instagram.com/drjacono/?hl=en