Dr. Andrew Jacono’s Two Decades of Facelift Innovation
Some surgical careers are defined by a single idea pursued over many years. For Dr. Andrew Jacono, that idea was simple to state and difficult to execute: lift the face from its deeper architecture rather than stretching its skin.
From Concept to Publication
Jacono introduced the Minimal Access Deep-Plane Extended facelift in the early 2000s. His approach diverged from the standard practice of separating skin from the SMAS and pulling it tight. He worked below that layer, releasing four ligaments that connect facial tissue to bone and lifting descended fat pads in the midface, jawline, and neck vertically. Skin, muscle, and fat moved together.
The first formal account appeared in Aesthetic Surgery Journal in 2011. Covering 153 patients, it reported a 3.9% revision rate, a hematoma rate near 1.9%, and temporary facial nerve injury in 1.3% of cases. All three numbers came in below industry averages. Subsequent studies confirmed that deep-plane dissection causes fewer facial nerve injuries than superficial techniques, since it preserves blood supply and anatomical relationships.
Refinement and Recognition
The next milestone arrived in 2019, when Dr. Andrew Jacono published modifications for jawline rejuvenation and lower-face volume, tracked through measurements like the “mandibular defining line.”
Two years later came public attention and a major text. Marc Jacobs discussed his facelift with Vogue in 2021, saying the results looked natural and not “done.” That same year, Jacono released a medical textbook drawing on more than 2,000 facelift procedures.
Today the dual board-certified surgeon performs about 250 extended deep-plane facelifts annually in Manhattan. He has given master lectures at over 100 international conferences, and even fellow plastic surgeon Dr. Paul Nassif has made the trip from Beverly Hills for the procedure. His incisions remain about one-third the length of traditional ones, and patient results often last more than a decade, roughly double the six to eight years typical of standard facelifts.
Across those years, Dr. Andrew Jacono’s method moved from one surgeon’s innovation to a widely adopted standard for treating structural aging. Visit this page on LinkedIn, for related information.
Learn more about Dr. Andrew Jacono on https://ritzherald.com/dr-andrew-jaconos-path-to-becoming-a-leading-facial-plastic-surgeon/
Some surgical careers are defined by a single idea pursued over many years. For Dr. Andrew Jacono, that idea was simple to state and difficult to execute: lift the face from its deeper architecture rather than stretching its skin. From Concept to Publication Jacono introduced the Minimal Access Deep-Plane Extended facelift in the early 2000s.…