Ponytail-Friendly Facelifts Dr. Andrew Jacono’s Approach to Incisions

A visible scar can undo much of what a facelift is meant to achieve. Dr. Andrew Jacono, a New York facial plastic surgeon, has built his extended deep-plane technique around keeping that evidence out of sight. He describes the results as “ponytail-friendly,” a phrase that captures a practical goal: patients should be able to pull their hair back without revealing they had surgery.

Shorter and Better Hidden

Incisions in his procedure measure roughly one-third the length of those used in traditional facelifts. They are placed behind the ear or along the hairline, areas where the natural contours of the head help conceal healing lines. Standard facelift incisions, by comparison, are about three times as long.

The incision design fits the logic of the method. Dr. Andrew Jacono does not rely on stretching skin to achieve lift. He operates beneath the SMAS, the layer that joins facial muscles to skin, and releases ligaments that hold deeper tissue down. The midface, jawline, and neck are then repositioned vertically, with skin, muscle, and fat kept connected. Lift comes from deep structures rather than from skin pulled taut.

More Than Cosmetic Concealment

Minimal scarring is one of four measurable advantages credited to the extended deep-plane facelift. The others are lower complication rates, longer-lasting results, and a more natural appearance.

The complication figures come from his 2011 peer-reviewed study of 153 patients, published in Aesthetic Surgery Journal. It reported a 3.9% revision rate, a hematoma rate near 1.9%, and temporary facial nerve injury in 1.3% of patients. Published outcomes show results lasting 12 to 15 years, roughly twice the span of a standard SMAS facelift. The complication rates in that study fell below industry averages for facelift procedures.

Hairstyle freedom can sound like a small detail. Day to day, it carries weight. Someone who has to plan every updo, every windy afternoon, or every swim around hiding a scar never fully forgets the surgery. The work of Dr. Andrew Jacono treats concealment as part of the outcome rather than an afterthought. Refer to this article to learn more.

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A visible scar can undo much of what a facelift is meant to achieve. Dr. Andrew Jacono, a New York facial plastic surgeon, has built his extended deep-plane technique around keeping that evidence out of sight. He describes the results as “ponytail-friendly,” a phrase that captures a practical goal: patients should be able to pull…