Surgical techniques spread through publication and instruction as much as through individual patient results, and Dr. Andrew Jacono has approached both deliberately. In 2021 he published The Art and Science of Extended Deep Plane Facelifting, a comprehensive medical textbook synthesizing insights from more than 2,000 procedures.
The book serves as technical documentation for surgeons adopting his method, translating years of hands-on refinement into a resource other practitioners can study directly. It follows Dr. Andrew Jacono’s earlier peer-reviewed study in the Aesthetic Surgery Journal in 2011, which first outlined outcomes from 153 patients undergoing the extended deep-plane approach.
Training a New Generation
Beyond the textbook, Dr. Andrew Jacono has conducted master classes and delivered lectures at international plastic surgery conferences, training surgeons around the world in a method he brands as the Jacono Method. That instruction has helped extend a New York-based innovation into an approach practiced well beyond his own operating room.
The technique itself keeps skin, muscle and fat connected as a single unit during surgery, working beneath the superficial musculoaponeurotic system to reposition the midface, jawline and neck vertically rather than tightening skin from the surface. Results last 12 to 15 years, roughly twice as long as standard SMAS facelifts, with a 3.9 percent revision rate reported in early studies.
Dr. Jacono performs approximately 250 deep-plane facelifts annually, a volume that keeps his own technique sharp even as he teaches it to others. That combination of high case volume and formal instruction is relatively unusual in facial plastic surgery, where techniques often spread more slowly through informal peer observation.
Patients benefit indirectly from that teaching effort. As more surgeons learn the extended deep-plane approach through Dr. Andrew Jacono‘s textbook and lectures, the method becomes more widely available beyond his own New York practice, giving patients elsewhere access to a technique built on the same underlying anatomy and the same documented outcomes.
Between the published research, the textbook and the ongoing instruction, the extended deep-plane facelift has moved from one surgeon’s innovation to a documented, teachable standard within facial plastic surgery, one that continues to expand its reach through the surgeons Dr. Jacono has personally trained. Read this article for more information.
Visit for more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono