Trust in surgical technique is built slowly through published data, reproducible outcomes, and the endorsement of peers who understand what good results actually require. On all three counts, Dr. Andrew Jacono’s extended deep-plane facelift has accumulated an unusually strong record.
Peer-Reviewed Evidence Behind the Method
Dr. Andrew Jacono introduced the extended deep-plane facelift in the early 2000s and formalized his findings in a 2011 paper published in Aesthetic Surgery Journal covering 153 patients. The complication profile was notable: a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% incidence of temporary facial nerve injury. These figures track below standard industry benchmarks for facelift procedures. Additional research confirmed that the deep-plane approach carries a lower facial nerve injury risk than superficial techniques, a counterintuitive finding explained by the method’s preservation of anatomical structure and blood supply during dissection.
The technique departs from conventional facelifts in a fundamental way. Standard approaches separate skin from underlying tissue and reposition the surface layer alone, producing tension that reads as surgical. Dr. Andrew Jacono operates beneath the superficial musculoaponeurotic system, releasing ligaments that hold descended fat and muscle in place and moving the composite tissue skin, muscle, and fat together vertically back into youthful position.
Endorsements From Within the Profession
Few signals of confidence are stronger than a surgeon choosing a colleague for his own procedure. Dr. Paul Nassif, himself a prominent plastic surgeon, selected Dr. Andrew Jacono for a deep-plane facelift in 2018. Fashion designer Marc Jacobs publicly credited Dr. Jacono’s work in 2021.
Dr. Jacono performs roughly 250 extended deep-plane facelifts annually and published a full medical textbook in 2021 drawing on more than 2,000 cases. Results from the procedure typically last 12 to 15 years, with incisions roughly one-third the length of traditional facelift scars, positioned to remain hidden even when patients wear their hair pulled back. He has also trained surgeons in the method through master classes at international plastic surgery conferences. Read this article for additional information.
More about Dr. Andrew Jacono on https://www.bbntimes.com/science/what-peer-recognition-and-national-rankings-reveal-about-dr-andrew-jacono-s-surgical-reputation