Trust within the surgical community is a different standard than public reputation. Fellow surgeons evaluate outcomes with a clinical eye, and when one of their own chooses a colleague to perform their personal procedure, it signals something more substantive than celebrity endorsement. In 2018, prominent plastic surgeon Dr. Paul Nassif selected Dr. Andrew Jacono to perform his deep-plane facelift. The choice reflected confidence earned through published research, reproducible outcomes, and consistent technical execution.
Dr. Andrew Jacono developed the extended deep-plane facelift technique in the early 2000s as a response to limitations he identified in standard facelift approaches. Conventional facelifts separate skin from underlying structures and tighten only the surface layer, producing results that fade within several years and often leave visible signs of surgical intervention. His method maintains the skin, muscle, and fat as a connected unit and repositions the whole composite beneath the SMAS layer after releasing key facial ligaments.
Teaching the Method at Scale
The dissemination of the technique beyond Dr. Jacono’s own practice has taken several forms. He has delivered lectures at international plastic surgery conferences and conducted master classes for surgeons seeking to adopt what he calls The Jacono Method. His 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, consolidates technical knowledge from more than 2,000 procedures into a formal reference guide. The book bridges the gap between reading about the approach and understanding the anatomical reasoning that makes it work.
Results That Justify the Investment
Surgeons who train in the extended deep-plane technique gain access to outcomes that standard methods cannot match. Published data from Dr. Andrew Jacono’s initial study showed a 3.9% revision rate, roughly 1.9% hematoma rate, and 1.3% rate of temporary facial nerve injury, all below typical industry figures. Subsequent research confirmed that deep-plane dissection carries lower nerve injury risk than superficial facelifts. Results persist for 12 to 15 years, about twice as long as standard SMAS procedures. Dr. Jacono performs approximately 250 of these facelifts each year, a volume that generates continuous data and keeps the technique sharply refined. Read this article for more information.
Find more information about Dr. Andrew Jacono on https://www.facebook.com/DrJacono/