Facial plastic surgery has seen plenty of techniques come and go. The extended deep-plane facelift has held its ground, and its development can be traced through a handful of milestones in the career of Dr. Andrew Jacono. Each step added a new layer, from surgical concept to published data to formal teaching.

The story begins in the early 2000s. Dr. Andrew Jacono, a facial plastic surgeon practicing in New York, introduced a method built around a criticism of conventional facelifts. Those operations separated skin from the tissue underneath and repositioned only the surface, which often produced a stretched appearance. His alternative kept skin, muscle, and fat attached. Working beneath the SMAS, he released key ligaments and lifted the midface, jawline, and neck vertically.

From Concept to Published Evidence

His first peer-reviewed study appeared in Aesthetic Surgery Journal in 2011. Drawing on 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 figures came in below industry averages for facelifts. Later research found that deep-plane techniques are less likely to injure the facial nerve than superficial facelifts, because the dissection preserves anatomical relationships and blood supply.

Published outcomes also established durability. Results from the technique last 12 to 15 years, roughly twice the span of a standard SMAS facelift.

Recognition Follows

Peers took notice. Dr. Paul Nassif, a plastic surgeon, chose Dr. Jacono to perform his own deep-plane facelift in 2018. Three years later, fashion designer Marc Jacobs publicly disclosed that Dr. Jacono had performed his facelift and praised the natural results.

That same year, Dr. Andrew Jacono published The Art and Science of Extended Deep Plane Facelifting, a medical textbook synthesizing insights from more than 2,000 procedures. He performs approximately 250 deep-plane facelifts a year and has taught “The Jacono Method” through master classes and lectures at international conferences.

Taken together, these milestones trace a familiar path for medical innovation: question an accepted procedure, measure the results rigorously, and train others in the improved approach. Visit this page on LinkedIn, for related information.

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