Cosmetic surgery has a reputation problem. Ask most people to picture a facelift and they will describe skin pulled so tight it looks unnatural. Dr. Andrew Jacono has spent two decades arguing that this outcome is a flaw in surgical technique, not an unavoidable side effect of aging well, and his patient outcomes back up the claim.
Working Below the Surface
Conventional facelifts separate skin from the tissue beneath it, then reposition only that top layer. Dr. Andrew Jacono’s extended deep-plane method keeps skin, muscle, and fat connected as a single structure. He operates below the superficial musculoaponeurotic system, releasing the ligaments that pin facial tissue in place before repositioning the midface, jawline, and neck as a unit rather than treating each area separately.
That distinction explains why patients often look refreshed instead of altered. Because the technique restores anatomical position rather than creating tension across the skin, family members and friends frequently notice a change without being able to identify surgery as the cause, which is precisely the outcome most patients say they want when they first sit down for a consultation.
Evidence Over Marketing
Jacono backed the approach with data early on, publishing outcomes from 153 patients in the Aesthetic Surgery Journal in 2011. The study reported a revision rate below four percent and a hematoma rate near two percent, figures that compare favorably against typical facelift complication statistics reported elsewhere in the field of facial plastic surgery.
Longevity sets the technique apart as well. Where a standard SMAS facelift might last six or seven years, Jacono’s published results show effects persisting twelve to fifteen years. He performs roughly 250 of these procedures annually, a caseload that has let him refine the method through repetition few surgeons can match, and that volume shows up directly in his complication data and in the consistency of his patients’ outcomes. Read this article for additional information.
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