For years, cosmetic surgery patients accepted a tradeoff. A facelift could make them look younger, but it often came with a stretched, wind tunnel appearance that told everyone what had happened. Dr. Andrew Jacono, a New York facial plastic surgeon, built his career around eliminating that tradeoff, abandoning the skin-tightening approach that had defined facelifts since their invention.
A Different Surgical Layer
Rather than pulling skin taut, Dr. Andrew Jacono operates beneath the superficial musculoaponeurotic system, the connective tissue layer linking facial muscles to skin. He releases the ligaments holding tissue down, then repositions the jawline, midface, and neck as one connected unit. Skin, muscle, and fat stay attached together during the lift instead of being separated and repositioned on their own, which is the core flaw he identified in conventional techniques.
Jacono first published his findings in the Aesthetic Surgery Journal in 2011, documenting outcomes from 153 patients. That early research helped the extended deep-plane method gain footing as a genuine alternative to the SMAS facelift that had dominated the field for decades, giving surgeons peer-reviewed evidence rather than anecdote to evaluate.
Numbers That Hold Up
The data behind the technique remains its strongest selling point. Early studies recorded a revision rate under four percent, a hematoma rate near two percent, and temporary facial nerve injury in roughly one percent of cases. Later research found that deep-plane dissection carries a lower chance of nerve injury than superficial techniques, since the anatomy and blood supply stay intact throughout surgery.
Patients also keep their results much longer. Jacono’s published outcomes show effects lasting twelve to fifteen years, nearly double the span of a standard facelift. Incisions measure about a third the length of conventional cuts and hide behind the ear or along the hairline, so patients can wear their hair pulled back without revealing any scarring, a detail that has helped the technique earn its reputation among patients who want change without obvious evidence of surgery. Visit this page, for related information.
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