Roughly 250 times a year, Dr. Andrew Jacono performs the same core operation at his Manhattan practice: the extended deep-plane facelift. That number matters. Each repetition sharpens the judgment calls that separate a natural result from an obvious one, including which facial ligaments to release, which vectors of lift to follow, and where a face’s natural contours actually sit.
A Technique Built on Deeper Layers
Jacono introduced the Minimal Access Deep-Plane Extended facelift, often shortened to MADE, in the early 2000s. Traditional surgery separates skin from the underlying SMAS and stretches it, leaving the deeper anatomy untouched. Jacono instead works beneath that layer.
He frees four ligaments that hold facial tissue against bone. The midface, jawline, and neck all contain fat pads that sag with age, and releasing those anchors lets him lift them vertically. Skin, muscle, and fat stay joined throughout, so nothing is pulled tight across a separate surface.
The incisions are modest, about one-third the length of a traditional facelift’s, tucked behind the ear and at the hairline. He calls the operation “ponytail-friendly.”
Measured Outcomes
Dr. Andrew Jacono reported early results in Aesthetic Surgery Journal in 2011. Among 153 patients, revisions occurred in 3.9% of cases, hematoma in about 1.9%, and temporary facial nerve injury in 1.3%. Those rates sit below industry averages.
Results also endure. A typical SMAS facelift holds for six to eight years, while the extended deep-plane version can last roughly twice as long. More than a decade is common, and certain patients have kept their results beyond 12 years.
Refinement has continued. A 2019 update brought modifications for jawline definition and lower-face volume, quantified with measurements such as the “mandibular defining line.” His 2021 textbook gathered insights from over 2,000 facelifts.
The surgeon is dual board-certified and has delivered master lectures at more than 100 international conferences. Patients have included designer Marc Jacobs and fellow surgeon Dr. Paul Nassif. Yet the practice’s steady volume, more than its famous names, explains why Dr. Andrew Jacono’s method has become a reference point for the field. See related link for more 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