Surgical skill tends to track with repetition, and few facelift surgeons perform the procedure as often as Dr. Andrew Jacono. He completes roughly 250 deep-plane facelifts each year, a volume that has let him refine a technique built to avoid the pulled, overdone look associated with older facelift methods.

What Makes the Technique Different

Jacono’s approach operates underneath the superficial musculoaponeurotic system rather than tightening it from above. He releases the ligaments holding facial tissue down, then repositions the midface, jawline, and neck together as one unit, keeping skin, muscle, and fat connected throughout the surgery instead of separating them the way conventional facelifts do.

That structural focus produces incisions roughly a third the length of a traditional facelift, tucked behind the ear or along the hairline. Patients can wear their hair up without revealing any trace of surgery, a detail Jacono has described as a ponytail-friendly outcome that distinguishes his patients from those who chose older techniques.

Volume Meets Documentation

Jacono has backed the technique with published research since 2011, when his first study in the Aesthetic Surgery Journal reported outcomes from 153 patients, including a revision rate under four percent. He later synthesized insights from more than 2,000 procedures into a 2021 medical textbook, The Art and Science of Extended Deep Plane Facelifting, now used as a reference by surgeons adopting the method.

Results from the technique last twelve to fifteen years according to published outcomes, nearly double the lifespan of a standard SMAS facelift, a gap that helps explain why demand for the procedure keeps growing among patients seeking longer-lasting, natural-looking correction rather than a quick, temporary fix that needs revisiting within a few years.

That growing demand has, in turn, reinforced the case load that keeps Jacono’s technique sharp, creating a cycle where volume and outcomes continue to reinforce each other year after year. Refer to this article to learn more.

Visit to learn more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono