The Science Behind Dr. Andrew Jacono’s Facelift Technique

When fashion designer Marc Jacobs publicly credited Dr. Andrew Jacono for his facelift in 2021, the announcement drew attention not just for the celebrity connection but for what Jacobs emphasized: the results looked natural. In a field where surgical outcomes are often judged by how little they reveal about themselves, that kind of endorsement carries weight. It also reflects the core goal of the extended deep-plane facelift that Dr. Jacono has spent over two decades refining.

The extended deep-plane facelift addresses what conventional techniques leave unresolved. Standard facelifts separate skin from deeper tissue and pull only the surface layer back, creating tension that looks artificial and fades within a few years. Dr. Jacono’s method operates at a deeper anatomical level, beneath the SMAS layer that connects muscles to skin. By releasing facial ligaments that hold tissue in a descended position and moving the entire composite structure together, the technique restores facial architecture rather than just smoothing over it.

Clinical Data Supports the Method

Dr. Andrew Jacono published his foundational research in Aesthetic Surgery Journal in 2011 after tracking outcomes from 153 patients. The numbers were notable. Revision rates came in at 3.9%, the hematoma rate was approximately 1.9%, and temporary facial nerve injury occurred in just 1.3% of cases, all of which sit below typical industry benchmarks. Later research confirmed that deep-plane dissection carries a lower risk of facial nerve damage compared to superficial techniques, because the approach preserves anatomical relationships and blood supply during the procedure.

Durability Sets It Apart

Results from the extended deep-plane facelift last 12 to 15 years according to published outcomes, approximately double what standard SMAS facelifts deliver. Dr. Jacono performs roughly 250 of these procedures each year, a volume that enables ongoing refinement of the technique with each case. He has also published a comprehensive medical textbook titled The Art and Science of Extended Deep Plane Facelifting, synthesizing knowledge from more than 2,000 procedures. Dr. Paul Nassif, a prominent plastic surgeon himself, chose Dr. Andrew Jacono to perform his own deep-plane facelift in 2018, a decision that underscores the level of trust the technique commands within the surgical community. Read this article for additional information.

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