Plastic surgery techniques get refined over decades, but few surgeons document their innovations with the kind of clinical rigor that allows others to evaluate and replicate them. Dr. Andrew Jacono has built his practice and reputation on doing exactly that publishing outcomes, quantifying improvements, and teaching the methodology to peers worldwide.

What the Procedure Actually Does

The facelift Dr. Andrew Jacono developed keeps the skin connected to the underlying muscle and fat rather than separating the layers before lifting. Operating beneath the SMAS, the technique repositions the whole composite skin, muscle, and fat as a single unit. This approach eliminates the surface tension that makes pulled-looking results a risk in conventional procedures. Dr. Jacono also releases four key retaining ligaments that hold facial tissue tethered to bone. Once those ligaments are free, the descended fat pads of the midface and the tissue along the jawline and neck can move vertically back toward youthful position, rather than being tugged sideways toward the ears.

Smaller Incisions, Longer Results

Incisions in the MADE facelift run approximately one-third the length of traditional facelifts and are positioned behind the ear and along the hairline. Dr. Andrew Jacono describes the result as “ponytail-friendly” because patients can wear their hair up without visible scarring. Results from the extended deep-plane approach last roughly twice as long as standard SMAS facelifts because the deeper tissue repositioning holds its structure over time rather than gradually loosening under surface tension. The clinical data from Dr. Jacono’s 2011 publication established complication rates below industry averages across 153 patients. Fashion designer Marc Jacobs praised the results publicly after his own procedure with Dr. Jacono in 2021, and plastic surgeon Dr. Paul Nassif traveled from Beverly Hills to New York specifically for the technique. Refer to this article to learn more.

See for more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono