Cosmetic surgery patients researching facelifts today encounter a crowded field of techniques, each claiming natural results. Dr. Andrew Jacono‘s extended deep-plane method stands apart because it changes where the surgery actually happens, not simply how the results are described afterward in a consultation brochure.

A Structural Shift

Rather than separating skin from underlying tissue and repositioning only the surface, Dr. Andrew Jacono works beneath the superficial musculoaponeurotic system, releasing facial ligaments and repositioning the midface, jawline, and neck vertically as a single connected unit. Skin, muscle, and fat move together, which is why patients often look refreshed rather than pulled tight.

Incisions also shrink under this approach, running about a third the length of those used in conventional facelifts and hiding behind the ear or along the hairline, letting patients wear their hair up without revealing any scarring even months after the procedure heals fully.

Backed by Data, Not Just Testimonials

Jacono introduced the technique in the early 2000s and published his first peer-reviewed outcomes in the Aesthetic Surgery Journal in 2011, covering 153 patients with a revision rate under four percent. Later research confirmed that deep-plane dissection lowers the chance of facial nerve injury compared to superficial methods, since it preserves anatomical relationships and blood supply that older techniques often disturb.

Results also last considerably longer, with published outcomes showing effects persisting twelve to fifteen years, nearly double the span of a standard SMAS facelift, giving patients a clearer basis for choosing between techniques than marketing claims alone could ever provide.

For anyone comparing options, that gap in longevity, paired with a lower documented chance of complications, offers a more useful starting point than photographs or testimonials collected from a single practice’s own website, especially for patients weighing the added cost and recovery time against how long the results will actually hold. Refer to this article for related information.

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