The ideal facelift, by most patient accounts, is one that nobody notices. Achieving that requires more than just technical skill with a scalpel. It demands a rethinking of where the surgery intervenes and how it moves tissue. Dr. Andrew Jacono built his practice around that rethinking, developing the Minimal Access Deep-Plane Extended facelift as an answer to the shortcomings of conventional methods.
Where traditional approaches separate skin from the SMAS and then pull the skin upward under tension, Dr. Andrew Jacono’s method keeps those layers unified and operates beneath them. Four key retaining ligaments are released, allowing descended fat pads in the midface, jawline, and neck to be repositioned vertically. The lift addresses aging at its anatomical source rather than compensating for it at the surface. That foundational difference is why patients achieve results that look like their own faces at an earlier point rather than a surgically tightened version of their current one.
From Initial Publication to International Standard
Dr. Andrew Jacono first published clinical outcomes from 153 patients in the Aesthetic Surgery Journal in 2011. His data showed revision, hematoma, and temporary facial nerve injury rates all below industry averages. He expanded his published work in 2019 with refinements designed for jawline rejuvenation, using the mandibular defining line to measure contour outcomes quantitatively. His 2021 textbook, compiled from more than 2,000 procedures, became a technical reference for surgeons adopting the extended deep-plane approach. He has presented the work at over 100 international conferences.
Incisions in the MADE technique run approximately one-third the length of conventional facelift incisions and are hidden behind the ear and along the hairline, making visible scarring a non-issue for most patients. Dr. Andrew Jacono describes this as ponytail-friendly. The results typically persist for over a decade, compared to six to eight years for standard SMAS facelifts. Marc Jacobs discussed his procedure with Vogue in 2021 and credited Jacono for outcomes that appeared natural, while Dr. Paul Nassif traveled from Beverly Hills to New York to have the procedure performed by Jacono himself.
Annual Volume and Expertise
The New York facial plastic surgeon performs roughly 250 extended deep-plane facelifts each year at his Manhattan practice. That volume matters in surgical specialties where nuanced judgment, knowing which ligaments to release, which vectors produce the best lift, and where natural facial contours lie, requires thousands of repetitions to sharpen. Dr. Andrew Jacono’s cumulative experience translates directly into the precision that produces natural, lasting outcomes. Refer to this page for related information.
Follow for more about Dr. Andrew Jacono on https://www.instagram.com/drjacono/?hl=en
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The ideal facelift, by most patient accounts, is one that nobody notices. Achieving that requires more than just technical skill with a scalpel. It demands a rethinking of where the surgery intervenes and how it moves tissue. Dr. Andrew Jacono built his practice around that rethinking, developing the Minimal Access Deep-Plane Extended facelift as an answer to the shortcomings of conventional methods.
Where traditional approaches separate skin from the SMAS and then pull the skin upward under tension, Dr. Andrew Jacono’s method keeps those layers unified and operates beneath them. Four key retaining ligaments are released, allowing descended fat pads in the midface, jawline, and neck to be repositioned vertically. The lift addresses aging at its anatomical source rather than compensating for it at the surface. That foundational difference is why patients achieve results that look like their own faces at an earlier point rather than a surgically tightened version of their current one.
From Initial Publication to International Standard
Dr. Andrew Jacono first published clinical outcomes from 153 patients in the Aesthetic Surgery Journal in 2011. His data showed revision, hematoma, and temporary facial nerve injury rates all below industry averages. He expanded his published work in 2019 with refinements designed for jawline rejuvenation, using the mandibular defining line to measure contour outcomes quantitatively. His 2021 textbook, compiled from more than 2,000 procedures, became a technical reference for surgeons adopting the extended deep-plane approach. He has presented the work at over 100 international conferences.
Incisions in the MADE technique run approximately one-third the length of conventional facelift incisions and are hidden behind the ear and along the hairline, making visible scarring a non-issue for most patients. Dr. Andrew Jacono describes this as ponytail-friendly. The results typically persist for over a decade, compared to six to eight years for standard SMAS facelifts. Marc Jacobs discussed his procedure with Vogue in 2021 and credited Jacono for outcomes that appeared natural, while Dr. Paul Nassif traveled from Beverly Hills to New York to have the procedure performed by Jacono himself.
Annual Volume and Expertise
The New York facial plastic surgeon performs roughly 250 extended deep-plane facelifts each year at his Manhattan practice. That volume matters in surgical specialties where nuanced judgment, knowing which ligaments to release, which vectors produce the best lift, and where natural facial contours lie, requires thousands of repetitions to sharpen. Dr. Andrew Jacono’s cumulative experience translates directly into the precision that produces natural, lasting outcomes. Refer to this page for related information.
Follow for more about Dr. Andrew Jacono on https://www.instagram.com/drjacono/?hl=en