Facelifts have historically treated aging as a skin problem, something to be solved by pulling tissue tighter across the face. Dr. Andrew Jacono’s extended deep-plane technique starts from a different premise entirely, treating aging as a structural change that requires structural correction.

When fat pads descend and facial ligaments stretch over decades, Dr. Andrew Jacono’s method addresses those deep changes directly rather than masking them with surface tension. Working beneath the superficial musculoaponeurotic system, he releases the ligaments holding tissue in a sagging position and repositions the midface, jawline and neck vertically, restoring the face’s original architecture instead of stretching its surface.

Moving Past Surface Solutions

That shift in approach explains much of what distinguishes the technique from conventional facelifts. Traditional methods separate skin from the tissue beneath it and reposition only that outer layer, a solution that fades as skin stretches again over time and often produces the pulled, wind-swept look long associated with cosmetic surgery.

Dr. Andrew Jacono‘s structural approach avoids that outcome. Patients report looking like refreshed versions of themselves, a natural appearance that comes from correcting the causes of an aged look rather than treating its surface symptoms.

Results That Support the Premise

The philosophy holds up against clinical data. Results last twelve to fifteen years, roughly twice as long as standard SMAS facelifts, while early studies recorded a 3.9 percent revision rate and a 1.3 percent rate of temporary facial nerve injury.

Dr. Jacono has spent two decades questioning assumptions that had gone largely unchallenged since facelifts were first developed, then backing that questioning with peer-reviewed outcome studies and training for other surgeons. That combination, a changed premise paired with data to support it, has turned what began as one surgeon’s alternative approach into a widely adopted standard for facial rejuvenation. Surgeons who once viewed skin tightening as the only viable path now increasingly look to structural repositioning as the more durable solution, a shift owed largely to the outcomes Dr. Jacono’s work has documented over time. Refer to this page for related information.

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