Surgical skill often comes down to repetition, and few facial plastic surgeons perform a single technique as often as Dr. Andrew Jacono performs his extended deep-plane facelift. He completes roughly 250 of these procedures every year, a caseload that has allowed continuous refinement of a method he first developed in the early 2000s.

That volume matters because the technique itself demands precision. Rather than tightening skin from the surface the way conventional facelifts do, Dr. Andrew Jacono works beneath the superficial musculoaponeurotic system, releasing facial ligaments and repositioning the midface, jawline and neck vertically while keeping skin, muscle and fat connected as a single unit.

Consistency Backed by Research

Dr. Jacono’s first peer-reviewed outcomes study, published in the Aesthetic Surgery Journal in 2011, drew on data from 153 patients. Early results showed a 3.9 percent revision rate, a hematoma rate near 1.9 percent and a temporary facial nerve injury rate of 1.3 percent, figures that reflect the benefit of a highly refined, frequently repeated procedure.

That case volume has since grown well beyond the original study group. Dr. Jacono’s 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, synthesizes insights from more than 2,000 procedures, giving other surgeons a documented reference for a technique built on scale as much as innovation.

Results from the procedure last 12 to 15 years, roughly twice as long as standard SMAS facelifts, and patients including fashion designer Marc Jacobs and fellow surgeon Dr. Paul Nassif have publicly chosen Dr. Jacono for their own procedures.

The incisions themselves reflect the same precision. Measuring roughly a third the length of those used in conventional facelifts, they remain hidden behind the ear or along the hairline, allowing patients to wear their hair pulled back with no visible sign of surgery, even after thousands of procedures performed under the same method.

High volume alone does not guarantee quality, but combined with published outcomes and a technique built on preserving anatomical structure, it helps explain why this approach continues to set the pace for facelift surgery. Dr. Jacono’s ongoing case load, paired with his teaching and research, keeps the method under continuous scrutiny rather than resting on reputation alone. Visit this page on LinkedIn, for related information.

See for more about Dr. Andrew Jacono on https://www.instagram.com/drjacono/?hl=en