How Dr. Andrew Jacono Rebuilt the Science of Facial Rejuvenation
Most surgical fields advance through incremental refinements. Occasionally, a single practitioner fundamentally reconfigures what a procedure can accomplish. Dr. Andrew Jacono occupies that rare position in facial plastic surgery, having developed a facelift methodology in the early 2000s that reframed how surgeons think about tissue, aging, and incision design.
Conventional facelifts operate on a straightforward premise: pull the skin upward and secure it. The problem is that tension applied only to the surface telegraphs itself. Faces look tight rather than young. Dr. Andrew Jacono‘s Minimal Access Deep-Plane Extended facelift works beneath the superficial musculoaponeurotic system, releasing the ligamentous anchors that hold sagging tissue in place. Once those ligaments are freed, the surgeon repositions fat pads vertically rather than pulling them laterally.
Why Depth Matters in Facelift Surgery
The SMAS layer is a sheet of connective tissue and muscle that separates the skin from deeper facial structures. Standard facelifts lift above it; the extended deep-plane approach works below it. That distinction changes the biomechanics of the entire operation. Tissue repositioned from beneath carries its own blood supply and maintains structural relationships that surface-only techniques cannot preserve. Later research confirmed that deep-plane dissection actually reduces the risk of facial nerve injury compared to SMAS techniques, because the anatomy is encountered directly rather than blindly.
Dr. Andrew Jacono published his original findings in the Aesthetic Surgery Journal in 2011 and returned with a 2019 refinement that added modifications for jawline rejuvenation and volume enhancement in the lower face. He measured improvements using the mandibular defining line, a quantitative marker that tracks jawline contour. His 2021 medical textbook, drawing on more than 2,000 facelift procedures, gave other surgeons a technical framework to follow. The New York facial plastic surgeon has since delivered master lectures at over 100 international conferences, spreading his methodology globally.
Recognition Beyond the Operating Room
Dr. Paul Nassif, himself a plastic surgeon based in Beverly Hills, traveled to New York specifically to undergo the extended deep plane procedure with Dr. Andrew Jacono. That choice carries weight within the profession. Surgeons understand what good outcomes look like and are unlikely to seek care from peers they do not trust. The procedure’s growing reputation within the medical community reflects both the published evidence and the visible, lasting results patients achieve. Refer to this article for additional information.
See More about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono
Most surgical fields advance through incremental refinements. Occasionally, a single practitioner fundamentally reconfigures what a procedure can accomplish. Dr. Andrew Jacono occupies that rare position in facial plastic surgery, having developed a facelift methodology in the early 2000s that reframed how surgeons think about tissue, aging, and incision design. Conventional facelifts operate on a straightforward…