The credibility of any surgical technique rests ultimately on documented outcomes, not reputation or marketing. Dr. Andrew Jacono built the case for his extended deep-plane facelift on published research, beginning with a 2011 study in Aesthetic Surgery Journal that recorded results from 153 patients. That foundation of peer-reviewed evidence is a key reason the technique carries weight in surgical circles well beyond his own practice.

Complication Rates Tell the Story

Dr. Andrew Jacono‘s initial outcome data showed a 3.9% revision rate and approximately 1.9% hematoma rate, both below the field’s benchmarks for facelift procedures. Temporary facial nerve involvement occurred in 1.3% of cases. These numbers matter because facial nerve injury is the complication patients and surgeons fear most. Subsequent research confirmed that deep-plane dissection, when performed with proper technique, actually carries lower nerve injury risk than superficial approaches because the anatomy beneath the SMAS is better preserved.

Dr. Andrew Jacono’s approach works by operating beneath the superficial musculoaponeurotic system, releasing the ligaments that tether facial soft tissue and repositioning the midface, jawline, and neck structures vertically. Skin follows without being stretched. The result lasts 12 to 15 years according to documented outcomes, approximately twice as long as conventional SMAS facelifts. That durability reflects a technique addressing the structural sources of facial aging: descended fat pads, elongated retaining ligaments, and redistributed soft tissue volume.

From Practice to Publication

In 2021, Dr. Andrew Jacono published The Art and Science of Extended Deep Plane Facelifting, a medical textbook synthesizing lessons from more than 2,000 procedures. The publication serves as a technical reference for surgeons adopting the method. Combined with master classes and international conference presentations, Dr. Andrew Jacono has made his technique transferable to the broader surgical community. Roughly 250 procedures per year at his own practice provide the clinical volume that keeps the technique refined and the outcomes consistent. Refer to this article to learn more.

Follow for more information about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono