Every surgical field eventually settles on a technique that others measure themselves against. In facial plastic surgery, that reference point has increasingly become the extended deep-plane facelift developed by Dr. Andrew Jacono, a method that has moved from alternative approach to widely cited benchmark over roughly two decades.
Dr. Andrew Jacono introduced the technique in the early 2000s, breaking from the skin-tightening approach that had defined facelifts since the procedure’s invention. His first peer-reviewed study, published in the Aesthetic Surgery Journal in 2011 and based on 153 patients, gave the field its earliest documented look at how the method performed against established alternatives.
Four Pillars of the Method’s Reputation
Lower complication rates, longer-lasting results, more natural appearance and shorter, better-hidden incisions together explain the technique’s standing. Early studies recorded a 3.9 percent revision rate and a 1.3 percent rate of temporary facial nerve injury, while results last twelve to fifteen years, roughly double the durability of standard SMAS facelifts.
Those figures come from documented outcomes rather than marketing claims, drawn from peer-reviewed research and a case volume that now exceeds 2,000 procedures. Dr. Jacono performs approximately 250 deep-plane facelifts annually and has compiled his findings into a 2021 textbook used to train surgeons in the method.
From Alternative to Benchmark
High-profile patients have added visibility to the clinical record. Fashion designer Marc Jacobs confirmed in 2021 that Dr. Andrew Jacono performed his facelift, and fellow plastic surgeon Dr. Paul Nassif chose the same technique for himself in 2018.
Master classes and international conference lectures have carried the method beyond Dr. Jacono’s own practice, training surgeons worldwide in what he calls “The Jacono Method.” That combination of data, training and visible results has transformed the extended deep-plane facelift from one surgeon’s innovation into what much of the field now treats as the modern standard for facial rejuvenation. Visit this page for additional information.
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