When a facial plastic surgeon’s own colleagues choose him for surgery, it signals something about the technique. Dr. Andrew Jacono, the New York surgeon behind the extended deep-plane facelift, has drawn exactly that kind of endorsement from inside the surgical community as well as from public figures outside it.
A Surgeon’s Surgeon
Fellow plastic surgeon Dr. Paul Nassif chose Dr. Andrew Jacono for his own deep-plane facelift in 2018, a decision that underscored trust in the technique among peers who understand the procedure’s mechanics better than most patients ever could. Fashion designer Marc Jacobs offered a more public endorsement, revealing in 2021 that Dr. Jacono had performed his facelift and praising the natural results the technique produced, results that avoided the pulled, overdone look often tied to cosmetic surgery.
What the Technique Delivers
The extended deep-plane facelift keeps skin, muscle and fat connected during repositioning instead of separating skin from the tissue beneath it. Working below the superficial musculoaponeurotic system, Dr. Jacono releases key facial ligaments and repositions the midface, jawline and neck vertically, producing what he calls ponytail-friendly results with incisions roughly one third the length of a traditional facelift. Clinical data back up the anecdotal praise: initial studies recorded a 3.9 percent revision rate and a 1.3 percent temporary facial nerve injury rate, figures that fall below typical industry averages and help explain why both a design icon and a fellow surgeon opted for the same surgeon’s hands for their own procedures.
Longevity likely factored into both decisions as well. Dr. Jacono’s technique reportedly produces results lasting 12 to 15 years, roughly twice the span of a standard SMAS facelift, a detail that matters to patients whose faces remain in the public eye long after their procedures, whether they work in fashion or in medicine themselves. See related link for more information.
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