Clinical claims in cosmetic surgery often outpace clinical evidence. When a surgeon promotes a technique as superior, the assertion is useful only if it is backed by documented outcomes that can be independently evaluated. Dr. Andrew Jacono built the case for the extended deep-plane facelift on exactly that kind of evidence, publishing the first peer-reviewed study on his method in Aesthetic Surgery Journal in 2011 based on outcomes from 153 patients.

The data reported a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% temporary facial nerve injury rate. Each figure compared favorably against typical benchmarks for facelift procedures. Later research expanded on those findings, confirming that deep-plane dissection carries a lower risk of facial nerve injury than superficial facelift techniques. The deeper approach preserves the anatomical relationships and blood supply that superficial methods disrupt when separating skin from underlying tissue.

Structural Logic Behind the Numbers

The extended deep-plane facelift operates beneath the SMAS layer, the connective tissue connecting facial muscles to skin. Dr. Andrew Jacono releases the ligaments holding descended tissue in place and repositions the composite unit of skin, muscle, and fat together, restoring facial architecture rather than simply tightening the surface. This structural correction explains both the natural appearance of results and their durability. Where standard SMAS facelifts produce results lasting roughly five to seven years, the extended deep-plane approach yields outcomes that hold for 12 to 15 years.

A Record That Speaks for Itself

Dr. Andrew Jacono has performed approximately 250 extended deep-plane facelifts annually for years, accumulating a case volume that supports continuous technical improvement. His 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, consolidates that experience into a formal reference used by surgeons worldwide. Fashion designer Marc Jacobs publicly cited Dr. Jacono as his surgeon in 2021, praising the natural outcome of his procedure. Fellow surgeon Dr. Paul Nassif chose Dr. Andrew Jacono for his own facelift in 2018. Both endorsements reflect a technique whose reputation rests on peer-reviewed data and reproducible results rather than marketing alone. Refer to this article for related information.

 

Watch to learn more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono