Surgical skill develops through repetition, and few facelift surgeons perform the extended deep-plane technique as often as Dr. Andrew Jacono. At his Manhattan practice, he carries out approximately 250 of these procedures annually, a case volume that has shaped both his outcomes data and his standing within facial plastic surgery. Few practices anywhere match that pace for a single, highly specialized procedure.
What Repetition Teaches
Each extended deep-plane facelift requires judgment calls that do not follow a fixed script: which of the four key facial ligaments to release, how far to reposition descended fat pads in the midface, jawline, and neck, and which vector will produce a lift that looks natural rather than pulled. Dr. Andrew Jacono‘s volume of practice has refined that judgment over time, and it shows in his published outcomes, which recorded a 3.9 percent revision rate, a hematoma rate near 1.9 percent, and a temporary facial nerve injury rate of 1.3 percent, figures that fall below broader averages reported for facelift surgery.
From Casework to Curriculum
That case experience has not stayed confined to his own operating room. Dr. Andrew Jacono has delivered master lectures at more than 100 international conferences, teaching the deep-plane method to surgeons who want to bring the technique into their own practices. His 2021 textbook synthesized insights from more than 2,000 facelift procedures, a dataset built almost entirely from his own sustained caseload rather than a single research study.
The technique itself dates back to the early 2000s and was first documented formally in a 2011 paper in the Aesthetic Surgery Journal covering 153 patients, with a 2019 update adding jawline-specific refinements. Dr. Andrew Jacono’s continued case volume, still running at roughly 250 procedures a year, keeps that body of evidence growing and gives each new patient the benefit of a technique tested far more extensively than most alternatives in facial plastic surgery. Visit this page on LinkedIn, for related information.
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