Trust in a surgical technique is difficult to manufacture. It accumulates through published outcomes, peer engagement, and the decisions practitioners make when they themselves need care. All three of those signals point toward Dr. Andrew Jacono‘s Minimal Access Deep-Plane Extended facelift as one of the more rigorously validated approaches in contemporary facial plastic surgery.
The technique emerged from a question about why facelifts age so visibly. Conventional methods pull skin taut over underlying structures, creating tension that reveals itself over time. Dr. Andrew Jacono’s approach bypasses that problem by operating beneath the superficial musculoaponeurotic system, repositioning tissue as a composite structure rather than separating and stretching surface layers. The fat pads of the midface, jawline, and neck, which descend with age, are moved vertically back toward their origin points after four key facial ligaments are released.
Published Evidence Across Two Decades
Dr. Andrew Jacono first documented his method in a 2011 paper in the Aesthetic Surgery Journal, reporting outcomes on 153 patients with complication rates below accepted industry averages. He returned to the literature in 2019 with refinements targeting jawline rejuvenation and quantifying improvements using the mandibular defining line. His 2021 textbook distilled findings from more than 2,000 procedures into a technical guide for other surgeons. The New York facial plastic surgeon has since presented this work at more than 100 international conferences, shaping how surgeons around the world understand extended deep-plane dissection.
Endorsements From Within the Field
Dr. Paul Nassif, a Beverly Hills plastic surgeon, chose to have Dr. Andrew Jacono perform his facelift. That kind of peer referral carries weight in a field where practitioners understand surgical quality from direct observation. Fashion designer Marc Jacobs also publicly discussed his experience with Jacono in Vogue in 2021, noting that the results appeared natural and undone. Incisions are roughly one-third the length of traditional facelifts and are concealed behind the ear and along the hairline, leaving no visible trace in ordinary settings. Results from the extended deep-plane technique typically last over a decade, roughly twice the longevity of conventional SMAS approaches. Refer to this article to learn more.
Find more information about Dr. Andrew Jacono on https://ceoworld.biz/2026/02/28/facelift-longevity-why-dr-andrew-jaconos-approach-lasts-over-a-decade/