Few surgical techniques earn international adoption quickly, but the extended deep-plane facelift that Dr. Andrew Jacono developed has spread through the facial plastic surgery community faster than most. Lectures at major plastic surgery conferences, a comprehensive textbook, and high-profile outcomes visible to millions have accelerated the method’s reach well beyond the New York practice where it was refined.

A Technique Grounded in Peer Review

Dr. Jacono introduced the extended deep-plane facelift in the early 2000s and published his first peer-reviewed outcomes study in Aesthetic Surgery Journal in 2011. That paper documented results from 153 patients, with a revision rate of 3.9%, a hematoma rate of approximately 1.9%, and a temporary facial nerve injury rate of 1.3% each figure below accepted benchmarks for facelift procedures. Subsequent research confirmed that the deep-plane dissection approach carries lower facial nerve injury risk than superficial techniques, because it maintains anatomical relationships and preserves blood supply throughout the procedure.

The technical basis for those results rests on a straightforward anatomical insight. The face ages structurally, not just superficially. Fat pads descend, ligaments stretch and allow tissue to drift, and the midface flattens. Pulling skin tighter addresses none of those changes. Dr. Andrew Jacono’s method releases the retaining ligaments directly, then repositions the full composite of skin, fat, and muscle vertically. That vertical repositioning restores the face’s architecture rather than compressing it.

From Practice to Standard

In 2021, Dr. Jacono published The Art and Science of Extended Deep Plane Facelifting, a textbook synthesizing insights from more than 2,000 procedures. The publication supplies a technical curriculum for surgeons adopting the method. He also conducts master classes internationally, training practitioners in what he calls the Jacono Method. Results from his practice are documented over 12 to 15 years by published measures. Tatler Magazine named him one of the world’s best international surgeons, specifically citing the extended deep-plane facelift. That recognition, combined with outcomes data and the volume of surgeons now trained in his technique, establishes Dr. Andrew Jacono’s work as a durable standard for the field. Refer to this article to learn more.

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