Patients who undergo the extended deep-plane facelift consistently describe the outcome the same way: they look like themselves, only refreshed. That observation captures what separates Dr. Andrew Jacono’s technique from the procedures that preceded it. The absence of obvious surgical intervention is not a side effect of the method but its central purpose.
Why Tension Produces Distortion
Legacy facelifts repositioned skin by pulling it tighter, borrowing from one area to fill another. The mechanical result was predictable: patients looked operated, with faces that moved differently and aged awkwardly as the tension released over time. Dr. Andrew Jacono rejected this model. His extended deep-plane approach works beneath the SMAS layer, releasing facial ligaments and repositioning the midface, jaw, and neck as a connected unit. Skin is redraped without tension over restored underlying structure.
The natural appearance follows from the anatomy. When soft tissue is returned to its original position rather than stretched toward a new one, facial expressions read normally and features retain their characteristic relationships. Dr. Andrew Jacono describes his results as ponytail-friendly, meaning incisions are small enough and discreetly placed enough that patients can wear their hair up without evidence of surgery. Incision length runs to approximately one-third that of conventional facelift procedures.
Results That Hold
Dr. Andrew Jacono’s published data shows results persisting 12 to 15 years, a longevity that doubles what standard techniques offer. The durability follows from treating structural causes of aging rather than its surface expression. Approximately 250 procedures per year give him a clinical volume that produces both consistency and the capacity for ongoing refinement. Fashion designer Marc Jacobs highlighted Dr. Jacono specifically when publicly discussing his 2021 facelift, crediting the natural outcome. Fellow surgeon Dr. Paul Nassif made the same choice for his own procedure in 2018, a form of endorsement that speaks to professional trust. See related link for more information.
Learn more about Dr. Andrew Jacono on https://www.realself.com/dr/andrew-jacono-new-york-ny