The extended deep-plane facelift did not become an accepted standard through marketing or reputation alone. The technique’s rise in facial plastic surgery traces to clinical data published in peer-reviewed literature and outcomes reproducible enough to teach at the international level. Dr. Andrew Jacono began documenting results in the early 2000s, and his 2011 publication in Aesthetic Surgery Journal formalized a case for the technique that surgeons worldwide could evaluate on methodological terms complication rates, revision frequency, nerve injury incidence, and durability.

The 2011 study covered 153 patients and reported a revision rate of 3.9%, hematoma incidence of approximately 1.9%, and temporary facial nerve injury in 1.3% of cases. Each figure placed the technique below typical industry rates for facelift procedures. Later research confirmed a key safety advantage: the deep-plane dissection preserves anatomical blood supply and tissue relationships, reducing the risk of facial nerve injury compared to superficial approaches. This safety distinction matters because nerve complications represent one of the most serious risks in facelift surgery.

Teaching the Method

Dr. Andrew Jacono notes that results from his technique last 12 to 15 years, roughly twice the durability of standard SMAS facelifts. The deeper tissue support explains the extended timeframe: addressing structural changes at their source rather than managing surface symptoms produces outcomes that hold longer and age more naturally.

Dr. Andrew Jacono has delivered lectures and conducted master classes at international plastic surgery conferences, teaching the method he brands as The Jacono Method to surgeons across multiple countries. In 2021, he published a medical textbook titled The Art and Science of Extended Deep Plane Facelifting, drawing on insights from more than 2,000 procedures. The book serves as a technical reference for surgeons adopting the method in their own practices. Performing approximately 250 procedures per year, Dr. Jacono maintains the case load that drives ongoing refinement and produces the outcome data that peer-reviewed publication requires. Visit this page for more information.

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