A single surgeon can only operate on so many patients. Spreading a method requires teaching it, and Dr. Andrew Jacono has spent years doing exactly that. The New York facial plastic surgeon has conducted master classes and delivered lectures at international plastic surgery conferences, training colleagues around the world in what he brands as “The Jacono Method.”

The method centers on the extended deep-plane facelift, which he introduced in the early 2000s. Its core idea can be stated briefly. Rather than pulling skin tight, the surgeon works beneath the SMAS, releases the ligaments that anchor facial tissue, and lifts the midface, jawline, and neck vertically while skin, muscle, and fat remain joined. Older facelifts, by contrast, separated the skin and repositioned only that surface layer.

Lessons From Volume

Much of what Dr. Andrew Jacono offers other surgeons comes from the depth of his experience. He performs approximately 250 deep-plane facelifts each year. That case load allows ongoing technical refinement and builds the kind of expertise that comes only through repetition at scale.

His teaching rests on published evidence as well. The 2011 study he authored in Aesthetic Surgery Journal described 153 patients, with a revision rate of 3.9%, a hematoma rate of about 1.9%, and temporary facial nerve injury in 1.3%. Those numbers fall below industry averages. Results from the technique last 12 to 15 years, according to his published outcomes, about double the typical span of a standard SMAS facelift.

A Reference for Students

Surgeons who attend a lecture eventually need material to return to. The 2021 textbook The Art and Science of Extended Deep Plane Facelifting fills that role. It distills lessons from more than 2,000 procedures into technical documentation intended for surgeons adopting the approach. Readers can study the anatomy at their own pace, long after a conference session ends.

Medical progress often follows this path: a practitioner questions how a procedure works, measures outcomes carefully, and then teaches others. Dr. Andrew Jacono’s career follows that sequence, carrying a technique well beyond a single New York practice. Refer to this article for additional information.

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