Patients choosing a facelift today face a confusing range of options, techniques, and claims. Understanding what distinguishes Dr. Andrew Jacono‘s Minimal Access Deep-Plane Extended facelift from more conventional approaches requires looking at the anatomy involved and what happens when surgery addresses the surface versus the structure underneath.
The Layers That Matter
Conventional facelifts work at the skin level or just below it, tightening the SMAS independently from the overlying tissue. The skin gets pulled and sutured, but the deeper structures that have descended over time remain in place. Dr. Andrew Jacono’s extended deep-plane technique keeps skin, muscle, and fat connected throughout the procedure and lifts them as one unified layer beneath the SMAS. That biomechanical difference lifting a composite rather than isolating the skin is what prevents the stretched, operated look that older methods risk. The incisions used in Dr. Jacono’s approach run roughly one-third the length of standard facelifts. They sit behind the ear and along the hairline, which is why patients can wear their hair pulled back without revealing any scarring.
Peer Acknowledgment and Patient Outcomes
Dr. Andrew Jacono’s technique first appeared in the medical literature in 2011, when he published outcomes for 153 patients in Aesthetic Surgery Journal. His complication rates came in below field averages. A 2019 refinement targeted jawline rejuvenation specifically, using a measurement system he developed to track contour improvements. Later research confirmed that deep-plane dissection reduces facial nerve injury risk compared to superficial approaches, because the anatomy is better preserved at that level. Town & Country noted that Dr. Jacono keeps skin, muscle, and fat as one unit when repositioning tissue the technical principle his entire method is built around. He has since lectured at more than 100 international conferences and taught the methodology to surgeons from around the world. See related link for additional information.
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