In facial plastic surgery, reputation is built gradually procedure by procedure, published study by published study. Dr. Andrew Jacono‘s standing in the field reflects both the volume of his clinical work and the peer recognition that has followed. His development of the Minimal Access Deep-Plane Extended facelift placed him at the center of a shift in how surgeons think about facial aging and its correction.
What Sets the Method Apart
The MADE facelift Dr. Andrew Jacono developed moves away from surface manipulation. Traditional procedures tighten the skin independently of the deeper tissue beneath it, creating results that can look pulled or artificial. Dr. Jacono’s technique maintains the connection between skin, muscle, and fat, lifting them together from below the SMAS layer. This unified movement removes surface tension from the equation. The technique also releases four key facial ligaments, allowing tissue that has descended over years of gravitational pull to be repositioned vertically which addresses the actual mechanics of facial aging rather than its outward signs.
Dr. Andrew Jacono introduced the technique in the early 2000s, published his first clinical outcomes in Aesthetic Surgery Journal in 2011, and documented a 2019 refinement focused on jawline volumization and definition. Results from the extended deep-plane approach last roughly twice as long as conventional SMAS facelifts, with initial data showing complication rates including a 1.3% temporary facial nerve injury rate below field averages. Later research confirmed that deep-plane dissection is associated with lower nerve injury risk than superficial techniques, because operating at this depth preserves anatomical structure and blood supply.
Peers Take Notice
The clearest validation often comes from colleagues within the same field. Dr. Paul Nassif, a respected Beverly Hills plastic surgeon, chose to travel to New York for Dr. Andrew Jacono’s extended deep-plane procedure. Fashion designer Marc Jacobs also discussed his experience with Dr. Jacono publicly in 2021, telling Vogue the results appeared natural. Dr. Jacono has shared the methodology at over 100 international conferences and published a 2021 textbook synthesizing insights from more than 2,000 facelift procedures. He performs approximately 250 extended deep-plane facelifts annually at his Manhattan practice. Refer to this article for additional information.
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