Dr. Andrew Jacono’s Approach to Facelift Surgery Gains Global Recognition
Surgical techniques that produce reliable, reproducible results tend to attract attention from peers before they attract attention from the public. The Minimal Access Deep-Plane Extended facelift developed by Dr. Andrew Jacono followed that path first validated through peer-reviewed publications, then adopted and taught internationally, and eventually reaching a broader audience when high-profile patients began discussing their results openly.
A Technique Built on Evidence
Dr. Andrew Jacono introduced the MADE facelift in the early 2000s and published initial outcomes in Aesthetic Surgery Journal in 2011. The study covered 153 patients and documented complication rates below the field’s averages: 3.9% revision, approximately 1.9% hematoma, and 1.3% temporary facial nerve injury. The technique operates beneath the SMAS, lifting skin, muscle, and fat as one unified structure rather than separating the skin for independent tightening. It releases four key retaining ligaments to allow vertical repositioning of descended facial tissue targeting the structural causes of aging rather than smoothing the surface over them. Incisions measure roughly one-third the length of traditional facelifts, hidden behind the ear and along the hairline.
Endorsement From Patients and Peers
Fashion designer Marc Jacobs shared his facelift experience publicly in 2021, telling Vogue the outcome looked natural rather than operated on. Plastic surgeon Dr. Paul Nassif traveled from Beverly Hills to New York specifically for Dr. Andrew Jacono‘s extended deep-plane technique notable peer endorsement for a method he could presumably access locally. Town & Country noted that Dr. Jacono keeps skin, muscle, and fat as one unit when repositioning, capturing the essential biomechanical principle in plain terms. Dr. Jacono has since delivered master lectures at more than 100 international conferences and authored a 2021 medical textbook synthesizing over 2,000 facelift cases. He currently performs approximately 250 extended deep-plane procedures each year at his Manhattan practice. Refer to this article to learn more.
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