Why Dr. Andrew Jacono’s Facelift Technique Lowers Complication Rates
Facelift surgery carries a reputation for visible scarring and long recovery, but outcome data tied to one surgeon’s method tell a different story. Dr. Andrew Jacono, the New York based facial plastic surgeon behind the extended deep-plane facelift, has built a technique around measurably safer outcomes rather than promotional claims about a smoother face.
The Numbers Behind the Method
Initial studies on the approach reported a 3.9 percent revision rate, close to a 1.9 percent hematoma rate and a 1.3 percent temporary facial nerve injury rate. Each figure lands below typical averages reported for facelift procedures generally. Later research reinforced the pattern, finding that deep-plane dissection carries a lower chance of nerve injury than superficial facelift methods because it preserves the anatomical relationships and blood supply surrounding facial nerves. Those numbers came from a body of published outcome data unusual for a single surgeon’s technique, spanning more than a decade of tracked patient results.
The safety profile traces back to where Dr. Andrew Jacono operates. Dr. Jacono technique works beneath the superficial musculoaponeurotic system, keeping skin, muscle and fat connected as a single unit during repositioning rather than separating skin from the tissue below it, as conventional lifts do. Incisions also run shorter, hidden behind the ear or along the hairline, which limits the surface area exposed during surgery.
Consistency Through Volume
Dr. Jacono performs about 250 deep-plane facelifts each year, a case load that supports continuous technical refinement. That volume, paired with published outcome data going back to a 2011 study of 153 patients in Aesthetic Surgery Journal, has helped establish the extended deep-plane approach as a documented alternative to traditional skin-tightening facelifts, one built on measured results rather than marketing language aimed at prospective patients.
Safety data reinforce the durability picture as well. The technique reportedly produces results lasting 12 to 15 years, roughly twice as long as a standard SMAS facelift, meaning patients are not trading a lower complication profile for a shorter lasting outcome. Both figures come from the same body of published research that first appeared in Aesthetic Surgery Journal. See related link for additional information.
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