Patients researching facelift surgery eventually ask the same question: how long will this actually last? For traditional facelift methods, the honest answer is often six to eight years before gravity and tissue laxity bring back visible signs of aging. Dr. Andrew Jacono designed his technique specifically to push past that window.
Conventional facelifts separate the skin from the muscle layer beneath it, then pull the skin upward and backward to smooth wrinkles. That tightening happens above an otherwise unchanged facial structure, which is part of why the improvement fades on a predictable timeline.
Rebuilding the Foundation
The Minimal Access Deep-Plane Extended facelift developed by Dr. Andrew Jacono takes a different route. By operating beneath the superficial musculoaponeurotic system and releasing the ligaments anchoring tissue to bone, the procedure repositions fat pads in the midface, jawline and neck vertically, addressing the structural cause of sagging rather than its surface symptom.
Because skin, muscle and fat move together instead of being separated and stretched independently, the resulting lift avoids relying on tension that loosens again over time. That structural difference is central to why outcomes from this approach can hold up for years longer than surface-tightening alternatives.
Documented, Not Just Described
Jacono introduced the technique in the early 2000s and formally reported outcomes in the Aesthetic Surgery Journal in 2011, drawing on 153 patient cases. He continues to perform around 250 of these procedures annually from his Manhattan practice, giving the approach a long track record to evaluate.
For patients weighing the upfront investment of facial surgery against how long the results will genuinely hold, that structural distinction is often the deciding factor.
Longevity claims in cosmetic surgery are notoriously difficult to verify, since outcomes depend on genetics, sun exposure, weight fluctuation and how well a patient maintains their skin after healing. Even so, a technique built around correcting the underlying structure, rather than only smoothing the surface above it, has a clearer mechanical case for lasting longer.
Patients are generally advised to view any longevity estimate as a range rather than a guarantee, and to ask surgeons what factors could shorten or extend results in their specific case. Refer to this article for related information.
See for more about Dr. Andrew Jacono on https://www.facebook.com/DrJacono/