The extended deep-plane facelift now occupies a position in facial plastic surgery that few techniques reach: a method so well-documented, widely taught, and clinically validated that it functions as a reference point for the entire specialty. Dr. Andrew Jacono built that position over more than two decades through peer-reviewed research, high-volume practice, and a commitment to training other surgeons rather than guarding the technique as proprietary.
Minimal Scarring, Maximum Correction
One of the extended deep-plane facelift’s less obvious advantages is what it does to incision length. Traditional facelifts require longer incisions to create the access needed for skin manipulation. Because Dr. Andrew Jacono’s technique works through the deeper tissue planes rather than across broad skin surfaces, incisions measure approximately one-third the standard length. They are positioned behind the ear or along the hairline, making them invisible when patients wear their hair pulled back a standard Dr. Jacono describes as ponytail-friendly results.
The clinical outcomes reflect a technique operating with precision rather than force. Dr. Jacono’s foundational 2011 study, published in Aesthetic Surgery Journal and based on 153 patients, documented a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% temporary facial nerve injury rate. Later research confirmed that deep-plane dissection carries lower facial nerve injury risk than superficial techniques because it preserves anatomical relationships and blood supply more effectively throughout the procedure.
From Single Practice to Global Standard
Dr. Jacono conducts master classes and lectures at international plastic surgery conferences, training surgeons in the method through direct instruction rather than just published papers. The 2021 textbook The Art and Science of Extended Deep Plane Facelifting distills insights from more than 2,000 procedures into a technical resource that accelerates adoption across practices worldwide. Dr. Andrew Jacono now performs approximately 250 extended deep-plane facelifts per year, and published outcome data show results persisting 12 to 15 years. The combination of clinical rigor, teaching infrastructure, and documented longevity explains why the technique has moved from innovation to standard of care in less than a generation. Refer to this article for more information.
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