Facial surgery has found a new context in the working world. Professionals who plan to remain active into their seventies are approaching surgical rejuvenation as they would any other career investment: with an eye toward long-term return. Dr. Andrew Jacono, whose Manhattan practice attracts patients from across the country and internationally, reports that his average facelift patient now falls in the mid-40s age range, well below the historical norm.
The Financial Logic Behind Earlier Decisions
The calculation is concrete. A facelift performed at 45 using the extended deep-plane technique can deliver results lasting 12 to 15 years, depending on technique quality, skin care, lifestyle, and individual factors. That window covers the years most patients consider their peak earning period. Waiting until 60 compresses that benefit and may require revision procedures while still professionally active.
Dr. Andrew Jacono’s technique works beneath the SMAS, the fibromuscular layer underlying facial tissue. Rather than separating skin from muscle and pulling, the approach lifts all layers together, repositioning fat pads to their earlier positions and releasing ligaments that have lost elasticity. Town & Country described the method as keeping skin, muscle, and fat as one unit. The result avoids the operated look that previously discouraged some patients from pursuing surgery.
A Broadening Patient Base
The demographic shift extends beyond age. Men now account for 20% of Dr. Andrew Jacono’s facelift cases, compared to 2% a decade ago. Professional men concerned about appearing fatigued relative to younger colleagues, or simply more aware of their appearance through daily video calls, are seeking consultation earlier than prior generations did.
Notable patients have helped bring visibility to the trend. Dr. Paul Nassif flew from Beverly Hills to New York for a deep-plane facelift with Dr. Andrew Jacono. Marc Jacobs publicly credited the surgeon in 2021. Newsweek ranked Dr. Andrew Jacono third among the country’s facelift surgeons for 2025, and his record of more than 70 peer-reviewed publications supports the clinical foundation behind his technique.