Facelift surgery carries a paradox: the procedures most visibly advertise themselves in the patients least likely to want that. Tight, pulled skin and visible scarring have long marked facelift results. Dr. Andrew Jacono spent years developing an approach that disrupts that association, producing results patients describe as natural without anyone being able to identify the cause.
The Minimal Access Deep-Plane Extended facelift uses incisions roughly one-third the length of traditional techniques, tucked behind the ear and along the hairline. Dr. Andrew Jacono describes the procedure as ponytail-friendly because patients can wear their hair up without revealing any trace of surgery. Beyond the incisions, the deeper mechanism of the technique is what most separates it from conventional approaches.
Treating the Whole Facial Structure
Rather than separating skin from the superficial musculoaponeurotic system before lifting, the MADE technique keeps those layers together, moving the face as a composite unit. This unified repositioning eliminates the lateral tension that produces the stretched look associated with older facelifts. Beneath the SMAS, Dr. Andrew Jacono releases four facial ligaments that anchor tissue to bone, freeing descended fat pads to be moved vertically back toward their original positions. The midface, jawline, and neck all benefit from this deeper repositioning.
Dr. Andrew Jacono first published clinical data on 153 patients in the Aesthetic Surgery Journal in 2011, showing complication rates below industry averages across revision, hematoma, and temporary nerve injury categories. He followed that with a 2019 publication introducing refinements for jawline rejuvenation and using the mandibular defining line as a measurable indicator of contour improvement. His 2021 textbook, grounded in over 2,000 facelift procedures, formalized the methodology for surgical peers.
A Decade or More of Results
Extended deep-plane facelifts last roughly twice as long as standard SMAS procedures because the deeper tissue support is more durable. Many patients see results persist for more than a decade. Fashion designer Marc Jacobs discussed his experience with Dr. Andrew Jacono in Vogue in 2021, describing outcomes that appeared natural and not overtly surgical. Dr. Paul Nassif, a Beverly Hills plastic surgeon, traveled to New York to undergo the procedure himself, a professional endorsement that carries particular credibility given his medical background. Follow this page on Instagram, for additional information.
Learn more about Dr. Andrew Jacono on https://ritzherald.com/dr-andrew-jaconos-path-to-becoming-a-leading-facial-plastic-surgeon/