• July 7, 2026

Inside the Jacono Method Dr. Andrew Jacono’s Facelift Philosophy

Surgical methods often carry their inventor’s name when they represent a departure significant enough to constitute a distinct approach. The Jacono Method is one of those cases. Dr. Andrew Jacono‘s extended deep-plane facelift differs from conventional techniques not in degree but in kind in the anatomical layer it targets, the tissue it moves, and the results it produces.

Working Below the Surface

The superficial musculoaponeurotic system is a connective tissue layer that links the muscles of facial expression to the overlying skin. Conventional facelifts tighten this layer from above, reducing laxity in the skin by generating tension. The effect is visible and temporary: as the underlying fat pads continue their gravitational descent and facial ligaments relax further, the surface tension that created the lifted appearance dissipates.

Dr. Andrew Jacono’s technique operates below the SMAS. He releases the facial ligaments that anchor descended tissue and lifts skin, fat, and muscle together as a single unit, repositioning the midface, jawline, and neck vertically. The fat pads return to their original positions. The ligaments that once held them there bear the weight of the repositioned tissue. Surface skin is not stretched it drapes naturally over restored anatomy.

The 2011 Aesthetic Surgery Journal study covering 153 patients documented a 3.9% revision rate, roughly 1.9% hematoma rate, and 1.3% temporary facial nerve injury rate all below standard industry benchmarks. Further research confirmed that deep-plane dissection reduces nerve injury risk compared to surface-level approaches by preserving anatomical structure during the procedure.

A Technique Built to Spread

Dr. Andrew Jacono performs approximately 250 extended deep-plane facelifts each year. Results last 12 to 15 years, and incisions are roughly one-third the length of traditional facelift scars. He published a medical textbook in 2021 covering more than 2,000 procedures and has conducted master classes training surgeons internationally.

The technique’s credibility within the profession was reinforced when Dr. Paul Nassif underwent the procedure with Dr. Jacono in 2018. Fashion designer Marc Jacobs added his own public endorsement in 2021. Refer to this article for more information.

 

Learn more about Dr. Andrew Jacono on https://goodmenproject.com/everyday-life-2/dr-andrew-jacono-on-the-rising-demand-of-male-facelifts/