Demand for any surgical technique is usually measured in patient volume. The harder measure and the more telling one is how many fellow surgeons seek out the same procedure for themselves. By that standard, Dr. Andrew Jacono‘s Minimal Access Deep-Plane Extended facelift has attracted unusual attention from within the medical community itself.
A Technique Built to Last
The MADE facelift Dr. Andrew Jacono developed lifts skin, muscle, and fat as a unified structure rather than separating layers and pulling them in different directions. Working beneath the SMAS layer, the technique releases four key facial retaining ligaments and repositions descended tissue vertically, against the direction gravity has moved it over time. The results address the underlying mechanics of facial aging rather than simply tightening the surface. Extended deep-plane procedures have been shown to last roughly twice as long as conventional SMAS facelifts, with complication rates that fall below industry averages for revision, hematoma, and temporary nerve injury.
Dr. Andrew Jacono first published his technique in Aesthetic Surgery Journal in 2011, reporting outcomes from 153 patients. A 2019 paper added modifications targeting jawline definition, documented with the mandibular defining line measurement system. His 2021 medical textbook synthesized findings from over 2,000 procedures, providing other surgeons a detailed technical reference. He performs approximately 250 extended deep-plane facelifts each year in Manhattan and has taught the approach at over 100 international conferences.
Colleagues and Public Figures Take Note
Dr. Paul Nassif, a well-known Beverly Hills plastic surgeon, chose to travel to New York for Dr. Andrew Jacono’s extended deep-plane procedure a striking endorsement within the field. Fashion designer Marc Jacobs described his experience with Dr. Jacono in 2021 Vogue coverage, saying the outcome looked natural without appearing done. The incisions for the MADE facelift measure approximately one-third the length of traditional techniques, hidden along the hairline and behind the ear. Patients can wear hair pulled back without visible scarring, a practical result that reflects the surgical precision the method requires. Visit this page on LinkedIn, for related information.
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