Roughly 250 times a year, Dr. Andrew Jacono performs the same operation at his Manhattan practice. That procedure, the extended deep-plane facelift, has become closely tied to his name, and the sheer volume behind it shapes how he approaches each new face.
Repetition sharpens judgment. A surgeon who performs a technique hundreds of times learns which facial ligaments need releasing, which directions of lift produce the best outcome, and where a person’s natural contours lie. Those decisions vary from patient to patient, and experience makes them easier to read. A caseload of 250 operations a year supplies a steady stream of such decisions.
What the Procedure Involves
The technique is formally known as the Minimal Access Deep-Plane Extended facelift. Dr. Andrew Jacono introduced it in the early 2000s as an answer to conventional surgery, which separates skin from the underlying SMAS layer and then stretches the skin tight. That older method leaves deeper structures untouched and can produce a pulled look.
The MADE facelift operates beneath the SMAS instead. Skin, muscle, and fat move together, and four ligaments that tether tissue to bone are released. Descended fat pads in the midface, jawline, and neck can then be lifted back into position. Incisions run about one-third the length of a traditional facelift and are hidden behind the ear and at the hairline.
A Record Built Over Thousands of Cases
Dr. Andrew Jacono published his first account of the method in Aesthetic Surgery Journal in 2011, reporting on 153 patients. Initial data showed a 3.9% revision rate, a hematoma rate of about 1.9%, and temporary facial nerve injury in 1.3% of cases, figures below industry averages for facelifts.
A 2019 refinement added modifications aimed at the jawline and lower-face volume. Two years later, he released a medical textbook that drew on more than 2,000 facelift procedures. Dr. Andrew Jacono, who is dual board-certified, has also delivered master lectures at more than 100 international conferences, passing his methods on to surgeons around the world. Refer to this article for additional information.
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