For decades, facelift patients were told to choose between looking younger and looking like themselves. The tight, pulled appearance that came to define cosmetic surgery left many patients hesitant to pursue treatment at all. That calculus changed largely because one surgeon was willing to abandon the standard approach entirely.
Dr. Andrew Jacono introduced the extended deep-plane facelift technique in the early 2000s, moving away from the skin-tightening methods that had defined the procedure since its inception. Rather than separating skin from the tissue beneath it and repositioning only that surface layer, his method keeps skin, muscle and fat connected as a single unit throughout the procedure.
A DIFFERENT LAYER, A DIFFERENT OUTCOME
The technique operates beneath the superficial musculoaponeurotic system, the layer of tissue connecting facial muscles to the skin above. Conventional lifts tighten this layer from above, pulling skin taut without addressing what lies underneath. Dr.Andrew Jacono‘s approach works below it instead, releasing the facial ligaments that hold tissue down over time and repositioning the midface, jawline and neck vertically.
That vertical repositioning, rather than horizontal pulling, helps explain why patients treated with this method tend to look refreshed instead of stretched. The face regains structure instead of simply having its surface pulled backward.
DOCUMENTATION BEHIND THE TECHNIQUE
Dr. Jacono published his first peer-reviewed study on the approach in the Aesthetic Surgery Journal in 2011, detailing outcomes across 153 patients. The research gave surgeons outside his own practice a documented basis for adopting the technique, something largely missing from earlier facelift innovations that relied on anecdote alone.
Since that publication, the extended deep-plane approach has moved from a single surgeon’s specialty toward wider recognition within facial plastic surgery. Patients researching options increasingly encounter Dr. Andrew Jacono’s name because his early published data gave the technique credibility that skin-only methods never fully established. The shift shows how outcome studies, more than marketing, tend to move surgical fields forward over time, one documented case series at a time. Visit this page, for related information.
Learn more about Dr. Andrew Jacono on https://ceoworld.biz/2026/02/28/facelift-longevity-why-dr-andrew-jaconos-approach-lasts-over-a-decade/