Public discussions of cosmetic surgery remain uncommon, which makes fashion designer Marc Jacobs’s 2021 statement notable. Jacobs openly disclosed his facelift, named Dr. Andrew Jacono as the surgeon, and described the results as natural. The disclosure connected a high-profile outcome to a specific technique at a moment when the extended deep-plane facelift was gaining broader recognition as a departure from traditional approaches.

The Technique Behind the Outcome

Dr. Andrew Jacono‘s extended deep-plane facelift achieves natural outcomes through structural mechanics rather than tension. Operating beneath the superficial musculoaponeurotic system, he releases the retaining ligaments that tether facial tissue and repositions the midface, jaw, and neck as an intact unit. Skin follows without being stretched. The resulting appearance is one that Jacono describes as ponytail-friendly: incisions are small, placed behind the ear or along the hairline, and leave no visible trace when hair is worn up.

The clinical record supporting this outcome is substantial. Dr. Jacono published initial findings from 153 patients in Aesthetic Surgery Journal in 2011, reporting a 3.9% revision rate and approximately 1.9% hematoma rate, both below field benchmarks. Results last 12 to 15 years, roughly double the durability of conventional facelifts. These numbers reflect the method’s focus on repositioning anatomical structures rather than manipulating surface tissue.

A Body of Documented Work

Dr. Andrew Jacono performs around 250 extended deep-plane facelifts each year. The accumulated volume of practice feeds into his 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, which synthesizes more than 2,000 procedures into a resource for surgeons adopting the technique. International master classes and conference presentations extend that knowledge further. The combined weight of published data, technical instruction, and high-profile outcomes explains why the extended deep-plane method has come to define what modern facelift surgery can achieve. Read this article for additional information.

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