When fashion designer Marc Jacobs revealed in 2021 that he had undergone a facelift, the admission itself was notable in an industry where cosmetic work is often left unspoken. Just as telling was his choice of surgeon: Dr. Andrew Jacono, the New York facial plastic surgeon behind the extended deep-plane facelift technique. Jacobs praised the natural quality of his results, a common thread among patients who have undergone the procedure. Rather than the pulled, wind-tunnel look historically linked to facelifts, Dr. Jacono’s technique aims to restore a face’s earlier structure without visibly altering it.

A Technique Built on Structure

The method differs from conventional facelifts in a fundamental way. Older techniques separate skin from the tissue beneath it, then tighten only that surface layer. Dr. Jacono’s approach keeps skin, muscle and fat connected as one unit, working beneath the superficial musculoaponeurotic system to release ligaments and reposition deeper structures vertically.

Jacobs is not the only well-known figure to seek out this approach. Fellow plastic surgeon Dr. Paul Nassif chose Dr. Andrew Jacono to perform his own deep-plane facelift in 2018, a decision that speaks to the trust the technique commands within the surgical community itself.

Dr. Jacono has performed the procedure roughly 250 times annually, developing the kind of refined expertise that comes from repetition at scale. He has also trained surgeons internationally through master classes and conference lectures, and published a 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, drawing on more than 2,000 procedures.

The underlying data supports the public praise. Dr. Jacono’s first peer-reviewed study, published in the Aesthetic Surgery Journal in 2011, documented outcomes across 153 patients, including a revision rate of 3.9 percent and a temporary facial nerve injury rate of only 1.3 percent, figures that hold up favorably against broader facelift surgery statistics.

High-profile results like Jacobs’ have simply made public what surgeons in the field already recognized. When both a fashion designer known for exacting standards and a practicing plastic surgeon choose the same technique for themselves, it signals confidence in the method that extends well beyond marketing or celebrity endorsement alone. Visit this page for related information.

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