When fashion designer Marc Jacobs spoke publicly about his facelift in 2021, he told Vogue the results looked natural without appearing “done.” The surgeon behind that result was Dr. Andrew Jacono, a New York facial plastic surgeon known for the extended deep-plane facelift.

Jacobs was not the only notable patient. Dr. Paul Nassif, a plastic surgeon himself, traveled from Beverly Hills to New York for the same technique. A surgeon seeking out another surgeon’s method says something about its reputation within the field. Jacobs’s comment also points to the central aim of the technique: results that do not announce themselves.

The Method Behind the Natural Look

The procedure is called the Minimal Access Deep-Plane Extended (MADE) facelift. Traditional facelifts separate the skin from the SMAS layer and stretch it, producing tension that can telegraph the surgery. Dr. Andrew Jacono’s approach works beneath the SMAS, and as Town & Country put it, “Jacono keeps the skin, muscle, and fat as one unit.”

Four ligaments that bind facial tissue to bone are released during surgery. Fat pads that have sagged in the midface, jawline, and neck can then be lifted vertically. Because the deeper architecture is rebuilt rather than the skin pulled tight, the face avoids the stretched quality associated with older methods.

Experience at Scale

Dr. Andrew Jacono performs about 250 extended deep-plane facelifts a year at his Manhattan practice. He first published the technique in Aesthetic Surgery Journal in 2011 with outcomes from 153 patients, then introduced refinements for the jawline and lower face in 2019. His 2021 medical textbook drew on more than 2,000 facelift procedures. That caseload sharpens his judgment about which ligaments to release and which lifting vectors to use, and he has taught the method at more than 100 international conferences.

Incisions run about one-third the length of conventional ones and sit behind the ear and along the hairline. The surgeon calls the procedure “ponytail-friendly.” Results can last roughly twice as long as a standard SMAS facelift, often more than a decade. Refer to this article for related information.

Follow for more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono