Natural Facelift Results What Dr. Andrew Jacono Does Differently

Patients who recognize a facelift from across the room are usually detecting a technique that prioritized skin tension over anatomical accuracy. The hallmarks elevated hairlines, overly smooth temples, visible ear distortion reflect what happens when skin bears the entire mechanical load of repositioning. A growing number of facial surgeons now operate deeper in the face, in the tissue plane that Dr. Andrew Jacono has worked in for over two decades. His contributions to the method shaped how the broader field now approaches natural-looking facial rejuvenation.

The extended deep-plane facelift works beneath the superficial musculoaponeurotic system, releasing the retaining ligaments that hold descended fat pads in their aged positions. Dr. Andrew Jacono moves the composite of skin, fat, and muscle as a single unit, returning it vertically toward its earlier anatomical location. This mechanical difference explains the difference in appearance: repositioned tissue looks natural because it has been returned to its original position, not stretched toward a new one.

Minimal Scarring as a Practical Outcome

Because the technique addresses the underlying structure rather than relying on skin tension, the skin itself requires shorter incisions and less manipulation. Incisions in Dr. Andrew Jacono’s method measure approximately one-third the length of those used in traditional facelifts. They are placed behind the ear or along the natural hairline, staying hidden in positions that patients can conceal even when wearing their hair pulled back. Dr. Jacono describes these as ‘ponytail-friendly’ results, a practical benchmark that reflects how patients actually use and experience their outcomes in daily life.

Published data confirms the technique’s long-term performance. His 2011 study in Aesthetic Surgery Journal documented complication rates across 153 patients that fell below surgical benchmarks. Results last 12 to 15 years, approximately double the durability of standard SMAS facelifts. Dr. Jacono performs around 250 procedures per year and published a medical textbook in 2021 drawing from over 2,000 cases, teaching the method to surgeons through conferences and master classes globally. See related link for more information.

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