A facelift’s value depends heavily on how long its results hold up, and that is where Dr. Andrew Jacono‘s extended deep-plane technique sets itself apart. According to his published outcomes, results typically last between 12 and 15 years, roughly double the duration associated with standard SMAS facelifts.
The difference comes down to what the surgery actually addresses. Conventional facelifts separate skin from underlying tissue and tighten only that surface layer, a fix that fades as skin stretches again over time. Dr. Jacono’s method instead repositions the deeper structures of the face, correcting the problem closer to its source.
Treating the Cause, Not the Surface
Working beneath the superficial musculoaponeurotic system, Dr. Andrew Jacono releases the ligaments that hold sagging tissue in place and moves the midface, jawline and neck vertically. Because skin, muscle and fat move together as a unit, the correction sits on a more durable foundation than a surface tightening ever could.
Longevity depends on more than surgical technique alone. Skin quality, lifestyle habits and ongoing skin care all factor into how long results endure, though the deeper tissue support Dr. Jacono’s method provides establishes a stronger baseline than surface approaches allow.
The technique’s durability helped justify Dr. Jacono’s first peer-reviewed study, published in the Aesthetic Surgery Journal in 2011 based on 153 patients, and has since been reinforced across more than 2,000 procedures documented in his 2021 textbook, The Art and Science of Extended Deep Plane Facelifting.
Incisions for the procedure measure roughly a third the length used in older techniques and remain hidden behind the ear or along the hairline, meaning the durability comes without the tradeoff of more visible scarring. Patients can wear their hair pulled back with no sign that surgery ever took place.
For patients weighing the cost and recovery time of facelift surgery against how long the results will actually hold, that extended timeframe carries real weight, and it explains why the approach is increasingly described as a gold standard rather than one option among many. Dr. Jacono performs roughly 250 of these procedures annually, a volume that continues to inform and refine the outcomes his patients experience. See related link for more information.
Visit for more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono