Few endorsements carry more weight in medicine than one surgeon choosing another for their own procedure. In 2018, Dr. Paul Nassif, a plastic surgeon in his own right, selected Dr. Andrew Jacono to perform his deep-plane facelift, a decision that underscored the trust the technique commands within the surgical community itself. That trust rests on a method Dr. Andrew Jacono began developing in the early 2000s. His extended deep-plane facelift keeps skin, muscle and fat connected as a single unit, working beneath the superficial musculoaponeurotic system rather than tightening it from the surface the way conventional facelifts do.
Data Behind the Reputation
Dr. Jacono’s first peer-reviewed outcomes study, published in the Aesthetic Surgery Journal in 2011, documented results from 153 patients. Early findings showed a 3.9 percent revision rate, a hematoma rate near 1.9 percent and a temporary facial nerve injury rate of just 1.3 percent, numbers that compare well against broader facelift surgery outcomes.
Nassif’s decision came two years before fashion designer Marc Jacobs publicly credited Dr. Jacono with his own facelift in 2021, praising the natural results. Together, these choices from within and outside medicine point to a technique whose reputation rests on more than marketing.
Dr. Jacono performs roughly 250 of these procedures every year, a caseload that supports continuous refinement of his approach. Dr. Andrew Jacono documented the method extensively, publishing a 2021 textbook drawing on more than 2,000 procedures and training surgeons internationally through master classes and conference lectures.
The technical foundation behind that trust rests on working beneath the superficial musculoaponeurotic system rather than tightening it from above. Releasing the ligaments holding tissue down and repositioning the midface, jawline and neck vertically allows the face’s original structure to return without the surface tension that defines older facelift methods.
When a fellow surgeon puts his own face in someone else’s hands, it says something about where that technique stands among peers who understand the procedure better than anyone. Combined with published outcomes and a public endorsement from outside medicine, Dr. Jacono’s practice reflects credibility built from multiple directions at once. Refer to this article for additional information.
Watch for more information about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono