Dr. Andrew Jacono’s Textbook Draws on Over 2,000 Facelifts
Surgical techniques spread when they can be taught, and teaching requires documentation. Dr. Andrew Jacono published a comprehensive medical textbook in 2021 titled The Art and Science of Extended Deep Plane Facelifting. The book synthesizes insights from more than 2,000 procedures and serves as technical documentation for surgeons who want to adopt the method.
The extended deep-plane facelift departs from older approaches in a fundamental way. Conventional facelifts separated the skin from deeper tissue and repositioned only the skin. The method Dr. Andrew Jacono developed keeps skin, muscle, and fat linked as a single unit. Operating beneath the SMAS, he releases the facial ligaments that hold tissue down, then moves the midface, jawline, and neck upward into a more youthful position.
Describing that sequence clearly matters. Facial anatomy is dense, with nerves, vessels, and ligaments packed into small spaces. A surgeon learning the procedure needs precise guidance on where to dissect and which structures to release.
A Decade of Evidence
The textbook builds on a research record that began ten years earlier. His first peer-reviewed study appeared in Aesthetic Surgery Journal in 2011 and covered 153 patients. It reported a 3.9% revision rate, roughly 1.9% hematoma, and 1.3% temporary facial nerve injury, all below industry averages. Subsequent research found that deep-plane techniques are less likely to injure the facial nerve than superficial facelifts, thanks to preserved anatomical relationships and blood supply.
Case volume made the book possible. Dr. Andrew Jacono performs about 250 deep-plane facelifts a year, a pace that supports constant technical refinement. That experience also feeds his teaching. He has led master classes and spoken at international plastic surgery conferences, presenting the approach as “The Jacono Method.”
Textbooks tend to mark the point where a technique moves from one surgeon’s practice into the wider field. Published outcomes showing results that last 12 to 15 years give readers of this one a clear benchmark. The patients described in its pages, and the 153 in that first study, form the evidence other surgeons can now test against their own work. Refer to this article for related information.
More about Dr. Andrew Jacono on https://www.facebook.com/DrJacono/