Plastic Surgery / Results

Rhinoplasty / Nose Reshaping

Every year over half a million people will consult a facial plastic surgeon to improve the appearance of their nose, an operation called a Rhinoplasty, or nose plastic surgery. Since the nose is the most defining characteristic of the face, even a slight alteration can greatly improve one's appearance. Continue

Ethnic Rhinoplasty

Some ethnicities have nasal characteristics that are unique to each race. It is typical for people of all races to want a change of appearance in their nose without diminishing their cultural background or heritage. Everyone wants a symmetrical, pleasing looking nose that fits their face and skin type regardless of creed or nationality. There are unique characteristics of African American, Hispanic, Middle Eastern, or Asiannoses that determine the unique approach and techniques. Continue

Eyelid Lift

Each year, one hundred thousand men and woman undergo blepharoplasty, or eyelid lift, to improve the way they look. Droopy upper eyelids are the results of excess sagging eyelid skin,and can make you look older and impair vision. The lower eyelids become puffy and bags develop with age due to prolapse of fat underneath the eyes. These changes often contribute to a worn and tired look. This procedure cannot alter fine wrinkles around the eyes nor sagging eyebrows. Continue

Mini-/Multiplanar Facelift

Mini Face Lift is a revolutionary procedure that can be executed to minimize downtimes and can be performed under local anesthesia with no general anesthesia. As the years go by, aging of the face is inevitable. The skin begins to loosen in the face and the neck giving way to "crow's feet" at the corner of the eyes, jowling at the jawline, deep folds or "marionette lines" at the corner of the mouth, and vertical folds and a "double chin" beneath the chin. Heredity, sun exposure, the pull of gravity, and personal habits such as smoking contribute to the aging of the face. This changes are best treated with a face lift. Continue

Neck Lift

As we age ,the muscles of the neck become loose and drop underneath the skin, resulting in what many women and men refer to as a “Turkey Neck”. Vertical banding in the neck may also occur with two paired cords in the middle of the neck due to laxity of the platysma muscle. This is an isolated problem and most surgeons will explain to you that you need a total face and neck lift to correct the problem which is more surgery than most people want. Continue

Endoscopic Midface Lift

As we get older, the brow and forehead are often those areas that show the first signs of aging. Due to the effects of sun and the pull of gravity, the skin begins to sag, resulting in frown lines, wrinkles across the forehead, and increased heaviness of the eyebrows and upper eyelids. These changes contribute to a tired, angry or sad expression that may not reflect the way you feel. Even people in their thirties may have faces that look older than their years. Continue

Non-Surgical Face Lift/ Ulthera/ Sculptra Injections

Although Doctor Jacono is a surgeon he understands that not all patients want surgery but still want to look rejuvenated and have skin tightening and rejuvenation of their face. There are non-surgical face lift options that have no downtime and can erase 5 to 10 years off your appearance. As we age the face droops with gravity and also loses the natural volume of youth. This volume creates the apple cheeks we remember from years past. Non-surgical face lifting has been revolutionized in the past 5 years, with facial skin tightening devices and with injectable fillers that add volume back to the face. While Fat Transfers to the face create the longest lasting volume replacement, there are many injectable treatments that do not require harvesting fat and a minor surgical procedure. To deliver the best results he combines Ulthera with Sculptra. Ulthera is the newest most effective facial tightening, and Sculptra is the longest lasting facial injectable treatment that requires no surgery. Continue

Fat Transfer/ Fat Grafting/ Stem Cell Face Lift

Fat Transfer (Fat Injections or Fat Grafting) and Stem Cell Face Liftingis one of the most cutting edge techniques in plastic surgery in the past 30 years. Over this time multiple facelifting procedures have been presented for rejuvenation of the face, most of them stressing the need for extensive surgery. What we have come to realize over this time, is that the face ages not just because of drooping (which would require a face lift) but also because of deflating and losing the natural volume in the cheeks, jawline and under the eyes. Plastic surgeons have been using temporary fillers such as Restylane, Juvederm, Radiesse and Sculptra to add volume back to the face giving it a more youthful, rested and natural appearance. Continue

Endoscopic Brow lifts and Forehead Lifts

Brow lift is indicated because, as we get older, the brow and forehead begin to droop as early as in our late thirties and early fourties. Due to the effects of sun and the pull of gravity, the skin begins to sag, resulting in frown lines, wrinkles across the forehead, and increased heaviness of the eyebrows and upper eyelids. These changes contribute to a tired, angry or sad expression that may not reflect the way you feel. Continue

Ear Reshaping

Protruding ears have been a source self-consciousness and poor adaptation to school among children, and poor self esteem among adults. This surgery can be performed after the ears reach full size around the age of five or six. When it comes to otoplasty (ear pinning), conventional wisdom is the earlier the better once the cartilages are ready. Continue

Lip Augmentation

Patients requesting lip augmentation come from all age groups. As we get older the lips age with the rest of the face resulting in atrophy of the lips. The lips thin out, tiny vertical lines appear, and the graceful cupid's bow of the upper lip begin to flatten. Others may have been born with thinner lips, and simply want a more defined cupid's bow and greater lip volume to balance the other features of their face. Continue

Laser Resurfacing / Skin Peels

L.A.S.E.R. stands for Light Amplification of Stimulated Emission of Radiation. What this means is that a laser is an intense beam of light energy that is produced by a material that amplifies light. There are many different types of Lasers and each has specific properties that make it transfer its energy into different types of tissue. Continue

Chin / Cheek and Jaw Reshaping

A well defined facial skeletal structure gives balance to the face and is an integral part of one's profile. When we look in the mirror, we are more likely to take note of the shape of the nose, ears, and the signs of aging such as jowling and fine lines and wrinkles than the chin and cheeks which are the underlying framework of the face. Facial plastic surgeons such as Doctor Jacono always analyze the face as a whole. Often a weak chin and cheek bone structure can detract from the results of a nose reshaping surgery (rhinoplasty) or facelift surgery. Augmentation of the chin and cheeks is sometimes necessary to achieve facial balance and harmony. Continue

Neck Liposuction / Buccal Fat Extraction

Another possibility for improvement with a poorly defined facial structure is Liposuction or a Buccal Fat Removal. Submental liposuction (liposuction under the neck) removes excess fatty tissue to help further define the chin and the neckline. The cheeks can be better defined by performing a Buccal Fat Extraction. Buccal Fat Extraction removes the fat underneath the cheek skeletal structure through a hidden incision inside the mouth. Continue

Botox / Injectable Fillers / Facial Contouring

Although this frothy title might suggest an intoxicating mixed drink for a patient who has undergone the knife, these elixirs are not alcoholic. This cocktail is a combination of injectable treatments, which when performed at the same time can provide extremely rejuvenating results. They represent a gentler alternative to a face lift by using plumping fillers and Botox. Although their results are temporary and not as dramatic as a face lift, injection cocktails are sufficient for patients in their 30s, 40s and 50s. Continue

Fraxel Laser / Fractional CO2 Laser Resurfacing

Fraxel laser skin resurfacing is a true breakthrough in laser technology. Until now, two varieties of laser treatment have been available for cosmetic enhancement-ablative and non-ablative. Ablative, which literally means to vaporize at a very high temperature, are very effective at destroying unwanted tissue but have significant side-effects and require a lengthy healing period. Non-ablative, on the other hand, have very few side-effects and require almost no healing time, but involve numerous treatments over many months to achieve only modest results. Continue