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Home » About Dr. Jacono » Dr. Jacono Deep Plane Facelift Technique

Dr. Jacono Deep Plane Facelift Technique

Andrew Jacono M.D. FACS, Master Surgeon, Releases Plastic Surgery Textbook on Extended Deep Plane Facelift Technique

art and science extended deep plane facelifting

Dr. Andrew Jacono, one of the world’s leading experts on aging face surgery, has just released a milestone medical textbook, The Art and Science of Extended Deep Plane Facelifting and Complementary Facial Rejuvenation Procedures, with Quality Medical Publishing (QMP). Comprising insights from a career of over 3,000 facelifts, the 500-page masterwork is an invaluable addition to the facelifting literature for plastic surgeons around the globe. Dr. Jacono is considered one of the most experienced and technically gifted facelift surgeons alive today.

Dr. Jacono wrote the book in response to the growing international demand for insight into his extended deep plane surgery techniques and thought processes.  Dr. Jacono has pioneered the extended deep plane facelift surgery technique that has advanced the deep plane facelift procedure originally described by Dr. Sam Hamra.  It has resulted in more natural outcomes and more elegant and long-lasting lifting of the cheeks, jawline, and neck.  He has lectured about his techniques at hundreds of national and international plastic surgery conferences, performed live surgical demonstrations and cadaver workshops to teach his peers at 6 continents all over the world, and published dozens of peer-reviewed manuscripts in the key plastic surgery journal, and he has encapsulated his 20-year experience in this work. The textbook details the science of facial aging— including critical changes in facial structure, the deep facial fat planes, musculature, ligamentous support, and changes in the skin.

Peer Reviews

“This informative work belongs in the library of all surgeons interested in facial rejuvenation whether novice or expert. It is a substantial offering, and it will help us to provide our patients with results that are both effective and long-lasting.”
Foad Nahai, MD, Editor-in-Chief of the Aesthetic Surgery Journal, Former President of ASAPS, Former President of ISAPS
“I can honestly say Dr. Jacono’s textbook is the finest, most eloquent and comprehensive evidence-based work on facelifting ever written – and I say that having co-authored a textbook of facelifting myself. Anybody who is serious about facial rejuvenation and facelifting really must read this landmark book!”
Rajiv Grover, Plastic Surgeon London UK, Former President of BAAPS
“…this is an impressive work and well worthy of the time spent studying it… I highly recommend it for your reading list and surgical bookshelf.”
Thomas Fiala, MD, MBA, FACS, FRCSC, Aesthetic Surgery Journal
“So well designed and written by Dr. Jacono on facial rejuvenation with particular emphasis on the approach to extended deep plane facelift…I highly recommend this textbook to both experienced facelift surgeons and those who are beginning their career in facial rejuvenation surgery”
Stephen W. Perkins, MD, Facial Plastic Surgery & Aesthetic Medicine Journal

His deep plane approach differs from. ‘traditional’ facelift approach called a SMAS facelift (superficial (S) musculo (M) aponeurotic (A) system (S)) facelift where the skin is lifted and peeled away from the underlying muscle called the SMAS. The SMAS muscle is then tightened as a separate layer horizontally to improve the jawline. Because the skin is separated it can create an unnatural stretched appearance to the face, and since the SMAS is tightened toward the ears, it often distorts the corners of the mouth.

Dr. Jacono’s M.A.D.E. (Minimal Access Deep Plane Extended) Deep Plane facelift technique lifts the skin and muscle (SMAS) together as one unit and repositions all deep cheek fat pads and musculature. Since the skin is not separated from the deep structure, the lift comes from under the deep structure so the surface appears smooth not tight. This also helps maintain the blood supply to the face allowing for more rapid healing. Key facial ligaments that support the face are lifted rebuilding the beams of the face, creating a longer-lasting result. Another tenet of the deep plane facelift is the drooping tissues are lifted vertically against gravity recreating the heart shape face of youth. It uses minimal access incisions that are shorter and hidden, made possible by endoscopic technology. Female patients are able to wear their hair back in ponytails, and male patients are free to wear short haircuts or shave their heads because of hair loss. It is a technically more complex procedure, but the results are more rejuvenating and longer-lasting.


Deep Plane Facelift Technique Before and After 1: This beautiful 57-year-old patient is just 3 months after a deep plane facelift with Dr. Jacono. You can see how this procedure lifted her fallen cheeks and jowls. Dr. Jacono also performed a necklift, temporal lateral lift, and a lip lift to complete her personalized face rejuvenation process.

Before & After
deep plane facelift before after photo
Before & After
deep plane facelift before after photo


Dr. Jacono uses his core tenets to rejuvenate other areas of the face, including the forehead, the eyelids, and the lips; these more localized surgeries include temporal lifting to open the eyes, fat grafting to restore facial volume, and repositioning of facial and eyelid fat to contour the face. Jacono also employs a modified lip lift technique to restore youthful balance not only to the mouth area but to the lower third of the face more broadly.

“I’m proud to be able to contribute to the field of facial plastic surgery in such a meaningful way,” says Dr. Jacono. “The collegial exchange of cutting-edge techniques and approaches is what continues to drive advancements in the field. While I have had the privilege of lecturing at countless international plastic surgery meetings and hosted over 300 colleagues from around the world at my Park Avenue surgery center, this textbook offers an operating-room view of my aging face surgery to all who would like to study my techniques


Deep Plane Facelift Technique Before and After 2: This wonderful 64-year-old patient is just 4 months after her deep plane facelift with Dr. Jacono. Again, you can clearly see how her once fallen cheeks and jowls are now lifted to their natural youthful position. A neck lift with platysmaplasty, as well as an upper and lower eyelift, were also performed to complete her unique experience.

Before & After
deep plane facelift before after photo
Before & After
deep plane facelift before after photo


Deep Plane Facelift Technique Before and After 3: This stunning 63-year-old patient wanted to refresh her look and sought out Dr. Jacono for his deep plane facelift approach. He customized her treatments to include an eyelift and a neck lift, but more importantly a lip lift. Her after photos were taken 3 months following her procedure and she looks fantastic.

Before & After
deep plane facelift before after photo
Before & After
deep plane facelift before after photo


Deep Plane Facelift Technique Before and After 4: Such an amazing transformation after undergoing a deep plane facelift procedure with Dr. Andrew Jacono. Her after photos were taken 12 weeks post operative. To complete her youthful restoration, Dr. Jacono also performed a platysmaplasty to address her heavy neck bands, and an upper and lower blepharoplasty with a temporal lift to open her eyes.

Before & After
deep plane facelift before after photo


About Quality Medical Publishing (QMP)

Quality Medical Publishing (QMP) is an independent multimedia medical publisher celebrated for the quality of its publications and the reputations of its authors. Since 1986, QMP has led the way with landmark textbooks, world-class educational symposia, innovative multimedia products, and online learning that have helped shape the industry. Specializing in plastic and facial plastic surgery, Quality Medical Publishing offers information that is easily accessible on multiple platforms.

QMP’s mission is to serve the educational needs of the medical community and to inform physicians about the field’s latest developments. Explore their website, www.qmp.com, to learn more about their diverse online, multimedia, and symposia offerings for physicians and their businesses.

About Dr. Andrew Jacono

A globally-renowned expert on minimally invasive facelifting, New York Facial Plastic Surgeon Dr. Andrew Jacono has presented clinical research at countless plastic surgery symposiums all over the world, including at the International Society of Aesthetic Plastic Surgery, the European Academy of Facial Plastic Surgery, and the American Society for Aesthetic Plastic Surgery.

A Castle Connolly Top Doctor with offices in both Manhattan and Long Island, Dr. Jacono is also Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital Manhasset, Associate Clinical Professor in the Division of Facial Plastic and Reconstructive Surgery at Albert Einstein College of Medicine, Director of The New York Center for Facial Plastic & Laser Surgery, and Fellowship Director of the American Academy of Facial Plastic and Reconstructive Surgery. He published his third consumer book, The Park Avenue Face, in 2019, and has published in leading plastic surgery journals on a variety of surgical techniques, including minimally invasive endoscopic facial plastic surgery. With surgical privileges at six New York area hospitals, as well as an extensive background in Head and Neck Surgery with subspecialty training in Facial Plastic Surgery, Dr. Jacono is known among his peers for his innovative techniques and breadth of skills.

Dr. Jacono has been featured on Good Morning America, Anderson, CNBC, CNN, as well as in USA Today, Harper’s Bazaar, Huffington Post, Parade, O, The Oprah Magazine, Marie Claire, GQ, Departures, and Newsweek, among many others. 

For a complete list of services, or to learn more about Dr. Jacono and his practice, visit www.newyorkfacialplasticsurgery.com, or call 212.570.2500.

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Doctor Jacono performs Charitable Surgery for Children with Cleft Lip and Palate on Missions to Third World Countries and also on Women who are Victims of Domestic Violence. … Best Plastic Surgeon

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Mission Statement

Doctor Jacono’s desire to become a facial plastic surgeon was solidified in grade school. There was a girl on his school bus route who was born with a cleft lip and palate deformity. Unfortunately, whenever she spoke, air and words escaped through her nose. Kids teased her and were cruel, and nobody would sit next to her on the bus, so he decided to sit with her. One day, the girl had plastic surgery and returned to school with her face repaired. Suddenly, classmates saw her face instead of her deformity and immediately treated her normally. It was at that moment that Doctor Jacono knew he wanted to fix people’s faces and change their lives. This is why he has gone on over twenty plastic surgery missions to poor countries around the world and provided free cleft lip and surgery for birth defects to over 500 children.

Because of this experience in his childhood, Doctor Jacono understands that one of our basic needs as human beings is to feel confident about our appearance. It’s is Doctor Jacono’s passion to help his patients achieve their facial aesthetic goals, creating natural appearing results to either enhance their beauty and proportion or rejuvenate their aging appearance. He is a world-renowned leader in the field of facial plastic surgery and only performs surgery on the face, not the body. He has innovated many facelift, eyelid lift, and rhinoplasty surgical techniques, publishing in leading peer reviewed literature and lecturing at plastic surgery conferences all over the world. He is committed to sharing what he has learned teaching surgeons from around the world.

His approach is to maintain your uniqueness and facial identity; it is still you just better. To do this he uses a customized, bespoke approach to each patient employing the most minimally invasive, innovative, and cutting-edge technology. Doctor Jacono has never performed the same procedure on any two of the thousands of patients he has treated. He is committed to providing his surgical expertise in a caring, supportive environment with a professional staff that has you as their focus and concern.