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Dr. Andrew Jacono, MD, FACS is considered the Best Plastic Surgeon in New York Specializing in mini facelifts, rhinoplasties (nose job surgery) and eyelid lifts World Leading Expert in Facial Plastic Surgery,
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Home » About Dr. Jacono » Extended Deep Plane Facelift

Extended Deep Plane Facelift

Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation

lower facial rejuvenation multispecialty approach

Extended Deep Plane Facelift Technique

Dr. Jacono was a contributing author in the Clinics in Plastic Surgery – Lower Facial Rejuvenation: A Multispecialty Approach.

Dr. Jacono’s chapter titled Extended Deep Plane Facelift – Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation discusses the deep plane facelift procedure inside and out.

In this chapter, Dr. Jacono discusses how:

  • Deep plane face-lifting targets the mobile medical superficial muscular aponeurotic system (SMAS), bypassing the lateral fixed superficial muscular aponeurotic system dissected in these techniques.
  • Releasing facial and cervical retaining ligaments allows greater re-draping of the superficial muscular aponeurotic system and platysma during rhytidectomy.
  • Extending the deep plane flap inferiorly into the neck and incorporating a platysmal myotomy creates a platysma hammock to define the mandibular contour and support the submandibular gland.
  • Deep plane composite flaps of skin, the superficial muscular aponeurotic system, and malar fat can be re-positioned to volumize the midface and gonial angle.


Extended Deep Plane Facelift Before and After Patient: This wonderful 57-year-old patient was unhappy with her facial aging. I performed an extended deep plane facelift, a neck lift, and platysmaplasty with neck liposuction which gave her back a crisp yet smooth and natural-looking jawline. She was excited about her results and extremely happy that she had her scars that were already almost gone. Even with her hair pulled back into a ponytail, you will not be able to see any visible scarring.

Before & After
extended deep plane facelift patient before and after photos
Before & After
extended deep plane facelift patient before and after photos


Extended Deep Plane Facelift Before and After Patient: This amazing 75-year-old patient of mine is just 6 months out following her facial plastic surgery.  This patient was concerned with her aging and did not like the loose hanging neck skin or her jawline.  To reverse this, I performed an extended deep plane facelift procedure combined with a neck lift, platysmaplasty, and a lip lift.  The lip lift is the icing on the cake as it shortened the distance between the base of the nose and the top of her upper lip.  This brings the aesthetic balance of the face together which included a gorgeous jawline and smooth neck.  She looks rejuvenated and refreshed, naturally.

Before & After
extended deep plane facelift patient before and after photos
Before & After
extended deep plane facelift patient before and after photos


Extended Deep Plane Facelift Before and After Patient: This beautiful 58-year-old patient of mine at 1 year post op visit and I think she looks great!  I performed an extended deep plane facelift combined with a platysmaplasty, temporal lift, and a lip lift.  The deep plane technique allows me to lift the jowls and fallen cheeks to lift them back to their natural, youthful appearance.  The platysmaplasty was performed to treat her visible vertical neck bands, while the temporal lift opened her eyes, so she looked vibrant and alive.  She loves her results!

Before & After
extended deep plane facelift patient before and after photos
Before & After
extended deep plane facelift patient before and after photos


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Dr. Jacono was selected as one of the Top Ten Facial Plastic Surgeons in New York.
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Andrew Jacono, MD, FACS has been honored with the Patient’s Choice Award for the 7th year in a row. 2012 - 2018
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Dr. Jacono has launched a new Middle Eastern Facial Plastic Surgery version of his website for Middle Eastern Facial Plastic Surgery

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.