Facial Plastic Surgery

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Dr. Andrew Jacono, MD, FACS is considered one of the Best Plastic Surgeons in New York Specializing in mini face lifts, rhinoplasties (nose job surgery) and eyelid lifts World Leading Expert in Facial Plastic Surgery,
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New York Center for Facial Plastic Surgery
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Home » No General Anesthesia

Plastic Surgery Under Local and Twilight Anesthesia Without General Anesthesia

Info About Plastic Surgery Under Local and Plastic Surgery Without General Anesthesia

Patients often ask whether their plastic surgery can be performed without general anesthesia.  General anesthesia involves being paralyzed during surgery with medications administered by an anesthesiologist, including placement of a breathing tube and breathing anesthetic gas.  Patients are concerned about the risks involved with having general anesthesia as it puts a significant amount of strain on the body.  Other patients have experienced days of feeling ill with nausea, headaches and weakness after general anesthesia, and want to avoid it at all costs.

Doctor Jacono rarely uses general anesthesia in his practice when performing facial plastic surgery.  Besides his natural and beautiful results, this is another reason why patients travel from all over the United States and all over the world to have surgery with him (https://www.newyorkfacialplasticsurgery.com/long-island-plastic-surgery).  In fact, he prefers not to use it unless it is necessary because a patient has some other medical condition that requires it.  General anesthetic drugs and gases cause major physiologic changes it the body; it causes blood vessels to dilate increasing how much you bleed during surgery.  This causes bruising and swelling, which increases recovery time.  Additionally, general anesthesia can induce vomiting which can lead to further trauma and torn sutures for some patients.

Face lifts, Rhinoplasties (“nose jobs”), eyelid lifts, lip augmentaton surgery, chin and cheek augmentation, and many other procedures can easily and safely be performed without general anesthesia under local anesthesia.

Doctor Jacono either performs surgery under a local anesthesia, which means the patient is wide awake and has surgery after numbing shots are administered, or under a twilight anesthesia given through an IV (no anesthesia gas is given) where the patient is asleep and not aware.  In NEITHER case are they under general anesthesia.

Face lifts, Rhinoplasties (“nose jobs”), eyelid lifts, lip augmentaton surgery, chin and cheek augmentation, and many other procedures can easily and safely be performed under local anesthesia.  This means being given a minor sedative like valium in a pill form to relax you, and then your plastic surgeon injects Novocaine-like local shots (similar to the ones you would get at the dentist) to numb the part of the face having surgery.  Doctor Jacono uses drugs called Lidocaine and Marcaine because they last longer and are more effective than novocaine.  The shots can be painful and multiple shots need to be administered, but he uses a tiny needle that spreads the medicine slowly to minimize discomfort.  Because of this discomfort he does not suggest this procedure for those who are afraid of needles or have a very low pain threshold. The value in local anesthesia is that it decreases the amount of bleeding during surgery when compared to general anesthesia, and therefore bruising and post operative recovery is lessened.  Also, there are additional cost savings because you do not have to pay for an anesthesiologist to administer anesthesia as the surgeon gives the shots to numb the face.

Doctor Jacono also employ music therapy prior to injections and during the local anesthesia surgery.  It has been shown that playing relaxing music that a patient prefers helps lower patient’s blood pressure during surgery.  This limits bleeding, and therefore minimizes bruising.

For patients who do not want to be awake and aware during surgery, we perform a twilight anesthesia.  This is the same anesthesia given iv (Intravenous) during a colonoscopy called propofol.  This medication is like an intravenous valium, but as soon as the medicine is turned off, you wake up in a few minutes, without any nausea headache or hangover from general anesthesia gas.  Twilight anesthesia also reduces bruising compared to general anesthesia. It is extremely safe, and patients often feel great after surgery just like they had a great night sleep.  Any person who has had a colonoscopy (and I am one of them) can attest to this fact.

One way we modify a twilight type of anesthesia is in rhinoplasty cases.  Here we place a dam in the back of the throat called an LMA that prevents blood from dripping into the windpipe.  Because you are sleeping you cannot protect your airway which can become blocked with a blood clot.

Many plastic surgeons will only perform surgery under general anesthesia.  While I do agree that the risks of having serious complications after anesthesia are extremely low (less than .001%), there is no question that the rate of nausea, discomfort and the increased bruising associated with general warrant these surgeons reconsider their approach.  In my opinion, the reason why surgeons continue to do surgery exclusively under general anesthesia has more to do with the doctor’s comfort in performing surgery with the patient in this state, than it being the best option for the patient.

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#supersaturday !!! I love putting smiles on my patients’ faces!!! This week I saw this beautiful 58 year old patient of mine 4 months after I performed her #plasticsurgery .  I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her #plasticsurgerybeforeandafter !  She was worried about her dropping jawline, #jowls, fallen cheeks and #platysmabands.  I performed a  #deepplanefacelift #necklift #platysmaplasty.  I lover her gorgeous new jawline and how crisp her neck looks!  I could cut diamonds with that jawline!!! She is one of my favorite patients, so fun and has a great personality.  Kind, interesting, generous and just hilarious. Her husband is a physician and I am always honored to take care of a doctor’s wife.  Her appearance is important in her career, so I am grateful she trusted me with her face!!! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery

#supersaturday !!! I love putting smiles on my patients’ faces!!! This week I saw this beautiful 58 year old patient of mine 4 months after I performed her #plasticsurgery . I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her #plasticsurgerybeforeandafter ! She was worried about her dropping jawline, #jowls, fallen cheeks and #platysmabands. I performed a #deepplanefacelift #necklift #platysmaplasty. I lover her gorgeous new jawline and how crisp her neck looks! I could cut diamonds with that jawline!!! She is one of my favorite patients, so fun and has a great personality. Kind, interesting, generous and just hilarious. Her husband is a physician and I am always honored to take care of a doctor’s wife. Her appearance is important in her career, so I am grateful she trusted me with her face!!! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery ...

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#transformationthursday !! Tonight I saw this gentleman who is 3 months after I performed his #facelift and he looks amazing!!! He was tired of his #jowls and heavy #turkeyneck.  He said he looked tired but was feeling great on the inside and wanted it to match .  For men the face can never be tight because it can feminize the facial appearance.  In my #deepplanefacelift approach for men because  the skin, underlying #subcutaneousfat and facial muscles are lifted as one unit so the lift comes from the deep structure of the face so the skin never appears tight.  He had deep #nasolabialfold, #jowls and a #turkeyneck with #platysmal bands.  I also lift his neck with a #necklift and #platysmaplasty.  His major concern was looking natural and after his surgery I think he looks like a better version of himself just years younger!!! He is a fellow physician, so it means the world to me that he trusted me for his surgery.  He is such a nice down to earth guy, and one of the hardest working doctors I know.  He works 7 days a week!  #faceliftformen #faceliftbeforeandafter #faceliftnyc #faceliftspecialist #parkavenueplasticsurgery #plasticsurgerybeforeandafter #plasticsurgerybeverlyhills #plasticsurgerypictures #plasticsurgeryinstagram #plasticsurgery #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #plasticsurgeryformen

#transformationthursday !! Tonight I saw this gentleman who is 3 months after I performed his #facelift and he looks amazing!!! He was tired of his #jowls and heavy #turkeyneck. He said he looked tired but was feeling great on the inside and wanted it to match . For men the face can never be tight because it can feminize the facial appearance. In my #deepplanefacelift approach for men because the skin, underlying #subcutaneousfat and facial muscles are lifted as one unit so the lift comes from the deep structure of the face so the skin never appears tight. He had deep #nasolabialfold, #jowls and a #turkeyneck with #platysmal bands. I also lift his neck with a #necklift and #platysmaplasty. His major concern was looking natural and after his surgery I think he looks like a better version of himself just years younger!!! He is a fellow physician, so it means the world to me that he trusted me for his surgery. He is such a nice down to earth guy, and one of the hardest working doctors I know. He works 7 days a week! #faceliftformen #faceliftbeforeandafter #faceliftnyc #faceliftspecialist #parkavenueplasticsurgery #plasticsurgerybeforeandafter #plasticsurgerybeverlyhills #plasticsurgerypictures #plasticsurgeryinstagram #plasticsurgery #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #plasticsurgeryformen ...

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#wowwednesday !!! I just saw this beautiful 56 year old patient of mine just 3 months after I performed her #plasticsurgery .  I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her #plasticsurgerybeforeandafter !  And I love that she has her hair pulled behind her ears and you cannot see any scars ! She was worried about her dropping jawline, #jowls, fallen cheeks and #platysmabands and tired eyes.  I performed a  #deepplanefacelift #necklift #platysmaplasty and upper and lower #eyeliftsurgery .  I love her gorgeous new jawline and how crisp her neck looks!  Her eyes look bright and refreshed.  The hooded eyelid skin has been removed and her eye shape is maintained.  She is such a wonderful lady, and we have so much in common.  I appreciate that she took the trip from Boston.  #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery

#wowwednesday !!! I just saw this beautiful 56 year old patient of mine just 3 months after I performed her #plasticsurgery . I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her #plasticsurgerybeforeandafter ! And I love that she has her hair pulled behind her ears and you cannot see any scars ! She was worried about her dropping jawline, #jowls, fallen cheeks and #platysmabands and tired eyes. I performed a #deepplanefacelift #necklift #platysmaplasty and upper and lower #eyeliftsurgery . I love her gorgeous new jawline and how crisp her neck looks! Her eyes look bright and refreshed. The hooded eyelid skin has been removed and her eye shape is maintained. She is such a wonderful lady, and we have so much in common. I appreciate that she took the trip from Boston. #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery ...

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#ilovehernewnose !! This beautiful 23 year old patient of mine wanted a #rhinoplasty because she felt like the size of her nose and her bulbous nasal tip overwhelmed her face. I performed an #openrhinoplasty and #alarreduction to help reduce her nasal bridge, refine her #nasaltip and reduce the size and thickness of the nostrils.  On her profile she wanted a slight curve to her bridge and her tip lifted which I think looks so feminine and pretty.  Her eyes are brighter, her face appears more heart shaped, her chin is more balanced and she looks glowing!!! Her eyes are sparkling with a new confidence! I am grateful for her entrusting her face in my hands! #rhinoplastybeforeandafter #nosejob #rhinoplastyspecialist #rhinoplastydiary #rhinoplastynyc #rhinoplastysociety #rhinoplastysurgery #rhinoplastynosesurgery #rhinoplastyjourney #rhinoplastyexpert #rhinoplastysurgeon #rhinoplastygallery #plasticsurgerybeforeandafter #plasticsurgeryinstagram #plasticsurgerynyc #parkavenueplasticsurgery #plasticsurgery #septorhinoplasty #nosejobbeforeandafter #newnose

#ilovehernewnose !! This beautiful 23 year old patient of mine wanted a #rhinoplasty because she felt like the size of her nose and her bulbous nasal tip overwhelmed her face. I performed an #openrhinoplasty and #alarreduction to help reduce her nasal bridge, refine her #nasaltip and reduce the size and thickness of the nostrils. On her profile she wanted a slight curve to her bridge and her tip lifted which I think looks so feminine and pretty. Her eyes are brighter, her face appears more heart shaped, her chin is more balanced and she looks glowing!!! Her eyes are sparkling with a new confidence! I am grateful for her entrusting her face in my hands! #rhinoplastybeforeandafter #nosejob #rhinoplastyspecialist #rhinoplastydiary #rhinoplastynyc #rhinoplastysociety #rhinoplastysurgery #rhinoplastynosesurgery #rhinoplastyjourney #rhinoplastyexpert #rhinoplastysurgeon #rhinoplastygallery #plasticsurgerybeforeandafter #plasticsurgeryinstagram #plasticsurgerynyc #parkavenueplasticsurgery #plasticsurgery #septorhinoplasty #nosejobbeforeandafter #newnose ...

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#fabulousfriday !! Wanted to share one of my favorite #plasticsurgerybeforeandafter to restore a crisp defined jawline.  As we get older even if we exercise, diet and stay fit our jawline make us look out of shape.  This beautiful 55 year old woman hated the appearance of her lower face and jawline and tried #ultherapy and #threadlifts.  Additionally her cheeks had also dropped creating #nasolabialfolds .  On the three quarter profile view (swipe left!) you can see heavy #jowls .  I performed a #deepplanefacelift and #platysmaplasty to tighten the #platysmalbands in her neck.  I was so excited about her result.  She looks 20 years younger but her jawline looks smooth not tight because the deep plane approach focuses on release and resupporting the deep tissues not pulling on the skin which distorts the corners of the mouth.  Such  a great lady, I am blessed to have such wonderful people in my practice.  I am grateful she trusted me with her face! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift

#fabulousfriday !! Wanted to share one of my favorite #plasticsurgerybeforeandafter to restore a crisp defined jawline. As we get older even if we exercise, diet and stay fit our jawline make us look out of shape. This beautiful 55 year old woman hated the appearance of her lower face and jawline and tried #ultherapy and #threadlifts. Additionally her cheeks had also dropped creating #nasolabialfolds . On the three quarter profile view (swipe left!) you can see heavy #jowls . I performed a #deepplanefacelift and #platysmaplasty to tighten the #platysmalbands in her neck. I was so excited about her result. She looks 20 years younger but her jawline looks smooth not tight because the deep plane approach focuses on release and resupporting the deep tissues not pulling on the skin which distorts the corners of the mouth. Such a great lady, I am blessed to have such wonderful people in my practice. I am grateful she trusted me with her face! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift ...

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#fabulousfriday !!! Today I saw this beautiful 58 year old patient of mine just 6 weeks after I performed her #plasticsurgery .  I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her #plasticsurgerybeforeandafter !  She was worried about her dropping jawline, #jowls, fallen cheeks and #platysmabands and tired eyes.  I performed a  #deepplanefacelift #necklift #platysmaplasty and upper and lower #eyeliftsurgery .  I lover her gorgeous new jawline and how crisp her neck looks!  I could cut diamonds with that jawline!!! Her eyes look bright and refreshed.  The hooded eyelid skin has been removed and her eye shape is maintained.  Many patients are worried that #blepharoplasty will give them cat eyes or distorted eyelids but this can be avoided with advanced and  meticulous techniques!  She is such a wonderful lady, and a doctor so I am always humbled when I am trusted me with a fellow physician’s face! She came all the way from Kentucky, and will be checking out new restaurants in NYC this weekend now that indoor dining has been opened with her beautiful new fade!!!! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery

#fabulousfriday !!! Today I saw this beautiful 58 year old patient of mine just 6 weeks after I performed her #plasticsurgery . I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her #plasticsurgerybeforeandafter ! She was worried about her dropping jawline, #jowls, fallen cheeks and #platysmabands and tired eyes. I performed a #deepplanefacelift #necklift #platysmaplasty and upper and lower #eyeliftsurgery . I lover her gorgeous new jawline and how crisp her neck looks! I could cut diamonds with that jawline!!! Her eyes look bright and refreshed. The hooded eyelid skin has been removed and her eye shape is maintained. Many patients are worried that #blepharoplasty will give them cat eyes or distorted eyelids but this can be avoided with advanced and meticulous techniques! She is such a wonderful lady, and a doctor so I am always humbled when I am trusted me with a fellow physician’s face! She came all the way from Kentucky, and will be checking out new restaurants in NYC this weekend now that indoor dining has been opened with her beautiful new fade!!!! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery ...

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#transformationthursday !! This one is a #motherdaughter makeover!!! This 54 year old patient of mine wanted to lift her #jowls and lift and define her neck and #platysmalbands .  She also wanted to elevate her cheeks and smooth her #nasolabialfolds .  I did this without general anesthesia performing a #minifacelift technique that combines a #shortscarfacelift and #deepplanefacelift #necklift #platysmaplasty and #neckliposuction !  I LOVE LOVE LOVE her new jawline.  She is so happy her scars are not  visible even with her hair pulled back!  I am grateful she trusted me with her face, on of the nicest people you will ever meet! #facelift #plasticsurgery #plasticsurgerybeforeandafter #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #plasticsurgery #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift

#transformationthursday !! This one is a #motherdaughter makeover!!! This 54 year old patient of mine wanted to lift her #jowls and lift and define her neck and #platysmalbands . She also wanted to elevate her cheeks and smooth her #nasolabialfolds . I did this without general anesthesia performing a #minifacelift technique that combines a #shortscarfacelift and #deepplanefacelift #necklift #platysmaplasty and #neckliposuction ! I LOVE LOVE LOVE her new jawline. She is so happy her scars are not visible even with her hair pulled back! I am grateful she trusted me with her face, on of the nicest people you will ever meet! #facelift #plasticsurgery #plasticsurgerybeforeandafter #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #plasticsurgery #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift ...

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Thank you to @allure and @marcirobin for including me in this piece on the @aafprs annual survey results! The decrease in filler requests and uptick in surgical procedures shows that the consumer is looking for more significant facial rejuvenation like what can be accomplished with a #deepplanefacelift . They are realizing that with advanced minimally invasive surgical techniques and rapid recovery solutions, like hyperbaric oxygen therapy, there is no need to put off #plasticsurgery.

Thank you to @allure and @marcirobin for including me in this piece on the @aafprs annual survey results! The decrease in filler requests and uptick in surgical procedures shows that the consumer is looking for more significant facial rejuvenation like what can be accomplished with a #deepplanefacelift . They are realizing that with advanced minimally invasive surgical techniques and rapid recovery solutions, like hyperbaric oxygen therapy, there is no need to put off #plasticsurgery. ...

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#makeovermonday !!!! Today I got this #plasticsurgerybeforeandafter selfie of this beautiful 40 year old woman patient of mine from Tennessee 4 months after her #plasticsurgery and I think she looks 15 years younger but completely like herself!  She felt her face looked elongated and droopy and was tired of fillers and lasers that did not get her the rejuvenation she desired.  Her face was appearing overfilled, and broad.  When I planned her surgery my aim was to create aesthetic balance in her middle and lower face that had been affected by gravity.  I lifted her cheeks and #nasolabialfolds with my minimal access (short incision) #deepplanefacelift .  This helped reduce the heaviness on the middle and lower third of her face, creating a heart shape with more definition along the jawline.  I performed #fatgrafting to her lower eyelids for deep hollies that made her look tired.  Her lip had also elongated with age so I performed a #liplift to shorten the #philtrum shifting the visual axis of her face and highlight her lips.  She told me all her friends are blown away by how youthful she looks and how her nasolabial folds are gone!! She is such a kind, down to earth, person I feel privileged that she chose me as her surgeon.  #ilovemyjob  #faceliftbeforeandafter #lipliftresults #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #liplifting #lipliftsurgery #minifacelift #bullhornliplift

#makeovermonday !!!! Today I got this #plasticsurgerybeforeandafter selfie of this beautiful 40 year old woman patient of mine from Tennessee 4 months after her #plasticsurgery and I think she looks 15 years younger but completely like herself! She felt her face looked elongated and droopy and was tired of fillers and lasers that did not get her the rejuvenation she desired. Her face was appearing overfilled, and broad. When I planned her surgery my aim was to create aesthetic balance in her middle and lower face that had been affected by gravity. I lifted her cheeks and #nasolabialfolds with my minimal access (short incision) #deepplanefacelift . This helped reduce the heaviness on the middle and lower third of her face, creating a heart shape with more definition along the jawline. I performed #fatgrafting to her lower eyelids for deep hollies that made her look tired. Her lip had also elongated with age so I performed a #liplift to shorten the #philtrum shifting the visual axis of her face and highlight her lips. She told me all her friends are blown away by how youthful she looks and how her nasolabial folds are gone!! She is such a kind, down to earth, person I feel privileged that she chose me as her surgeon. #ilovemyjob #faceliftbeforeandafter #lipliftresults #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #liplifting #lipliftsurgery #minifacelift #bullhornliplift ...

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#motherdaughtermakeover !! When I saw this patient after her #deepplanefacelift , #necklift with #platysmaplasty, and upper and lower #eyeliftsurgery , I walked in the room and it took my breath away!  She looks gorgeous and like 20 years younger!  The deep plane facelift smoothed and defined the jawline while reducing the jowls and #nasolabialfolds.  The #necklift  treated the turkey neck and #platysmalbands. Her eyes look so bright and rejuvenated!  She looks natural, not tight or surgerized, and family and friends tell her how fantastic she looks!  #ilovemyjob #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #passionateaboutplasticsurgery #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #minifacelift

#motherdaughtermakeover !! When I saw this patient after her #deepplanefacelift , #necklift with #platysmaplasty, and upper and lower #eyeliftsurgery , I walked in the room and it took my breath away! She looks gorgeous and like 20 years younger! The deep plane facelift smoothed and defined the jawline while reducing the jowls and #nasolabialfolds. The #necklift treated the turkey neck and #platysmalbands. Her eyes look so bright and rejuvenated! She looks natural, not tight or surgerized, and family and friends tell her how fantastic she looks! #ilovemyjob #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #passionateaboutplasticsurgery #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #minifacelift ...

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Dr. Jacono - Top Ten Doctor Award
Dr. Jacono was selected as one of the Top Ten Facial Plastic Surgeons in New York.
Dr. Jacono - Top Ten Doctor Award
Dr. Jacono has been a Castle Connolly Top Doctor since 2012.
Dr Andrew Jacono Patient Choice Award
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 faceliftusa.ae … More

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. … More

Contact

New York City Office
630 Park Ave, New York, NY 10065
Tel. (212) 570.2500 | Fax (212) 249-2264

Long Island Office
440 Northern Blvd, Great Neck, NY 11021
Tel. (516) 773-4646 | Fax (516) 773-1360

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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.