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 City (212) 570-2500 Long Island (516) 773-4646
New York Center for Facial Plastic Surgery
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Home » Plastic Surgery Results » Eye LIft » Lower Blepharoplasty

Lower Blepharoplasty

Info About Lower Eye Lift – Transconjunctival Blepharoplasty – Lower Eyelid Surgery Recovery

lower eyelid lift before and after with canthopexy

Transconjunctival Lower Eyelid Lift Before and After with Canthopexy. This woman in her late forties had tired looking eyes with large bags and lateral canthus (outer corner of eye) rounding that happens with age. Doctor Jacono performed a fat transposition lower eyelid lift moving the fat bags under the eyes into the tear troughs. He also performed a canthopexy to tighten the drooped corner of the eye recreating a more youthful almond shaped eye.

Lower eyelid surgery is a cosmetic procedure that Dr. Jacono performs to rejuvenate the appearance of aging eyelids. As the lower eyelids age, five main changes occur creating an older and sometimes tired or sad appearance. Superficially, loose hanging skin develops creating wrinkles under the eye lashes leading to crow’s feet toward the outer corner. The orbicularis oculi muscle around the eye becomes looser creating hanging that is referred to as a festoon. Eyelid puffiness develops that is the result of excess fat pockets called orbital fat. Dark circles develop immediately beneath these fat pockets as volume is lost in the upper cheek.

Lower Eyelid Surgery – Lower Blepharoplasty

This is often referred to as the tear trough and is a hollow that collects shadows. This will leave the bony rim of the eyes to become more exposed and create a hollowed appearance to your face. These changes will make you appear to be older than you are and look tired and fatigued. Lastly, the outer corner of the eye called the lateral canthus loosens, creating a downturn associated with puppy dog sad look. Your cheeks will also give way to the aging process and start to descend to a lower position. Not everyone develops all of these problems, so Dr. Jacono tailors lower eyelid surgery to the individual problems of each patient. Not overdoing lower eyelid surgery is the key to maintaining the character and identity of your eyes.

What Happens to the Lower Eyelids As We Age?

Common Reasons to Have a Lower Eyelid Surgery Include:

  • Excess loose skin that sags under the eyes
  • Puffy lower eyelids causing you to look tired
  • Excessive lower eyelid wrinkles
  • Dark Circles under your eyes
  • Change in the shape of your eyes from a youthful almond shape to an older round shape


eye lift before and after photos

Lower Eye Lift Before and After. This woman in her late forties wanted to lift her drooping cheeks and nasolabial folds and recreate a tighter jawline and get rid of her jowls. She had a mini facelift with a deep plane facelift of her fallen facial musculature. A short scar facelift incision was used so the incisions are hidden on the inside and behind the ear so the hair can be worn up with a ponytail. She has her upper eyelid lift and lower eyelid lift with a fat transposition to fill her under eye circles performed at the same.


Why a Lower Eyelid Surgery?

The lower eyelids can be rejuvenated with a non-surgical eyelid lift by injecting hyaluronic acid filler in the hollowed out tear trough under the eye to camouflage the puffy eyelid bags above it. Botox can be added to smooth out eyelid wrinkles. This approach will often work for patients through their forties. As we continue to age, the eyelid bags become too large to hide with filler injection, and the skin too excessive to smooth out with Botox. For some people they have a genetic predisposition for lower eyelid bags and develop these changes earlier in life, sometimes as early as the thirties. When non-surgical methods do not work as well is when to consider lower eyelid surgery for more permanent fix.

Lower eyelid surgery results last 15 years or more, as opposed to 6 to 12 months for a non-surgical eyelid lift. Interestingly, the cost of repeated injections over 10 years will cost 3 to 4 times the cost of a lower eyelid lift surgery, so surgery is actually more cost-effective in the long run.

How a Lower Blepharoplasty is Performed – The Skin

Lower Eyelid Lift Incision Types. The bags under the eyes can be approached through an incision placed inside the eyelid called a transconjunctival blepharoplasty or just below the eyelashes called a transcutaneous blepharoplasty. The decision to make the external incision depends upon how much skin needs to be removed.

transconjunctival blepharoplasty
transcutaneous blepharoplasty


A lower blepharoplasty is the medical term for a lower eyelid surgery and it involves the removal of the excess sagging skin, muscle, and fat or the lower eyelids. This procedure can be performed as an outpatient procedure and even done under local anesthesia. Doctor Jacono does not use general anesthesia for this procedure, but will use twilight anesthesia with IV sedation if you want to be asleep. Avoiding general anesthesia reduces risks and also prevents you from feeling sick and nauseous after the surgery.

Dr. Jacono will begin the procedure by carefully placing an incision either immediately beneath the eyelashes or for some cases he will place the incision on the inside of the lower eyelid. When Doctor Jacono places the incision on the inside of the lower eyelid the procedure is called a transconjunctival lower blepharoplasty, when placed externally it is called a transcutaneous lower blepharoplasty. In both cases, the incision will be virtually invisible. The decision whether to place the incision inside the eyelid or on the outside has to do with the amount of skin that requires tightening. When less skin tightening is required a laser resurfacing can tighten the skin and the work on the eyelid bags can be done internally. If there is a lot of excessive skin, it needs to be trimmed like hemming long pants so an external incision is necessary. Because the incision is 1 millimeter form the eyelashes, it is virtually invisible. Doctor Jacono determines the approach utilized during your pre-operative consultation. He makes every effort to use the internal approach if you are a candidate.

Transcutaneous Lower Blepharoplasty Before and After

Transcutaneous Lower Blepharoplasty Before and After. This patient in her late forties is a sun worshipper with fair skin that developed significant wrinkling and excess skin. In addition to repositioning her orbital fat, he needed to remove a large amount of excess skin requiring an external incision under the eyelashes. The incisions heal well in just a few weeks as you can see in this picture.


How a Lower Blepharoplasty is Performed – The Bags

fat transposition blepharoplasty illustration

Fat Transposition Lower Blepharoplasty – Instead of removing the fat bags under the eyes which creates a hollowed out, plastic and “done” look, Doctor Jacono transposes the orbital fat down into the tear trough. This is the hollowed area underneath the eyes that creates dark circles. In this way both the bags are removed and the hollows filled in one procedure.


eyelid lift with fat transposition before and after

Lower Blepharoplasty Before and After with Fat Transposition. This woman in her 50s had bags under her eyes and hollowing in her upper cheeks. Doctor Jacono performed a transconjunctival fat transposition to fill her tear trough and remove her lower eyelid bags.


Doctor Jacono does not believe in simply removing fat bags from under the eyes because it will create a hollowed out look that makes you look like you had your eyes done. Even though you do not have bags it makes you look older. Instead after accessing the fat from an internal or external approach, doctor Jacono will reduce a small amount of fat, but repositions the rest inferiorly into the tear trough or hollowed out area under the eye above the cheeks. Refilling the dark shadows under the eyes makes the eyes appear youthful while getting rid of the bags. This technique is called a fat transposition blepharoplasty, and Dr. Jacono has recently published his modification of the lower eyelid lift technique in the peer reviewed plastic surgery journal JAMA Facial Plastic Surgery (Journal of American Medical Association).


festoon correction repair before and after

Festoon Correction Before and After. This woman in her mid 60s had more significant drooping of the eyelid muscles called festooning. To repair this Doctor Jacono performed a transcutaneous blepharoplasty with a skin muscle flap to target the excess muscle, lift and remove it smoothing excessive festoons. Many plastic surgeons do not repair festoons as it is a more complex muscle repair.


Canthopexy Procedure Illustration

Canthopexy Procedure. Doctor Jacono will often incorporate a procedure to tighten the lateral canthal tendon of the lower eyelid to support it as it weakens with age. This helps prevent lower eyelid shape change after lower blepharoplasty. He can also recreate the almond shaped eyes people had in youth. He routinely asks patients to bring photos of themselves from years ago so he can recreate that shape during the lower eyelid lift.

After the orbital fat has been treated, the drooping eye muscle called the orbicularis oculi muscle must be tightened. Loose orbicularis muscle creates a festoon or hammock of muscle below the eyelids. This can be treated with a suture or stitch tightening called an orbicularis hitch or sometimes requires the muscle to be completely lifted and excess removed when eyelids are more aged. This is called a skin muscle flap blepharoplasty. More muscle work will create more bruising after surgery.

Maintaining the Shape of the Eyelids – Canthopexy

A common problem after lower eyelid surgery is a change in the shape of the eyelids, with the corner pulling down called ectropion. Doctor Jacono performs revision lower eyelid surgery so he knows how to prevent this problem with a procedure called a canthopexy. During the lower eyelid surgery, he will strengthen a tendon in the eyelid called the lateral canthal tendon with a dissolvable suture so that the eyelid does not pull down while the eyelid heals. If patients notice that their eyelids shape changed as they became droopier, for example losing the almond shape of youth for a more rounded eye, he will perform a canthoplasty with a permanent suture to maintain the new shape.

Fat Transfer to The Lower Eyelids – When is it Necessary?

Some patients only develop extra skin, loosening of the lower eyelid muscles, and hollowing of the eyes but do not develop any lower eyelid fat bags. Others may have had a prior lower eyelid surgery that removed the eyelid fat and now look hollowed out. In these cases Doctor Jacono will perform fat grafting often referred to as a fat transfer where fat is removed from the abdomen, hips or thighs and injected into the tear trough. This fat is not as smooth or viable as fat from the orbit, but is the next best substitute if no fat is present to fill hollowed under eye circles. The skin and muscle are tightened similarly as described above during the fat transfer.


fat transposition lower blepharoplasty before and after

Fat Transposition Lower Blepharoplasty with Orbicularis Muscle Tightening. This woman in her late fifties had large orbital fat pockets. Doctor Jacono removed some of this fat and transposed the remainder to the tear trough. Her eyelid muscle was drooping as well so he performed a skin muscle flap to redrape and remove the excess muscle.


Lower Blepharoplasty Anesthesia and Recovery

The lower eyelid procedure will take approximately one but surgical time is dependent upon what type of procedure Dr. Jacono is performing. For some patients, Dr. Jacono will also perform an upper eyelid procedure to complete a total eye rejuvenation. It is not unusual for patients to choose to have complementary aging procedures such as mini facelift and neck lift to complete the overall facial rejuvenation. Bruising usually lasts 7 to 10 days, Doctor Jacono has specialized makeup to cover bruises after plastic surgery.


lower eyelid fat transfer before and after

Fat Transfer to Lower Eyelid Combined with Lower Blepharoplasty Before and After. This woman in her 60s had hollowed eyes with aging but had no eyelid fat to fill her tear trough. Doctor Jacono performed a fat graft injection to fill the sunken eyes as well as tightened loosening eyelid muscle and removed excess skin. The result is more youthful appearing eyes.


Lower Eyelid (Blepharoplasty) Candidate

Men and women who have puffy bags under their eyes and/or excess lower eyelid skin, may be a candidate for a lower blepharoplasty. The best candidates are in good physical health, are non-smokers, and willing to follow specific post-surgical instructions.

To see if you are a good candidate, the best first step would be to schedule an in-person consultation with Dr. Jacono at one of his two New York locations. During your consultation, you will be able to discuss your concerns and surgical goals with Dr. Jacono who will then help to create a custom solution to give you the best surgical outcome that is aligned with your expectations.


lower blepharoplasty before and after

Lower Eyelid Patient: Dr. Jacono performed a deep plane facelift and a lower blepharoplasty to address her concerns. Dr. Jacono also repositioned the lower eyebags to reduce the appearance of her dark eye circles. Her after photos show her cheeks have been lifted to reverse the drooping affect and the hollows under her eyes were smooth and filled. She looks natural and decades younger.


lower eye lift before and after

Lower Eye Lift Patient: This patient is 1-year post-operative and in her early fifties. She wanted to look younger and more rejuvenated. Dr. Jacono performed a deep plane facelift procedure combined with a neck lift, platysmaplasty, lateral temporal lift and a lower blepharoplasty with orbital fat transposition. Her after photos show her looking natural and refreshed. Not pulled or too tight.


If you would like to learn more about lower eyelid surgery options, or to schedule your in-office consultation with Dr. Jacono, please complete an online consultation form and one of his patient coordinators will help to schedule your appointment. Alternatively, you can call his New York City location at 212-570-2500 or his Long Island center at 516-773-4646.

Procedures for Eyes

  • Eyelid Lift
  • Upper Blepharoplasty
  • Lower Blepharoplasty
  • Non-Surgical Eye Lift
  • Male Eye Lift Surgery
  • Revision Eye Lift
  • Lateral Temporal Lift
  • Endoscopic Browlift
  • Revision Browlift
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#40isthenew20 !!! Today I saw this beautiful 41 year old woman after I performed her #plasticsurgerybeforeandafter !! She was frustrated because  fillers and non-surgical treatments were no longer improving her appearance and she wanted to rejuvenate her appearance permanently.  In order to create natural beauty I corrected the upper middle and lower third of her face with small minimally invasive treatments done through hidden minimal access incisions.  I performed a minimal bc access #deepplanefacelift lateral #temporallift upper #blepharoplasty ( aka #eyelift ) #buccalfatremoval #necklift with #platysmaplasty and importantly both a #liplift .  The deep plane #facelift lifts the dropped cheeks combined with the #buccalfatpadremoval decreases the fullness of the lower cheeks.  As you can see her hair is pulled back and you cannot see any scars!  Both these procedures recreating the heart shape of youth.  The lip falls with age and the upper lip becomes too long making the face look older.  The #facelift does not correct this. You can see how the mole of her upper lip moves up and her lip looks fuller!!! The combo of the temporal lift and upper #eyelift opens rltfecetes and bagels them look vibrant and gorgeous!! She is such a wonderful lady so I am overjoyed for the new confidence she feels.  I am grateful that she has allowed me to be part of her journey and trusted me with her face! She is from Miami, so I am grateful she cane all the way to New York to see me!  #ilovemyjob #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #liplifting #lipliftsurgery #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery #plasticsurgery #upperliplift #upperlipliftsurgery

#40isthenew20 !!! Today I saw this beautiful 41 year old woman after I performed her #plasticsurgerybeforeandafter !! She was frustrated because fillers and non-surgical treatments were no longer improving her appearance and she wanted to rejuvenate her appearance permanently. In order to create natural beauty I corrected the upper middle and lower third of her face with small minimally invasive treatments done through hidden minimal access incisions. I performed a minimal bc access #deepplanefacelift lateral #temporallift upper #blepharoplasty ( aka #eyelift ) #buccalfatremoval #necklift with #platysmaplasty and importantly both a #liplift . The deep plane #facelift lifts the dropped cheeks combined with the #buccalfatpadremoval decreases the fullness of the lower cheeks. As you can see her hair is pulled back and you cannot see any scars! Both these procedures recreating the heart shape of youth. The lip falls with age and the upper lip becomes too long making the face look older. The #facelift does not correct this. You can see how the mole of her upper lip moves up and her lip looks fuller!!! The combo of the temporal lift and upper #eyelift opens rltfecetes and bagels them look vibrant and gorgeous!! She is such a wonderful lady so I am overjoyed for the new confidence she feels. I am grateful that she has allowed me to be part of her journey and trusted me with her face! She is from Miami, so I am grateful she cane all the way to New York to see me! #ilovemyjob #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #liplifting #lipliftsurgery #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery #plasticsurgery #upperliplift #upperlipliftsurgery ...

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Today I am working on my new #deepplanefacelift textbook to be published by @qualitymedicalpublishinginc and I came across this #plasticsurgerybeforeafter I performed .  This beautiful 46 year old woman had premature aging with loss of her jawline contour and neck laxity with #platysmalbands .  I performed a #deepplanefacelift for #jowls and #necklift with #platysmaplasty.  I love that her incisions are not visible with her hair pulled back because I use a minimal access incision inside and behind the ears that cannot he seen.  I performed a #closedrhinoplasty at the same time.  As we age the the nasal tip droops.  The #nasaltipplasty with removal of her #dorsalhump are the icing on the cake of this wonderful transformation!!! She is such an amazing down to earth woman, and she tells me how her surgery has given her a new confidence she hasn’t felt in years, and her husband is blown away that she looks like she did when they started dating over a decade ago!  I am grateful she trusted me with her face!  The name of my book is “The Art and Science of Extended Deep Plane Facelifting” and can be purchased here https://www.qmp.com/product/the-art-and-science-of-extended-deep-plane-facelifting-and-complementary-facial-rejuvenation-procedures/134 #rhinoplastybeforeandafter #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #eyeliftsurgery #plasticsurgery #rhinoplastynyc

Today I am working on my new #deepplanefacelift textbook to be published by @qualitymedicalpublishinginc and I came across this #plasticsurgerybeforeafter I performed . This beautiful 46 year old woman had premature aging with loss of her jawline contour and neck laxity with #platysmalbands . I performed a #deepplanefacelift for #jowls and #necklift with #platysmaplasty. I love that her incisions are not visible with her hair pulled back because I use a minimal access incision inside and behind the ears that cannot he seen. I performed a #closedrhinoplasty at the same time. As we age the the nasal tip droops. The #nasaltipplasty with removal of her #dorsalhump are the icing on the cake of this wonderful transformation!!! She is such an amazing down to earth woman, and she tells me how her surgery has given her a new confidence she hasn’t felt in years, and her husband is blown away that she looks like she did when they started dating over a decade ago! I am grateful she trusted me with her face! The name of my book is “The Art and Science of Extended Deep Plane Facelifting” and can be purchased here https://www.qmp.com/product/the-art-and-science-of-extended-deep-plane-facelifting-and-complementary-facial-rejuvenation-procedures/134 #rhinoplastybeforeandafter #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #eyeliftsurgery #plasticsurgery #rhinoplastynyc ...

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Just took my new @everlast boxing gloves for a spin @gleasonsgym #dumbobrooklyn with the best boxing trainer in NYC @raulfrankboxing .  Too many #burpies and too many punches to the head but I’m still standing !!! #weekendwarrior #boxingworkout #boxinglife #plasticsurgerynyc #plasticsurgeonnyc

Just took my new @everlast boxing gloves for a spin @gleasonsgym #dumbobrooklyn with the best boxing trainer in NYC @raulfrankboxing . Too many #burpies and too many punches to the head but I’m still standing !!! #weekendwarrior #boxingworkout #boxinglife #plasticsurgerynyc #plasticsurgeonnyc ...

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#transformationthursday !!!Today I saw this beautiful 50 year old patient of mine just 3 weeks after I performed a #deepplanefacelift #platysmsplasty #necklift .  She like many of my patients come in for a #facelift when they turn 50 (it’s a landmark!) because they want to restore the definition in their face, jawline and neck before it gets worse.  They don’t want to wait until they have heavy #jowls and a #turkeyneck . When done earlier this will prevent further aging for the following 10 to 15 years before it gets ahead of you.  My MADE #deeplanefacelift treats early jowling and neck changes, with a small incision that is hidden so you can wear your hair back in a ponytail . At 3 weeks her hair is pulled behind her ears and the incisions are well hidden.  She loves her new look and so do I!!! Her jawline is so crisp and defined I just love it. #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift

#transformationthursday !!!Today I saw this beautiful 50 year old patient of mine just 3 weeks after I performed a #deepplanefacelift #platysmsplasty #necklift . She like many of my patients come in for a #facelift when they turn 50 (it’s a landmark!) because they want to restore the definition in their face, jawline and neck before it gets worse. They don’t want to wait until they have heavy #jowls and a #turkeyneck . When done earlier this will prevent further aging for the following 10 to 15 years before it gets ahead of you. My MADE #deeplanefacelift treats early jowling and neck changes, with a small incision that is hidden so you can wear your hair back in a ponytail . At 3 weeks her hair is pulled behind her ears and the incisions are well hidden. She loves her new look and so do I!!! Her jawline is so crisp and defined I just love it. #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift ...

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#happynewyear !  This will be my last #plasticsurgerybeforeandafter post for 2020!  This beautiful patient of mine had accelerated aging and dropping of her face due to excessive filler use that stretched her face and eyelids.  It makes the lower eyelids look puffy and have a bluish tinge called the #tyndalleffect , the cheeks are weighed down and jawline looks wider with filler added to try to create more definition.  Early jowls form and neck droops from the stretched out skin.  Her case was complex, as I needed to remove the filler throughout her face during the surgery and resupport the stretched out muscle and remove excess skin.  She required a #deepplanefacelift #eyelift and #temporallift for the premature drooping. The temporal #browlift opens the upper eyelids that were weighed down.  The lower #blepharoplasty resupported the muscles and created a smooth lid cheek junction.  What I love most is how my minimal access deep plane facelift (M.A.D.E. lift) created  a very defined jawline and be k and high cheek bones with a heart shape face of youth!  Her hair is pulled back with confidence as the incisions are small and hidden inside and behind the war.  I think she looks beautiful and at least a decade younger.  I am grateful for her trust in me!  #faceliftnyc #facelift Dubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #plasticsurgery #minifacelift #eyeliftsurgery #upperliplift #bullhornliplift #plasticsurgery

#happynewyear ! This will be my last #plasticsurgerybeforeandafter post for 2020! This beautiful patient of mine had accelerated aging and dropping of her face due to excessive filler use that stretched her face and eyelids. It makes the lower eyelids look puffy and have a bluish tinge called the #tyndalleffect , the cheeks are weighed down and jawline looks wider with filler added to try to create more definition. Early jowls form and neck droops from the stretched out skin. Her case was complex, as I needed to remove the filler throughout her face during the surgery and resupport the stretched out muscle and remove excess skin. She required a #deepplanefacelift #eyelift and #temporallift for the premature drooping. The temporal #browlift opens the upper eyelids that were weighed down. The lower #blepharoplasty resupported the muscles and created a smooth lid cheek junction. What I love most is how my minimal access deep plane facelift (M.A.D.E. lift) created a very defined jawline and be k and high cheek bones with a heart shape face of youth! Her hair is pulled back with confidence as the incisions are small and hidden inside and behind the war. I think she looks beautiful and at least a decade younger. I am grateful for her trust in me! #faceliftnyc #facelift Dubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #plasticsurgery #minifacelift #eyeliftsurgery #upperliplift #bullhornliplift #plasticsurgery ...

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#sixtyisthenewforty !! Just yesterday I performed a #deepplanefacelift on this 65 year old woman and this pic is immediately after her bandages came off on her first post-operative day I think she looks amazing!  She is the last #facelift I performed in 2020!! She is a #revisionfacelift case, she was frustrated with persistent Jowls and drooping neck just 1 year after a prior #smasfacelift with another surgeon.  Often with a droopier face and more significant aging  a SMAS facelift will not create a durable repair.  Some studies in the literature show a 50% failure rate at 2 years after A SMAS facelift.  I know this first hand because I used to perform SMAS procedures as my go to operation years ago.  This is the reason I prefer the deep plane approach, it works on the deep facial musculature and recreate the structure and underpinnings of the facial support that is longer lasting.  I not only performed a #deepplanefacelift to reposition the heavy deep fat and musculature but a #platysmaplasty for #platysmabands .  You can see we also fixed a #pixieears deformity from the prior operation.  We don’t use general anesthesia which makes it much safer.  She came all the way from Virginia!  She is the nicest woman and I feel blessed to be able to help her restore her confidence.  #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerypictures

#sixtyisthenewforty !! Just yesterday I performed a #deepplanefacelift on this 65 year old woman and this pic is immediately after her bandages came off on her first post-operative day I think she looks amazing! She is the last #facelift I performed in 2020!! She is a #revisionfacelift case, she was frustrated with persistent Jowls and drooping neck just 1 year after a prior #smasfacelift with another surgeon. Often with a droopier face and more significant aging a SMAS facelift will not create a durable repair. Some studies in the literature show a 50% failure rate at 2 years after A SMAS facelift. I know this first hand because I used to perform SMAS procedures as my go to operation years ago. This is the reason I prefer the deep plane approach, it works on the deep facial musculature and recreate the structure and underpinnings of the facial support that is longer lasting. I not only performed a #deepplanefacelift to reposition the heavy deep fat and musculature but a #platysmaplasty for #platysmabands . You can see we also fixed a #pixieears deformity from the prior operation. We don’t use general anesthesia which makes it much safer. She came all the way from Virginia! She is the nicest woman and I feel blessed to be able to help her restore her confidence. #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerypictures ...

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A brisk 7 mile run this morning on #southamptonny in 30 degree weather was made so much better by this warm #manofaran wool hat from #dublin I received as a Christmas gift from one of my #deepplanefacelift patients from Ireland.  I think it makes my beard look grayer LOL!! I still remember when I took off her bandages she said “Holy Mary Mother of God, I look like a child!” She was getting ready for her daughter’s wedding.  One of the nicest people you’ll ever meet.  She even sent Christmas gifts to all my staff with personalized notes!  I have the best patients.  I hope she sends some pics for me to share!

A brisk 7 mile run this morning on #southamptonny in 30 degree weather was made so much better by this warm #manofaran wool hat from #dublin I received as a Christmas gift from one of my #deepplanefacelift patients from Ireland. I think it makes my beard look grayer LOL!! I still remember when I took off her bandages she said “Holy Mary Mother of God, I look like a child!” She was getting ready for her daughter’s wedding. One of the nicest people you’ll ever meet. She even sent Christmas gifts to all my staff with personalized notes! I have the best patients. I hope she sends some pics for me to share! ...

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#understatedelegance #motherdaughtermakeover!!! This case was a combination of rejuvenation and creating more aesthetic balance and beauty.  This 65 year old patient was frustrated with her #jowls and drooping neck and #platysmalbands .  She also wanted to elevate her cheeks and smooth her #nasolabialfolds .  She always wanted to create a more refined look and disliked her prominent nose and recessed chin since her youth, so she decided to combine multiple #plasticsurgery procedure to achieve her goals.  I performed 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 already not  visible even with her hair pulled back!  I performed an #openrhinoplasty at the same time.  As we age the the nasal tip droops, making the nose appear longer and the bridge hump appear more prominent.  The #nasaltipplasty with removal of her #dorsalhump and #chinaugmentation create balance bringing out her inner beauty.  The #chinimplant balances the lower third of the face and the nose. I am grateful she trusted me with her face, one of the nicest people you will ever meet! She had the surgery to prepare fir her sons wedding and she was confidant and radiant that night!! #facelift #plasticsurgerybeforeandafter #deepplanefaceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #faceliftsurgery #facelifting

#understatedelegance #motherdaughtermakeover!!! This case was a combination of rejuvenation and creating more aesthetic balance and beauty. This 65 year old patient was frustrated with her #jowls and drooping neck and #platysmalbands . She also wanted to elevate her cheeks and smooth her #nasolabialfolds . She always wanted to create a more refined look and disliked her prominent nose and recessed chin since her youth, so she decided to combine multiple #plasticsurgery procedure to achieve her goals. I performed 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 already not visible even with her hair pulled back! I performed an #openrhinoplasty at the same time. As we age the the nasal tip droops, making the nose appear longer and the bridge hump appear more prominent. The #nasaltipplasty with removal of her #dorsalhump and #chinaugmentation create balance bringing out her inner beauty. The #chinimplant balances the lower third of the face and the nose. I am grateful she trusted me with her face, one of the nicest people you will ever meet! She had the surgery to prepare fir her sons wedding and she was confidant and radiant that night!! #facelift #plasticsurgerybeforeandafter #deepplanefaceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #faceliftsurgery #facelifting ...

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#transformationthursday !!! Today I saw this beautiful 58 year old patient of mine 8 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 #eyeliftsurgery .  I lover her gorgeous new jawline and how crisp her be k looks!  I also performed a #liplift at the same time.  I also performed a #temporallift.  The temporal lift opens up her upper eyes and makes her look less tired while creating a youthful arched brow. As we age the upper lip elongates and droops which can make the cheeks appear more droopy.  The #upperliplift creates the aesthetic balance that makes the whole result better!! She is such a wonderful lady, we both have children in college and we talk about how are kids are doing.  We are going through things at the same time and help eachother.  I am grateful she trusted me with her face! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #bullhornliplift #eyeliftsurgery

#transformationthursday !!! Today I saw this beautiful 58 year old patient of mine 8 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 #eyeliftsurgery . I lover her gorgeous new jawline and how crisp her be k looks! I also performed a #liplift at the same time. I also performed a #temporallift. The temporal lift opens up her upper eyes and makes her look less tired while creating a youthful arched brow. As we age the upper lip elongates and droops which can make the cheeks appear more droopy. The #upperliplift creates the aesthetic balance that makes the whole result better!! She is such a wonderful lady, we both have children in college and we talk about how are kids are doing. We are going through things at the same time and help eachother. 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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#makeovermonday ! Today I am working on my #extendeddeepplanefacelift textbook with @qualitymedicalpublishinginc and here is one of  the results in the book of this beautiful 57 year old woman who is one of my favorite patients! I performed a #deepplanefacelift  #necklift #platysmaplasty, lower #blepharoplasty and #fatgrafting and I LOVE the way she looks!  Rejuvenated but maintaining her facial identity and natural look! I think she looks arguably 20 years younger.  The deep plane surgery lifts only under the muscles of the face and neck so the skin looks smooth and soft and not tight!  Her cheeks have been lifted, her #jowls are gone and so are her neck #platysmabands !! Her eyes look rejuvenated and the natural fullness of her face restored with the #fattransfer .  Her face looks heart shaped again!  I am grateful she trusted me with her face!! #facelift #plasticsurgerybeforeandafter #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc

#makeovermonday ! Today I am working on my #extendeddeepplanefacelift textbook with @qualitymedicalpublishinginc and here is one of the results in the book of this beautiful 57 year old woman who is one of my favorite patients! I performed a #deepplanefacelift #necklift #platysmaplasty, lower #blepharoplasty and #fatgrafting and I LOVE the way she looks! Rejuvenated but maintaining her facial identity and natural look! I think she looks arguably 20 years younger. The deep plane surgery lifts only under the muscles of the face and neck so the skin looks smooth and soft and not tight! Her cheeks have been lifted, her #jowls are gone and so are her neck #platysmabands !! Her eyes look rejuvenated and the natural fullness of her face restored with the #fattransfer . Her face looks heart shaped again! I am grateful she trusted me with her face!! #facelift #plasticsurgerybeforeandafter #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc ...

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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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New York Center for Facial Plastic Surgery

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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

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

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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.