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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 » Face Rejuvenation » SMAS Facelift

SMAS Facelift

Info About SMAS facelift in New York, NY

SMAS Facelift New York – 59 Year old female patient of Dr. Jacono discusses her SMAS facelift procedure and her results.

There are many types of facelift procedures performed and they are not created equally or create the same results. The SMAS is the muscle of the face that drops with age and had the scientific name superficial (S) musculo (M) aponeurotic (A) system (S). When the SMAS becomes loose, redundant and drops with age, it creates laxity along the lower face and jawline creating jowls, marionette lines, and nasolabial folds.

SMAS facelift – Extended SMAS Facelift – New York SMAS Facelift – Natural Facelift Results – SMAS Facelift Before and After

Facelift techniques generally lift the skin of the face, but how the SMAS muscles under the facial skin are treated differs. SMAS facelift before and after creates natural facelift results that appear smooth and natural and not “plastic” as will be described below. Everyone who considers a facelift wants to look younger but does not want to like they had a facelift, and this can be avoided with SMAS facelift technique.

SMAS Anatomy

SMAS is an acronym for the superficial musculoaponeurotic system which is a layer of fibrous tissues and muscles that start just in front of and below the ear extending down to the neck. This thin yet strong layer covers and connects the muscles and structures of the face, the midface, and the neck together as a continuous fibromuscular tissue. It encompasses areas of muscles, fat pads, and the entire cheek area, as well as, attaching to the superficial muscle that covers the lower face, the jawline, and neck muscles called the platysma. The platysma muscle in the neck creates vertical muscle bands in the neck and “turkey neck” as we age. This fibrous layer is then concealed below a layer of fat (adipose tissue) and skin. The purpose of the SMAS is to ensure that the mimic muscles, which are important for the expressions of the face, are positioned normally.


SMAS Facelift Before and After Patient 1: This beautiful woman wanted to look refreshed and younger without looking fake or plastic. Dr. Jacono performed a SMAS facelift which included his signature deep plane facelift to lift her drooping cheeks, nasolabial folds, and early signs of jowling. He also performed a lower eyelid lift with a temporal lift which opened up her eyes. To complete the overall natural rejuvenation, Dr. Jacono also performed a closed rhinoplasty to address her dropping nasal tip and the hump on her nasal bridge. You can see in her after photos how balanced her facial appearance is. She looks natural and years younger. Best of all, with her hair pulled back, there are no visible scars. She loves her new look and feels like she is back in her twenties.

Before & After
best smas facelift before after photos
Before & After
best smas facelift nyc photos


SMAS Plication Facelift, Extended SMAS Facelift and High SMAS Facelift Techniques

There are three main types of SMAS facelift treatments, a SMAS plication facelift, Extended SMAS Facelift, and High SMAS Facelift Techniques. In traditional face-lifting, the skin is lifted but the underlying SMAS is not lifted or supported which can create an unnatural tight stretched appearance to the face, often distorting the corners of the mouth (often referred to a puppet mouth). This is prevented by supporting the SMAS layers to obtain the most natural results.

SMAS Plication facelift lifts the SMAS by placing sutures in the SMAS layer (that creates the jowls) and the platysma (that creates the drooping neck) to tighten them. This is a simple procedure, but the suturing technique does not last as long, often creating results that last only 2 or three years. While most surgeons can execute this procedure, Dr. Jacono does not suggest it because he believes facelifts should last 10 years or more, and this can be accomplished by lifting the SMAS.

low smas facelift and high smas facelift

Low SMAS Facelift and high SMAS Facelift

Extended SMAS Facelift and High SMAS Facelift Techniques do not simply suture the SMAS up but lift the SMAS and platysma muscle. A muscle “flap” is created, lifting the muscle off the structure of the face, and smoothing it out. Because extra SMAS is created as we age, the redundant excess is removed and then it is secured higher in the face from which it dropped. This is a true structural re-engineering of the face that re-supports the beams of the face that weaken with age. This is why the results have greater longevity. This support of the deeper layers of SMAS in both the Extended SMAS and High SMAS facelift, but they differ in that the Extended SMAS technique targets the jawline and neck, while the High SMAS technique can lift the cheeks that droop as well as the jowls and neck because the layers of SMAS in the upper face is also lifted. The Upper Face and Cheek SMAS are the “High SMAS”. Depending on what portion of your face has aged Dr. Jacono will suggest the Extended SMAS or High SMAS approach.


SMAS Facelift Before and After Patient 2: This patient wanted to refresh her appearance while looking natural and younger. Dr. Jacono performed a deep plane facelift and a lower blepharoplasty to address her concerns. Dr. Jacono also repositioned the lower eye bags 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.

Before & After
smas facelift before and after
Before & After
smas facelift before and after


Some characteristics of a SMAS Facelift include:

  • Surgery time lasts 1½ to 2 hours long
  • Vertical lifting of the face and neck by repositioning of the SMAS
  • Removal of Jowls, and Drooping/Turkey Neck
  • Youthful and Natural-looking results
  • Removal of deep wrinkles with long-lasting results
  • Safe procedure with very few complications

SMAS Facelift Recovery

Dr. Jacono usually performs the SMAS facelift under local anesthesia or a twilight anesthetic (sedation) without general anesthesia. You will be asleep for the procedure and will not feel anything but you will not have the additional risks associated with general anesthesia. The SMAS procedure should last approximately 1 ½ hours long. Post-surgery, the majority of patients return home the same day of the procedure.

Patients will need to wear a bandage around their face for a full day and their head should be elevated with three pillows when sleeping. During a visit on the following day with Dr. Jacono and his staff, they will ensure that everything is looking perfect and healing properly. At that time, the bandages will be removed and some bruising and swelling will be seen.
In general, patients should be able to return to work within one to two weeks following their procedure. There will still be some swelling and bruising but nothing that should prevent patients from returning to work and most normal activities.


SMAS Facelift Before and After Patient 3: This female patient in her mid-fifties wanted to lift her cheeks which had fallen and remove the appearance of her noticeable jowls. Above all though, she really wanted to remove her ‘turkey neck’ which hung low below her chin. To address her concerns, Dr. Jacono performed his signature deep plane facelift to naturally lift the cheeks, a neck lift with platysmaplasty to smooth the neck and jawline. Her after photos are taken 8 weeks after her surgery and she looks and feels terrific. She is overjoyed with her results.

Before & After
best lower smas facelift before and after
Before & After
lower smas facelift before and after


SMAS Facelift Before and After Patient 4: This middle-aged woman was unhappy with her saggy neck, jawline, and cheek area. She elected to have a SMAS facelift with Dr. Jacono to correct those problem areas. Her after photos show a more youthful appearance with a tighter jawline, smoother neck, and fuller cheeks.

Before & After
new york smas facelift
Before & After
new york smas facelift photos


SMAS Facelift Before and After Patient 5: This female patient was unhappy with her jowls and wrinkled sagging neck. Dr. Jacono performed a SMAS facelift on her and the after photos show a defined jawline with a wrinkle-free and tighter neck.

Before & After
smas facelift patient photos ny
Before & After
smas facelift patient photos


SMAS Facelift Candidate

Men and women who are showing the signs of aging with droopy, sagging facial skin are typically good candidates for the SMAS Facelift procedure. It is best that candidates are in good health and do not have any medical conditions that impair the healing process. Patients should have realistic expectations of the surgical outcome and a positive attitude. For best results, Dr. Jacono recommends that patients are non-smokers and should let him know any medications they may be taking.


SMAS Facelift Before and After Patient 6: This lovely woman wanted to reverse the signs of aging that had caused her cheeks to drop and her jowls to begin to bulge. She also was unhappy with the loose skin under her neck that was hanging there. Dr. Jacono performed a SMAS face lift to correct these issues. You can see in her after photos that her cheeks have been lifted to their natural position and her smooth jawline. You can see that her wrinkles are virtually all gone and her neckline looks amazing. She is very happy with her results and feels like she did 15 years ago.

Before & After
smas facelift before and after
Before & After
smas facelift before and after


SMAS Facelift Before and After Patient 7: This wonderful lady was concerned with how the affects of aging was making her look. She did not like her sagging cheeks and her very visible jowls. She also did not like the sagging skin on her neck which showed a lot of wrinkles. A SMAS face lift procedure was performed by Dr. Andrew Jacono to address all of her concerns. Her after photos shows that her neckline is smooth and looks great, while her drooping cheeks were lifted and her jaw line looks smooth with no jowling.

Before & After
smas facelift before and after
Before & After
smas facelift before and after


SMAS Facelift Before and After Patient 8: This patient did not like her sagging double chin and fatty jowls. She decided to have Dr. Jacono performed a SMAS facelift on her trouble areas and the after photos show a more youthful appearance with a defined jawline.

Before & After
best smas facelift results
Before & After
best smas facelift photos


To learn more about this procedure or to schedule your SMAS Facelift consultation with Dr. Jacono call 212-570-2500 in NYC or 516-773-4646 on Long Island.

More SMAS Face Lift Photos

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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.