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  • Dr. Jacono
    • About Dr. Jacono
    • Publications
    • In the Media
    • Reviews
    • Philanthropy and Charitable Surgery
    • Books
    • Choosing a Facial Plastic Surgeon
    • Dr. Jacono Rated Top Plastic Surgeon – News
  • Our Center
    • Dr. Andrew Jacono
    • Dr. Sean Alemi, M.D., F.A.C.S.
    • Surgical Center Virtual Tour
    • New York City Office
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    • Non Surgical Medical Spa
  • Facial Plastic Surgery
    • Facelift
    • Deep Plane Facelift
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    • Neck Lift
    • Platysmaplasty
    • Rhinoplasty (Nose Job)
    • Eye Lift Surgery
    • Lip Augmentation
    • Lip Lift
    • Botox Cosmetic
  • Body Procedures
  • Non-Surgical
  • Revision Surgery
    • Revision Facelift
    • Revision Rhinoplasty
    • Revision Eye Lift
  • For Men
    • Male Facelift
    • Male Rhinoplasty
    • Male Eyelid Surgery
  • Reconstructive
  • Homeopathic Healing
  • No General Anesthesia
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Facial Plastic Surgery

Dr. Andrew Jacono, MD, FACS is considered the Best Plastic Surgeon in New York Specializing in mini facelifts, rhinoplasties (nose job surgery) and eyelid lifts World Leading Expert in Facial Plastic Surgery,
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Facial Reconstruction: Plastic and Reconstructive Surgery

Information About Dr. Jacono, Facial Reconstructive Surgery Specialist

What Is Facial Reconstructive Surgery?

Cleft Lip and Cleft Palate Before and After Photo
Before & After Cleft Lip and Cleft Palate Patient Photo

Facial reconstructive surgery is a set of specialized corrective procedures. These treatments are for those whose faces have been affected by diseases, trauma, or congenital deformities. Reconstructive procedures are also effective for those who have been disfigured by previous surgical experiences.

Facial reconstructive surgery aims not only to improve appearance but to restore functionality to damaged structures. Cleft lip and palate repair, for example, provides both aesthetic and practical results. Often, reconstructive surgical procedures dramatically improve the quality of life.

How Is Facial Reconstructive Surgery Performed?

There are many facial reconstructive surgical procedures. Some focus on rebuilding facial structures with tissue from the patient’s body. Others directly manipulate and rearrange problem areas with incisions.

Patients are usually sedated during reconstructive surgery. Sometimes, patients may instead opt for local anesthesia, which numbs the face. Local anesthesia does induce unconsciousness.

Reconstructive Surgeries Dr. Jacono Performs

Dr. Jacono is dedicated to helping patients reconstruct their faces. The most common reasons patients undergo reconstructive surgery include physical trauma, birth defects, and cancer-related complications.

Dr. Jacono has unparalleled expertise in a wide array of reconstructive procedures. A few of these are outlined below.

Facial Reconstruction and MOHS Surgery

MOHS surgery treats skin cancer patients affected by basal and squamous cell carcinomas. Physicians remove affected skin and examine it under a microscope. By removing tissue, doctors can be sure that all cancerous tissue has been excised. MOHS surgery is usually performed by a specialized dermatological surgeon who only performs skin cancer removal.

After MOHS surgery, there is usually a hole in the skin. Dermatological surgeons then refer patients to Dr. Jacono for reconstructive work. Dr. Jacono reconstructs facial tissue, restoring the skin’s natural, healthy appearance.


Trauma Reconstruction and Scar Revision

Facial injuries can occur in a fraction of a second but cause life-long emotional and physical trauma. Although early treatment in an emergency room is essential, permanent scarring can distort facial features.

Dr. Jacono regularly treats patients disfigured by facial injuries. During the consultation, he assesses the thickness, texture, and color of scars before deciding on the best scar removal techniques. He then excises these scars and rebalances facial features with innovative tissue rearrangement.

If the face’s bony architecture has been damaged, Dr. Jacono uses three-dimensional computer imaging to guide his process. This allows him to deliver the most comprehensive outcomes.


Facial Paralysis Surgery / Bell’s Palsy / Facial Reanimation

Nerve damage may cause distortion, facial imbalances, and asymmetrical expressions. Nerve injuries also affect chewing, fluid retention while drinking, and nasal breathing. In children, facial paralysis occurs at birth or after brain tumor resection. Adults may experience paralysis following an episode of Bell’s Palsy, acoustic neuroma, or trauma.

Dr. Jacono performs a few procedures to treat these issues. If the brow and forehead droop, he performs either a brow lift or an endoscopic forehead lift. This repositions tissue and muscle, improving both vision and expression. If blinking has been affected, he places a gold weight in the upper eyelid. This helps the eyelid close. Lastly, if a patient has lost the ability to smile, Dr. Jacono performs a temporalis tendon transfer procedure. This transfers a section of the tendon from the muscle used to chew and helps the mouth move more easily.


Cleft Lip and Cleft Palate Surgery

Cleft lips and cleft palates are birth defects that develop in the womb. Normally, the mouth and nose of a fetus develop between the first 6 and 12 weeks of pregnancy. In some cases, parts of the lips and roof of the mouth don’t grow together. This causes cleft lips, cleft palates, or both.

During cleft lip surgery, Dr. Jacono makes an incision on each side of the cleft, from the lip to the nostril. The two sides of the lip are then sutured together. During cleft palate surgery, Dr. Jacono draws tissue from either side of the mouth to rebuild the palate.

Depending on the size, shape, and severity of the cleft, more than one surgery may be required. Without cleft treatment, patients have trouble eating and drinking, and may experience speech delays.


Microtia Surgery

Patients with microtia suffer from malformed or misshapen ears. Microtia occurs in about 1 in 5,000 to 7,000 births.

Typical microtia—also known as grade 3—makes the ear look like a sausage-shaped wrinkle. Grade 2 microtia looks more like a miniature ear. Grade 1 microtia is an ear with minimal deformation. 90% of the time, patients only experience microtia in one ear, but sometimes, both are malformed.  

Microtia reconstruction requires 4 operations spread out over a year. The first procedure harvests cartilage from the ribcage and carves the cartilage into the framework of an ear. This is then placed over the defective ear. Subsequent changes involve small alterations, including the creation of an ear lobule.


Facial Burn Plastic Surgery

Burn injuries account for over 100,000 hospital admissions every year. Burn victims are most commonly toddlers (ages 2 through 4) and adolescents (ages 17 to 25). Injuries to the head and neck comprise almost 50% of all burn injuries.

Dr. Jacono specializes in facial burn reconstruction. He aims to improve the functionality of the face and restore a more normal aesthetic appearance. He uses facial flaps, skin expanders, laser technology, and corrective makeup to achieve the most dramatic outcomes.


Why Choose Dr. Andrew Jacono?

Dr. Jacono is a dual board-certified facial plastic and reconstructive surgeon with over 20 years of experience in the field. Dr. Jacono specializes in a variety of facial reconstructive procedures and delivers the most comprehensive results.

To see if you are a candidate for revision or reconstructive surgery, please contact Dr. Jacono’s offices in Manhattan or on Long Island.

Reconstructive Surgery

  • Facial Reconstruction
  • Mohs Reconstructive Surgery
  • Trauma Reconstruction
  • Facial Paralysis – Facial Reanimation
  • Cleft Lip and Cleft Palate Surgery
  • Microtia Ear Reconstruction
  • Facial Burn Surgery
  • Facial Skin Cancer
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 for Middle Eastern Facial Plastic Surgery

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

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Mission Statement

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

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

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