Facelift Longevity: Why Dr. Andrew Jacono’s Approach Lasts Over a Decade

Most standard SMAS facelifts show visible aging within years of the original surgery, but a New York facial plastic surgeon has spent two decades refining a technique that lasts roughly twice as long as standard approaches.

Dr. Andrew Jacono developed the extended deep-plane facelift in the early 2000s after identifying a fundamental flaw in conventional approaches. Traditional facelifts separate skin from underlying muscle, then pull the skin upward and backward. The technique creates tension on skin alone, which stretches over time. Jacono’s method lifts skin, muscle, and fat together as one structural unit, repositioning facial tissue at its anatomical foundation rather than creating surface tension.

The difference matters. Jacono’s extended deep-plane technique shows durability of 12 to 15 years, roughly twice as long as a standard SMAS facelift. The longer timeframe stems from addressing facial aging at its source: descended fat pads and lax deep tissue, not just loose skin. Key factors that affect the longevity of the extended deep-plane facelift include technique, lifestyle, skin quality, and care.

Rebuilding Structure, Not Creating Tension 

Dr. Andrew Jacono releases four key facial ligaments during surgery. These ligaments, which tether facial fat pads to bone, prevent tissue from returning to youthful positions when surgeons work only at superficial layers. He repositions the midface, jawline, and neck through vertical vector lifting, a directional approach that counteracts gravitational descent rather than pulling tissue laterally.

The approach reduces one of the primary causes of facelift failure. Lateral tension creates the “windswept” appearance that marks obvious surgery. Vertical repositioning restores volume where faces naturally lose it with age: the cheeks, jawline, and upper neck. Patients look like younger versions of themselves rather than different people.

Jacono published his technique in Aesthetic Surgery Journal in 2011, documenting results from 153 patients. The data showed a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% temporary facial nerve injury. These complication rates fall below industry averages for facelift procedures.

Why Results Last Longer 

Tissue support determines how long a facelift lasts. Skin alone cannot hold repositioned facial volume. Dr. Andrew Jacono’s technique maintains structural integrity by keeping skin attached to underlying muscle and fat during repositioning. The preserved connections between tissue layers create a scaffold that supports the face from within.

The New York surgeon performs approximately 250 extended deep-plane facelifts annually. This volume, allows continuous technique refinement. He has trained surgeons worldwide through masterclass lectures at conferences hosted by the International Society of Aesthetic Plastic Surgery, the American Academy of Facial Plastic and Reconstructive Surgery, and the European Academy of Facial Plastic Surgery.

Fashion designer Marc Jacobs publicly shared his experience with Dr. Andrew Jacono in 2021, telling Vogue the results looked natural rather than surgical. Even plastic surgeon Dr. Paul Nassif traveled from Beverly Hills to New York for Jacono’s extended deep-plane technique, later discussing the procedure with media outlets.

Newsweek ranked Dr. Andrew Jacono as the third-best facelift surgeon in America for 2025, based on peer nominations and patient reviews. He serves as Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital and Associate Clinical Professor at Albert Einstein College of Medicine, where he trains the next generation of facial plastic surgeons.

The extended deep-plane facelift addresses a question patients ask repeatedly: how long will results last? Dr. Andrew Jacono’s approach answers with research rather than promises. Where conventional techniques rely on skin tension that weakens over time, his method rebuilds facial architecture at the muscular and ligamentous level. The difference between five-year results and fifteen-year results comes down to where a surgeon operates. Where surface work fades, structural repositioning endures.

Have you read?
Panama Golden Visa 2026: $300K Real Estate Investment Guide.
Portugal Golden Visa 2026: €500K Fund Investment & New Rules.
AI Clothes Swapping Guide: Best Apps & Tech for 2026.
Reduce Academic Errors: Best Reference Management Software.
The ROI of Big Data: Building a Data-Driven Business in 2026.

Follow CEOWORLD Magazine on: Google News, LinkedIn, X (Twitter), and Facebook.

Note: The views expressed are those of the authors and do not necessarily reflect those of CEOWORLD Magazine, its Editorial Board, or management. Content is provided "as is," may contain monetized links, and is not professional advice. See our Ethics & Guidelines for details. Reproduction requires prior written permission.

Contact info@ceoworld.biz for inquiries or media requests.