Dr. Andrew Jacono’s Textbook Advances Deep-Plane Facelift Knowledge
A surgical technique only scales if it can be taught reliably. The extended deep-plane facelift demands precision at a deeper anatomical level than conventional procedures, which makes structured knowledge transfer essential. Dr. Andrew Jacono addressed that challenge in 2021 by publishing The Art and Science of Extended Deep Plane Facelifting, a comprehensive medical textbook that draws on insights from more than 2,000 procedures performed over more than two decades.
The book serves as technical documentation for surgeons who want to adopt the method, covering the anatomical reasoning, procedural steps, and outcome expectations that define Dr. Jacono’s approach. It complements his work at international plastic surgery conferences, where he has delivered lectures and conducted master classes for surgeons seeking certification in what he refers to as The Jacono Method. Together, these efforts have moved the extended deep-plane facelift from a single-surgeon innovation into a teachable framework practiced across multiple countries.
The Research Foundation Beneath the Method
The foundation for the textbook rests on years of published research. Dr. Andrew Jacono‘s first peer-reviewed study appeared in Aesthetic Surgery Journal in 2011, reporting outcomes from 153 patients with a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% temporary facial nerve injury rate. All three figures fell below standard industry benchmarks. Subsequent studies established that deep-plane dissection carries lower facial nerve risk than superficial facelift approaches because the technique preserves anatomical relationships and blood supply.
The Distinction the Technique Creates
Where conventional facelifts separate skin from underlying tissue and tighten only the surface layer, Dr. Jacono works beneath the SMAS to release descended ligaments and reposition the full composite unit of skin, muscle, and fat. Results last 12 to 15 years, roughly twice as long as standard methods. Incisions are one-third the length of traditional facelift scars and are hidden at the hairline or behind the ear. Dr. Andrew Jacono performs approximately 250 of these procedures annually, a practice volume that both refines the technique and generates the outcome data that substantiates the textbook’s claims. Read this article for more information.
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