A facelift that fades within a few years frustrates patients and surgeons alike. Longevity is often the real measure of whether a technique succeeds, and it is where Dr. Andrew Jacono’s extended deep-plane method stands apart from more conventional options.
Structure Over Stretch
Standard SMAS facelifts tighten the tissue layer beneath the skin and trim what remains loose. That approach can look good initially, but gravity and tissue relaxation tend to erode the effect within several years as the underlying support gradually gives way. Dr. Andrew Jacono built his technique around a different premise: reposition the deeper structures vertically instead of pulling them sideways against their natural direction of movement.
Because the deep plane keeps skin, muscle and fat connected as one unit, the repositioned tissue behaves more like it did when the patient was younger, rather than like fabric stretched over a frame. That distinction explains why Jacono’s original patient series showed results holding for a decade or more, with later follow-up confirming twelve to fifteen years of durability in many cases, a gap wide enough to change how patients’ budget for future procedures.
Surgeons who have adopted the extended deep-plane approach report similar patterns, though outcomes still depend on individual factors such as skin elasticity, sun exposure and how closely patients follow post-operative guidance. No technique, however well designed, eliminates those variables entirely.
What the deep-plane method changes is the starting point. Instead of fighting against tissue that will eventually settle back into its aged position, the surgery restores an anatomical arrangement the face can maintain on its own for far longer. That is the core reason the technique developed by Dr. Andrew Jacono continues to draw patients seeking a result that does not need a repeat visit within a few short years of the original surgery.
Patients researching facelift options often focus first on how natural the immediate result will look, then later realize longevity deserves equal weight in the decision. A procedure that must be repeated every few years carries its own cumulative cost, both financial and physical, that a longer-lasting approach can avoid from the outset. Refer to this page to learn more.
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