Understanding why Dr. Andrew Jacono’s facelift technique works requires looking past the incision and into the layers of tissue beneath it. Conventional facelifts separate skin from the superficial musculoaponeurotic system, the layer connecting facial muscles to skin, and reposition only that surface layer. Dr. Andrew Jacono’s method takes a different path, operating underneath that layer entirely.

By working below the superficial musculoaponeurotic system, Dr. Andre Jacono releases the ligaments that hold facial tissue in a fixed, sagging position. That release allows him to reposition the midface, jawline and neck vertically, restoring youthful contours rather than simply stretching skin across an unchanged underlying structure.

Why Depth Changes the Outcome

Keeping skin, muscle and fat connected as one unit during repositioning preserves blood supply and anatomical relationships that get disrupted in shallower techniques. That preservation explains why later research found lower rates of facial nerve injury with deep-plane methods compared to superficial facelifts, since the dissection avoids disturbing structures that a more surface-level approach would expose.

Clinical outcomes bear this out. Early studies of the technique, based on 153 patients and published in the Aesthetic Surgery Journal in 2011, recorded a 3.9 percent revision rate and a 1.9 percent hematoma rate, figures that compare favorably to industry averages for facelift surgery.

Structure Over Surface

The anatomical logic also explains the technique’s durability. Results last twelve to fifteen years according to published outcomes, roughly double standard SMAS facelifts, because the correction addresses structural changes rather than surface symptoms that reappear as skin stretches again over time.

Dr. Jacono has taught this anatomical approach to surgeons worldwide through master classes and conference lectures, spreading a technique that depends less on tension and more on precise knowledge of what lies beneath the skin’s surface. That depth of anatomical understanding, more than any single surgical maneuver, underlies the method’s reputation. See related link for additional information.

Learn more about Dr. Andrew Jacono on https://www.bbntimes.com/science/what-peer-recognition-and-national-rankings-reveal-about-dr-andrew-jacono-s-surgical-reputation