How Long Does Dr. Andrew Jacono’s Deep-Plane Facelift Last?
A facelift buys time, and the question patients ask most often is how much. For a standard procedure, the answer is usually six to eight years. The extended deep-plane technique developed by Dr. Andrew Jacono tends to hold considerably longer.
The approach can last roughly twice as long as a standard SMAS facelift. Many patients maintain their results for more than a decade, and some see them extend past 12 years.
Where the Durability Comes From
The difference starts with which layer the surgeon lifts. Conventional facelifts detach skin from the superficial musculoaponeurotic system (SMAS) and pull it upward and backward. That tightens surface tissue while deeper structures remain unchanged, so gravity eventually reasserts itself.
Dr. Andrew Jacono’s Minimal Access Deep-Plane Extended (MADE) facelift works beneath the SMAS. Skin, muscle, and fat travel together as one structure. Four key ligaments that anchor tissue to bone are released, and fallen fat pads in the midface, jawline, and neck are repositioned vertically. This addresses volume loss and downward tissue migration, two drivers of facial aging, and gives the face foundational support.
Town & Country noted that “Dr. Andrew Jacono keeps the skin, muscle, and fat as one unit,” a detail that explains why the result avoids a stretched look.
What Else Shapes the Outcome
Longevity depends on more than the operation. Technique, lifestyle, skin quality, and care all influence how long the result lasts. Surgical skill is one variable; how a patient lives afterward is another.
Dr. Andrew Jacono has refined the procedure since first publishing it in Aesthetic Surgery Journal in 2011, when he documented 153 patients. A 2019 update added modifications for jawline rejuvenation and lower-face volume, with measurements such as the “mandibular defining line” used to track contour improvements. He performs about 250 of these facelifts annually at his Manhattan practice.
The incisions are also shorter, about one-third the length of a traditional facelift’s, and tucked behind the ear and along the hairline. Patients can wear their hair up without visible scarring. Read this article for more information.
Subscribe for more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono