In 2021, Dr. Andrew Jacono published a medical textbook titled The Art and Science of Extended Deep Plane Facelifting, distilling lessons from more than 2,000 procedures into a single reference. The book now serves as technical documentation for surgeons learning the method he pioneered in the early 2000s.
Turning Practice Into Instruction
Jacono’s technique departs from conventional facelifts by working beneath the superficial musculoaponeurotic system instead of tightening it from the surface. He releases the ligaments anchoring facial tissue, then repositions the midface, jawline, and neck vertically as a connected unit, restoring structure rather than pulling skin taut, a distinction the textbook explains in detail for other surgeons.
The textbook followed a decade of research. Jacono’s first peer-reviewed study appeared in the Aesthetic Surgery Journal in 2011, covering 153 patients and reporting a revision rate under four percent alongside a hematoma rate near two percent. Those early numbers gave the deep-plane approach credibility beyond individual patient testimonials, laying groundwork for the fuller textbook that followed a decade later.
Teaching a New Generation
Beyond the book, Dr. Andrew Jacono has trained surgeons directly through master classes and lectures at international plastic surgery conferences, spreading what some now call the Jacono Method well past his own operating room in New York and into practices around the world.
That combination of documentation and instruction matters for a technique this technical. Deep-plane dissection sits closer to nerves and blood vessels than older methods, and published research shows outcomes lasting twelve to fifteen years when performed correctly, nearly double the span of a standard facelift, results that depend heavily on surgeons learning the method properly rather than attempting shortcuts based on video alone.
For patients, that written record offers a way to evaluate a surgeon’s training beyond a glossy website, since the textbook and the published outcomes behind it exist independent of any single practice’s marketing efforts. See related link for additional information.
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