Dr. Andrew Jacono Explains Why Facelift Results Fade Faster Elsewhere
Ask why a standard facelift only lasts six or seven years and most surgeons point to gravity. Dr. Andrew Jacono points somewhere else entirely: the layer of tissue the surgery never touches in the first place, a gap he has spent his career trying to close.
Skin Deep Versus Structural
Traditional facelifts separate skin from the tissue underneath it, then reposition only that surface layer, leaving the deeper structures untouched. Over time, those untreated layers keep sagging, pulling the tightened skin back down with them within a few years of surgery. Dr. Andrew Jacono’s extended deep-plane method avoids this by working below the superficial musculoaponeurotic system from the start of the procedure.
He releases the ligaments holding that deeper layer in place, then repositions the midface, jawline, and neck together, keeping skin, muscle, and fat connected as one unit rather than treating skin in isolation from what lies beneath it, a distinction that shows up clearly in long-term follow-up photographs.
The Longevity Gap
Published outcomes from Jacono’s practice show results lasting twelve to fifteen years, close to double what a standard SMAS facelift typically achieves. He first documented these advantages in a 2011 Aesthetic Surgery Journal study of 153 patients, reporting a revision rate under four percent and a hematoma rate near two percent.
Lifestyle, skin quality, and personal care still affect how long any facelift holds, but addressing the deeper structural causes rather than the surface symptoms gives patients a head start that surface tightening alone cannot match, according to the outcomes data Jacono has continued to track and publish since his earliest studies appeared.
Patients weighing the two approaches often find that the added complexity of deep-plane surgery pays off precisely in this window of years, since the alternative typically means returning to the operating room sooner than most people expect when they first schedule a consultation. See related link for more information.
Find more information about Dr. Andrew Jacono on https://www.facebook.com/DrJacono/