When fashion designer Marc Jacobs spoke publicly in 2021 about his facelift, the surgeon behind it was Dr. Andrew Jacono. Jacobs told Vogue the results looked natural and did not appear “done.” That reaction captures the goal of the technique Jacono has refined for roughly two decades.

Another endorsement came from inside the profession. Dr. Paul Nassif, a plastic surgeon based in Beverly Hills, traveled to New York for Jacono’s extended deep-plane procedure. A surgeon seeking out a colleague’s method says something about how that method is regarded.

What Makes the Results Look Natural

Dr. Andrew Jacono developed the Minimal Access Deep-Plane Extended facelift, or MADE, in the early 2000s. Traditional facelifts lift skin away from deeper tissue and pull it tight, and that tension tends to reveal the surgery. Town & Country described the alternative plainly: “Jacono keeps the skin, muscle, and fat as one unit.”

The surgeon works beneath the SMAS layer and releases four ligaments that bind facial tissue to bone. Once freed, sagging fat pads in the midface, jawline, and neck can be raised vertically. Since aging involves volume loss and downward tissue drift, restoring those deeper structures produces a lift that looks like the person rather than like a procedure.

Discreet by Design

Scars matter to public figures. Jacono’s incisions are about one-third the length of conventional ones and sit behind the ear and along the hairline. He calls the procedure “ponytail-friendly” because patients can wear their hair up without visible marks.

The results also last. Standard facelifts generally hold for six to eight years, while the extended deep-plane version can last about twice as long, with some patients keeping results past 12 years.

Dr. Andrew Jacono published the technique in Aesthetic Surgery Journal in 2011 and now performs around 250 of these facelifts annually in Manhattan. His high-profile patients drew attention, but the method’s spread among surgeons rests on that documented record, which includes a 3.9% revision rate in the original 153-patient study. Visit this page for additional information.

See for more about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono