Surgical skill develops through repetition, and few facial plastic surgeons perform as many deep-plane facelifts as Dr. Andrew Jacono. He completes approximately 250 of these procedures annually, a volume that has let him refine the technique continuously since introducing it in the early 2000s.
That caseload sits behind the extended deep-plane method’s growing reputation. Dr. Andrew Jacono’s approach departs from the skin-tightening techniques that defined facelifts for decades, instead repositioning skin, muscle and fat together beneath the superficial musculoaponeurotic system to restore facial contours from the inside out.
Experience Reflected in the Data
The connection between volume and outcomes shows up in Dr. Jacono’s published results. His first peer-reviewed study, covering 153 patients and published in the Aesthetic Surgery Journal in 2011, recorded a 3.9 percent revision rate and a 1.3 percent rate of temporary facial nerve injury, figures well below typical benchmarks for facelift surgery generally.
High case volume has also let Dr. Jacono compile a larger body of documented outcomes than most surgeons in his field. His 2021 textbook synthesized insights from more than 2,000 procedures, giving other surgeons a reference built on a patient base most individual practices could never accumulate.
Repetition Builds a Reputation
Consistent volume has translated into consistent results. Patients report facelifts that last twelve to fifteen years, roughly double the durability of standard SMAS facelifts, alongside incisions short enough to remain hidden even when hair is pulled back.
Dr. Jacono has used that accumulated experience to train other surgeons directly, conducting master classes and lecturing at international conferences on what has become known as “The Jacono Method.” For a procedure where outcomes depend heavily on surgical precision, his case volume offers a rare, quantifiable measure of expertise that patients can weigh alongside the technique’s published safety data. Few areas of cosmetic medicine allow patients to compare surgeons on such concrete terms, which makes the pairing of high volume and published outcomes especially valuable during the decision-making process. See related link for more information.
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