Few surgical techniques travel as far as their creators. Dr. Andrew Jacono’s Minimal Access Deep-Plane Extended facelift has been an exception. Developed in the early 2000s and first formally published in 2011, the method has spread through academic lectures, medical literature, and a 2021 textbook that now serves as a reference for facial plastic surgeons worldwide.

The Science of a Unified Lift

The MADE technique Dr. Andrew Jacono developed rests on a single biomechanical insight: the layers of the face age together, so they should be lifted together. Traditional facelifts separate skin from the SMAS layer and reposition each independently. This separation creates tension at the skin surface that produces the stretched appearance many patients work to avoid. Dr. Jacono’s technique maintains the bond between skin, muscle, and fat, moving the composite structure from below the SMAS. The absence of surface tension is what allows results to look natural rather than surgically altered.

The procedure releases four facial retaining ligaments that anchor tissue to bone, allowing vertical repositioning of fat pads in the midface, jawline, and neck. These ligaments loosen with age, which is why tissue descends over time. Releasing and relocating them addresses the cause of descent rather than masking it. Dr. Andrew Jacono’s initial publication in Aesthetic Surgery Journal documented 153 patients with a revision rate of 3.9%, hematoma rate of roughly 1.9%, and temporary facial nerve injury in 1.3% of cases numbers that compare favorably to industry standards. Later data confirmed that deep-plane dissection carries lower nerve risk than superficial approaches.

Recognition From Peers and Patients Alike

Dr. Andrew Jacono performs approximately 250 extended deep-plane facelifts each year and has lectured at over 100 international conferences, spreading the methodology across surgical communities globally. Fashion designer Marc Jacobs publicly discussed his facelift with Dr. Jacono in 2021, telling Vogue the results looked natural without appearing done. The 2021 textbook compiled insights from more than 2,000 procedures, establishing technical benchmarks that other surgeons have since adopted. Incisions remain roughly one-third the length of traditional facelifts and are hidden along the hairline and behind the ear. Read this article for more information.

Learn more about Dr. Andrew Jacono on https://goodmenproject.com/everyday-life-2/dr-andrew-jacono-on-the-rising-demand-of-male-facelifts/