Numbers tell a useful story about any surgical technique, and the extended deep-plane facelift developed by Dr. Andrew Jacono has accumulated plenty of them. The New York facial plastic surgeon first reported his results in Aesthetic Surgery Journal in 2011, drawing on 153 patients treated with what he calls the Minimal Access Deep-Plane Extended, or MADE, approach.
Complication Rates
That initial data set showed a revision rate of 3.9%. Hematoma, a collection of blood under the skin, occurred in about 1.9% of cases. Temporary facial nerve injury appeared in 1.3%. Each of those figures falls below industry averages for facelift procedures.
Later research supported the safety profile. Studies found that deep-plane techniques produce fewer facial nerve injuries than superficial approaches, because the dissection keeps anatomical relationships and blood supply intact.
Durability Over Time
Longevity may be the most striking figure. A standard SMAS facelift usually lasts six to eight years before gravity takes over again. The extended deep-plane version can last about twice as long, since it supports deeper tissue rather than tightening the surface alone. Many patients keep their results for more than a decade, and some pass the 12-year mark. Technique, lifestyle, skin quality, and aftercare all influence how long the effect holds.
Other figures describe the scale of the work. Dr. Andrew Jacono performs roughly 250 extended deep-plane facelifts every year at his Manhattan practice. His incisions run about one-third the length of conventional ones. He has given master lectures at more than 100 international conferences, and his 2021 medical textbook drew on insights from over 2,000 facelift procedures.
Then there are the ligaments. The technique releases four of them, the fibrous anchors that hold facial tissue to bone. Freeing those attachments lets the surgeon lift fallen fat pads in the midface, jawline, and neck in a vertical direction.
Taken together, the figures describe a procedure built on repetition and published evidence, giving patients and fellow surgeons concrete data to weigh when considering Dr. Andrew Jacono’s approach. Go to this page for additional information.
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