Dr. Andrew Jacono on Training Surgeons in the Deep-Plane Method
A surgical technique only spreads as far as the surgeons willing to learn it properly. Dr. Andrew Jacono has spent recent years addressing that limitation directly, training other surgeons in the extended deep-plane facelift through master classes and lectures at international conferences around the world.
Passing Down a Precise Method
The technique requires working beneath the superficial musculoaponeurotic system rather than tightening it from above, a shift that demands comfort operating closer to facial nerves and blood vessels than traditional methods require. Dr. Andrew Jacono releases the ligaments anchoring facial tissue, then repositions the midface, jawline, and neck vertically as one connected structure, a sequence he teaches step by step to visiting surgeons.
Some surgeons now refer to the approach as the Jacono Method, a label that reflects both his original research and his ongoing teaching. His 2021 textbook, The Art and Science of Extended Deep Plane Facelifting, synthesized insights from more than 2,000 procedures into a resource other surgeons could study directly rather than learning solely through observation.
Why Training Matters for Safety
Deep-plane dissection carries real technical demands, and published research shows it can lower the chance of facial nerve injury compared to superficial facelifts, but only when performed with precision. Jacono’s original 2011 study in the Aesthetic Surgery Journal reported a temporary nerve injury rate near one percent across 153 patients.
That safety record, combined with results published as lasting twelve to fifteen years, explains why training new surgeons properly has become as central to Jacono’s work as performing the roughly 250 procedures he completes himself each year in his own practice in New York.
The classes he teaches cover more than the surgical steps themselves, addressing patient selection and post-operative care as well, since a technique this precise depends on judgment before and after the operating room in addition to manual skill during it. Refer to this article for more information.
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