Dr. Andrew Jacono Details Mechanics and Recovery of the Modern Facelift

Dr. Andrew Jacono, a New York–based facial plastic surgeon, advocates a deep-plane approach to facelifts that focuses on mobilizing the underlying facial structures rather than merely tightening the skin. He explains that releasing retaining ligaments and repositioning the SMAS and midface produces longer-lasting improvement in jowls and nasolabial folds while preserving natural facial expression.

The procedure uses concealed incisions along the hairline and around the ear, extended as needed to access the midface and neck. Swelling and bruising peak during the first week, and most patients return to social activity within 10 to 14 days, while subtle contour refinement continues for several months. Adjunctive procedures such as direct platysmaplasty, submental liposuction, and fat grafting are performed as indicated to restore volume and enhance neck definition.

Jacono emphasizes individualized patient planning, considering skin laxity, facial volume, and neck anatomy rather than age alone. Dr. Andrew Jacono reviews the risks, including hematoma, transient nerve dysfunction, and scarring, and highlights the importance of surgeon experience to minimize complications.

Postoperative protocols often include short-term drains, compression garments, and staged follow-up to monitor healing. Jacono’s approach reflects a broader trend toward structural repair in facial rejuvenation, prioritizing long-term support over superficial correction.

For patients considering a facelift, thorough preoperative evaluation, photographic documentation, and clear discussion of expected longevity of results are critical. Dr. Andrew Jacono’s methodology underscores the importance of anatomical precision, surgical skill, and patient-specific planning to achieve natural, enduring results. Refer to this article for additional information.

 

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