Surgical techniques are only as durable as the evidence behind them. Dr. Andrew Jacono built his Minimal Access Deep-Plane Extended facelift on a foundation of clinical research, beginning with a 2011 publication in Aesthetic Surgery Journal and continuing through a 2019 refinement and a comprehensive 2021 medical textbook. The research record traces the evolution of a method that has changed how many surgeons approach facial rejuvenation.
The MADE facelift operates beneath the SMAS layer, keeping skin, muscle, and fat connected as a single anatomical unit during repositioning. Traditional facelifts separate these layers and tighten the skin surface, which is the primary reason they can produce a stretched look. Dr. Andrew Jacono’s technique lifts from below, so the surface remains relaxed and the result reflects the patient’s own facial structure. The four key retaining ligaments that are released during the procedure allow fat pads in the midface, jowls, and neck to be moved vertically, restoring the facial contour that descends over time.
Published Evidence Over Two Decades
Dr. Andrew Jacono‘s 2011 paper covered 153 patients and reported a revision rate of 3.9%, a hematoma rate near 1.9%, and a 1.3% rate of temporary facial nerve injury each below standard industry benchmarks. Subsequent research confirmed that dissection at the deep-plane level carries lower nerve risk than superficial techniques because it preserves anatomical relationships. The 2019 publication introduced modifications for jawline definition using quantitative metrics like the mandibular defining line, providing measurable tracking of outcomes. His 2021 textbook compiled findings from more than 2,000 procedures, forming what many in the field now treat as a technical reference.
Volume of Practice
Dr. Andrew Jacono performs approximately 250 extended deep-plane facelifts annually at his Manhattan practice. He has lectured on the technique at over 100 international conferences, bringing the methodology to surgical communities across multiple continents. Incisions for the MADE procedure measure roughly one-third the length of traditional facelifts, placed along the hairline and behind the ear so they remain hidden regardless of hairstyle. Results last approximately twice as long as standard SMAS facelifts, a difference attributed to the depth and structural stability of the tissue repositioning. Read this article for additional information.
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