Facial aging does not stop at the cheeks and neck, and Dr. Andrew Jacono recognized that the jawline needed its own dedicated solution within the extended deep-plane framework he had already established.
Targeting a Persistent Problem Area
In 2019, Dr. Andrew Jacono published further advances specifically addressing jawline rejuvenation and volume enhancement in the lower face. The update responded to aging patterns that earlier versions of the technique, developed in the early 2000s and documented through the 2011 outcomes study, had not fully resolved for every patient.
Jawline definition tends to be one of the more visible markers of aging, since sagging along the mandible draws attention even when other areas of the face look refreshed. Addressing it required more than the original vertical repositioning used elsewhere in the face; it called for additional volume strategies tailored to how the lower face specifically loses structure over time as collagen support declines.
This refinement did not emerge from a single insight but from years of observing patients after their original procedures. Dr. Andrew Jacono’s exceptionally high surgical volume, roughly 250 deep-plane facelifts annually, gave him a continuous stream of long-term results to study, making incremental improvements like this one possible in a way lower-volume practices rarely achieve.
The jawline-specific advances have since become part of how the extended deep-plane technique is taught to other surgeons, folded into the broader method rather than treated as a separate add-on procedure. For patients, the practical result is a more complete rejuvenation, one that accounts for the lower face rather than leaving it as an afterthought once the midface and neck have already been addressed.
A jawline that ages out of proportion with the rest of the face can undercut an otherwise successful facelift, so folding this refinement into the core technique addressed a gap patients themselves had been noticing for years. Refer to this article for related information.
Find more information about Dr. Andrew Jacono on https://www.facebook.com/DrJacono/