A surgeon who performs 250 procedures a year accumulates knowledge that no amount of reading can fully replicate. When Dr. Andrew Jacono published The Art and Science of Extended Deep Plane Facelifting in 2021, he translated more than 2,000 procedures worth of that accumulated knowledge into a form accessible to the broader surgical community. The textbook is both a technical document and an argument for a different way of thinking about facial rejuvenation.

What the Book Conveys

The publication covers the anatomy, technique, and clinical decision-making behind the extended deep-plane facelift. It addresses how to release the retaining ligaments of the face, how to reposition the midface, jaw, and neck as a connected tissue unit beneath the SMAS layer, and how to redrape skin without tension over the rebuilt foundation. These are precisely the decisions that distinguish Dr. Jacono’s approach from conventional techniques that operate superficially and rely on skin tightening.

The evidence base for the textbook’s recommendations comes from peer-reviewed research. Dr. Andrew Jacono’s 2011 publication in Aesthetic Surgery Journal reported outcomes from 153 patients: a 3.9% revision rate, approximately 1.9% hematoma rate, and 1.3% temporary facial nerve involvement. Later research confirmed that deep-plane dissection carries lower facial nerve injury risk than superficial approaches, addressing a concern that once made surgeons hesitant about the technique. Results documented in the literature last 12 to 15 years, roughly twice the longevity of standard SMAS facelifts.

Teaching Beyond the Page

The textbook complements rather than replaces Dr. Jacono’s direct instruction. He leads master classes and lectures at international plastic surgery conferences, teaching the technique he refers to as The Jacono Method. Together, these educational channels have distributed the extended deep-plane approach to surgeons worldwide. The professional endorsements reinforce the method’s standing: Dr. Paul Nassif, a fellow plastic surgeon, chose Dr. Andrew Jacono for his own deep-plane facelift in 2018. That choice, by someone who reads the same literature and understands the same risks, reflects the confidence the technique has earned within the field. Refer to this article for related information.

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