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Dr. Andrew Jacono’s Textbook and Its Impact on Facelift Surgery Worldwide


Most medical knowledge travels through journals, one study at a time. A textbook moves differently. It consolidates a body of work into something teachable, replicable, and permanent. When Dr. Andrew Jacono published The Art and Science of Extended Deep Plane Facelifting and Complementary Facial Rejuvenation Procedures with Quality Medical Publishing in 2021, the field gained a reference that drew from more than 2,000 facelift procedures performed over the course of his career.

That kind of volume produces a different kind of textbook. It is not theoretical. The anatomical illustrations and case studies inside it are grounded in outcomes Dr. Andrew Jacono documented across thousands of individual surgeries at his Park Avenue practice in New York.

What the Book Actually Contains

The textbook examines the extended deep-plane technique in detail, including the rationale for releasing retaining ligaments, repositioning the SMAS and fat as a composite unit, and placing incisions at roughly one-third the length of those used in conventional facelifts. Dr. Jacono describes the approach as one that addresses facial aging at its structural source rather than at the skin surface, where pulling creates tension without restoring lost volume or position.

One area the book addresses directly is longevity. The extended deep-plane facelift can produce results lasting 12 to 15 years, though key factors that affect longevity include technique, lifestyle, skin quality, and care. That range reflects how much variation exists between patients, even when the surgical technique remains consistent.

The 2021 publication arrived alongside an operative video series Dr. Jacono co-produced with Quality Medical Publishing in 2020, titled Extended Deep Plane Face Lift and Adjunctive Procedures for Rejuvenation of the Upper, Middle, and Lower Face. Together, the textbook and video series form a complete instructional package for surgeons seeking to understand the mechanics of the approach.

A Research Career Behind the Pages

The textbook does not stand alone. Dr. Andrew Jacono has published more than 70 peer-reviewed articles in journals including Aesthetic Surgery Journal, JAMA Facial Plastic Surgery, and Aesthetic Plastic Surgery. His published research covers facelift complication rates, long-term midface volume outcomes, optimal lifting vectors, and jawline rejuvenation measurement,

including a 2019 paper in Aesthetic Surgery Journal that introduced a quantitative framework for evaluating jawline contour after extended deep-plane procedures.

A meta-analysis he co-authored, also published in Aesthetic Surgery Journal, compared complication rates across different SMAS facelift techniques and offered data-backed context for why deep-plane approaches carry a lower risk of facial nerve injury than superficial methods. That body of research feeds directly into the textbook’s clinical recommendations.

He has presented this work before peer audiences at more than 100 international conferences, including meetings hosted by the European Academy of Facial Plastic Surgery, the International Society of Aesthetic Plastic Surgery, and the American Academy of Facial Plastic and Reconstructive Surgery. Keynote and masterclass appearances at the EAFPS Annual Meetings in Verona and Rome in 2023 drew on the same material the textbook codifies.

Fellowship Training and the Reach of the Method

Dr. Andrew Jacono has served for most of his career as a Fellowship Director for the American Academy of Facial Plastic and Reconstructive Surgery. He has trained Fellows from the AAFPRS in advanced techniques, meaning the extended deep-plane approach is now being practiced by surgeons who learned it directly from Dr. Jacono in New York, then carried it to their own operating rooms.

That transmission of technique is part of what gives the textbook its broader purpose. A surgeon who trained with Dr. Jacono but needs to verify a dissection detail, review a specific anatomical relationship, or reference case outcomes can return to the book. It functions as a reference architecture for a method that now extends well beyond his own practice.

The Park Avenue Face, Dr. Jacono’s 2019 consumer book from BenBella Books, addressed a different audience, offering patients a plain-language guide to undetectable cosmetic results. His earlier volume, The Face of the Future, published in 2012, explored anti-aging techniques for the general reader. The 2021 textbook occupies a different category entirely. It was written for surgeons, not patients, and the clinical specificity inside it reflects that.

Facelift technique has fractured considerably over the past two decades, with competing approaches, varying dissection depths, and disagreements about vector, volume, and risk. What the textbook provides is something the field has needed: a structured, evidence-backed account of one approach, grounded in more than 2,000 cases, written by the surgeon who developed it.



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