One persistent worry among facelift patients is visible scarring, especially for anyone who wears their hair pulled back. Dr. Andrew Jacono designed his extended deep-plane technique with that concern directly in mind from the earliest days of developing the method.
Ponytail-Friendly by Design
Incisions in Dr. Andrew Jacono’s approach measure approximately one third the length of those used in a traditional facelift, and they sit hidden behind the ear or along the hairline. The result is what Dr. Jacono calls ponytail-friendly, meaning patients can wear their hair up without revealing evidence of surgery, even years after their procedure has fully healed.
Scarring Tied to a Deeper Technique
The shorter incisions connect to how the surgery works beneath the skin. Rather than separating skin from underlying tissue as older techniques do, Dr. Jacono keeps skin, muscle and fat connected as a single unit while releasing facial ligaments and repositioning the midface, jawline and neck. That approach requires less surface manipulation, which helps explain both the smaller incisions and outcomes that patients describe as looking like refreshed versions of themselves rather than obviously altered. Dr. Jacono has performed the procedure roughly 250 times annually, refining the incision approach across thousands of cases documented in his published research and his 2021 textbook on the method.
Patients who value discretion have taken note of the approach. High-profile cases, including fashion designer Marc Jacobs, who revealed in 2021 that Dr. Jacono performed his facelift, point to results subtle enough to avoid the telltale signs long associated with cosmetic surgery. Outcomes from the technique also reportedly last 12 to 15 years, meaning the minimal scarring holds up alongside contours that stay in place well beyond a standard SMAS facelift. That durability means patients are not simply trading a shorter scar for a shorter lasting result, a tradeoff long associated with less invasive facelift alternatives. Visit this page for more information.
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