Dr. Andrew Jacono, FACS

Dr. Andrew Jacono's approach to deep plane facelift surgery involves comprehensive repositioning of the facial tissues through sub-SMAS (superficial musculoaponeurotic system) dissection techniques. The deep plane technique differs from traditional facelift methods by releasing and repositioning the deeper facial structures as a composite unit, preserving the natural connections between skin and underlying tissues while achieving more dramatic and longer-lasting results. During the procedure, the surgeon creates access through carefully planned incisions that follow natural facial contours, typically beginning near the temporal hairline and extending around the ear into the posterior hairline.

The critical distinction of deep plane surgery lies in the dissection plane beneath the SMAS layer, where facial ligaments are systematically released to allow complete mobilization of the mid-face tissues. This deeper dissection enables vertical lifting of descended facial structures, addressing nasolabial folds, marionette lines, and jowling more effectively than superficial techniques. The repositioning of the deep plane flap involves elevating the entire facial soft tissue complex, including fat compartments and musculature, to restore youthful facial contours without creating tension on the skin surface.

Dr. Andrew Jacono is listed as board-certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS), a specialty board requiring completion of an accredited residency program followed by additional fellowship training specifically in facial plastic surgery. He also holds credentials from the American Board of Otolaryngology-Head and Neck Surgery (ABOHNS), indicating comprehensive training in the anatomical structures and surgical approaches relevant to facial rejuvenation procedures. These dual certifications suggest extensive educational preparation encompassing both the functional and aesthetic aspects of facial surgery, though specific details regarding medical school attendance and years of practice are not definitively documented in available sources.

His membership in the International Society of Aesthetic Plastic Surgery (ISAPS) indicates participation in a global organization requiring demonstrated expertise in aesthetic procedures and adherence to international standards of practice. The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) membership further supports his specialization in facial procedures, as this organization focuses exclusively on surgery of the face, head, and neck. Additionally, his affiliation with the European Academy of Facial Plastic Surgery (EAFPS) suggests international professional connections and potential exposure to diverse surgical techniques and approaches from European colleagues.

Deep plane facelift pricing in New York typically reflects the city's position as one of the most expensive medical markets in the United States, with costs varying significantly based on surgeon experience, facility fees, and included services. While specific pricing for Dr. Andrew Jacono's practice is not publicly disclosed, New York's aesthetic surgery market generally commands premium rates due to high overhead costs, sophisticated facility requirements, and the concentration of experienced specialists. The investment for deep plane facelift surgery encompasses multiple components including surgeon's fees, anesthesia services, operating facility charges, post-operative care, and necessary medical supplies or compression garments.

Additional factors influencing cost include the complexity of the individual case, whether complementary procedures such as neck lift or eyelid surgery are performed simultaneously, and the level of post-operative support provided. New York's pricing often includes comprehensive pre-operative planning with advanced imaging or computer simulation, which may not be standard in other markets but contributes to surgical precision and patient satisfaction. When evaluated against purchasing power parity, New York's deep plane facelift costs may appear substantial to international patients, though many find value in accessing surgeons with extensive experience and established reputations.

New York stands as one of the world's established destinations for deep plane facelift surgery, with 42 documented specialists offering this advanced procedure throughout the metropolitan area. The city's position as an international hub makes it particularly accessible for medical tourism, with three major airports (JFK, Newark, and LaGuardia) providing direct connections to virtually every major global city. Manhattan's concentration of high-end medical facilities and luxury recovery accommodations creates an infrastructure specifically suited to the needs of aesthetic surgery patients seeking discretion and comfort during their surgical journey.

The typical deep plane facelift patient traveling to New York should plan for a minimum stay of 10-14 days, allowing for pre-operative consultation, surgery, and initial recovery monitoring before returning home. Accommodation options range from extended-stay luxury hotels with medical concierge services to specialized recovery retreats that cater specifically to post-surgical patients, many located within convenient proximity to surgical facilities. New York's multicultural environment ensures language accessibility, with many practices offering translation services and multilingual staff to accommodate international patients.

Deep plane facelift recovery follows a predictable timeline, with Dr. Andrew Jacono's patients typically experiencing initial swelling and bruising that peaks around days 3-5 post-operatively before beginning gradual improvement. The first week requires strict elevation of the head, limited physical activity, and adherence to prescribed medication regimens to manage discomfort and reduce swelling. Surgical drains, if placed, are usually removed within 24-48 hours, while sutures are addressed in stages, with some removed at one week and others at the two-week mark.

By the end of week two, most patients feel comfortable appearing in public with light makeup, though residual swelling may persist, particularly in the neck and lower face regions. The third and fourth weeks mark significant improvement in facial contours as swelling continues to resolve and tissues begin settling into their new positions. Return to normal daily activities typically occurs around week three, though strenuous exercise and activities that increase blood pressure should be avoided for 4-6 weeks to prevent complications.

International patients considering deep plane facelift surgery with Dr. Andrew Jacono in New York should begin planning their medical journey at least 3-4 months in advance to ensure proper coordination of travel, consultation, and surgical scheduling. United States visa requirements vary by country of origin, with many nations participating in the Visa Waiver Program allowing 90-day stays for medical treatment, though patients should verify current requirements through official channels. The initial consultation can often be conducted virtually, allowing international patients to establish surgical candidacy and receive preliminary planning information before committing to travel.

Language services at New York medical facilities are generally comprehensive, though patients should confirm specific language availability when scheduling appointments to ensure clear communication throughout the surgical process. Pre-operative requirements typically include medical clearance from the patient's home physician, which should be obtained in English and include recent laboratory results and cardiac evaluation if indicated by age or medical history. International patients should plan for a minimum 14-day stay in New York, allowing for pre-operative appointments, surgery, and initial recovery monitoring before receiving clearance for long-distance travel.

The consultation process with Dr. Andrew Jacono begins with a comprehensive facial analysis evaluating skin quality, underlying bone structure, and specific aging patterns that can be addressed through deep plane facelift surgery. Patients should prepare by collecting photographs from various life stages to help communicate their aesthetic goals and identify the facial features they wish to preserve or restore. Key questions to address during consultation include the specific surgical technique recommended, expected recovery timeline, potential risks and their management, and realistic outcome expectations based on individual anatomy.

Discussion of complementary procedures such as fat grafting, laser resurfacing, or eyelid surgery often occurs during this initial evaluation to develop a comprehensive rejuvenation plan. The surgeon typically performs a physical examination assessing skin elasticity, facial volume loss, and the degree of tissue descent to determine surgical planning specifics. Medical history review encompasses previous surgeries, current medications, allergies, and lifestyle factors such as smoking that may impact surgical outcomes and healing.