Scarring has long been the tradeoff patients accept for a younger-looking face. Dr. Andrew Jacono‘s extended deep-plane facelift narrows that tradeoff considerably, producing incisions short enough and well hidden enough that patients can pull their hair back without exposing evidence of surgery.

The approach earned its nickname, “ponytail-friendly,” because incisions measure roughly a third the length of those used in a conventional facelift. Surgeons place them behind the ear or along the hairline, locations that keep scarring concealed even under close inspection.

A Different Surgical Path

Shorter incisions are possible because Dr. Jacono’s technique changes what happens beneath the skin rather than relying on tension across its surface. Traditional facelifts separate skin from underlying tissue and tighten only that top layer, an approach that stretches incisions and often produces a pulled, artificial look. Dr. Andrew Jacono instead works below the superficial musculoaponeurotic system, keeping skin, muscle and fat connected and repositioning them together.

That deeper approach releases the ligaments holding facial tissue down and shifts the midface, jawline and neck vertically, restoring contours without depending on skin tension to hold the result in place. Incisions can stay smaller because the surgery is not asking the skin to do the structural work.

Discretion Built Into the Design

Clinical data support the technique beyond its cosmetic discretion. Early studies recorded a 3.9 percent revision rate and a 1.3 percent rate of temporary facial nerve injury, figures below typical benchmarks for facelift surgery. Results also last twelve to fifteen years, roughly twice as long as standard SMAS facelifts.

For patients concerned about visible scarring as much as overall results, the “ponytail-friendly” design has become one of the technique’s most requested features. Dr. Jacono has trained surgeons internationally in the method, extending its reach well beyond his own New York practice and into operating rooms worldwide. Follow this page on Instagram, for additional information.

Learn more about Dr. Andrew Jacono on https://ritzherald.com/dr-andrew-jaconos-path-to-becoming-a-leading-facial-plastic-surgeon/