Scarring is one of the quieter concerns patients bring into a facelift consultation. Even when results look natural, visible incision lines can undercut the outcome. Dr. Andrew Jacono addressed this directly by designing a technique with meaningfully shorter incisions than conventional facelift surgery.

The Minimal Access Deep-Plane Extended facelift, often shortened to MADE, uses incisions roughly one-third the length required by traditional approaches. That reduction is possible because of how the procedure accesses deeper facial layers rather than relying on wide surface exposure.

Small Access, Deep Correction

Rather than working primarily on the skin’s surface, Dr. Andrew Jacono’s approach operates beneath the superficial musculoaponeurotic system, moving skin, muscle and fat together as one unit. This deeper access point allows the surgeon to release facial ligaments and reposition tissue without requiring the longer incisions that surface-focused lifting historically needed.

The result is a smaller physical footprint from the surgery itself, paired with the removal of the taut, pulled quality that longer traditional incisions and heavier skin tension can create. Patients often describe this as a benefit that shows up both in the mirror and in recovery.

A Refined, Repeated Technique

Jacono introduced the method in the early 2000s and has continued performing it at scale, completing an estimated 250 of these procedures annually at his Manhattan practice. His 2011 paper in the Aesthetic Surgery Journal, drawn from 153 documented cases, gave the surgical community measurable outcomes to evaluate rather than relying solely on visual before-and-after comparisons.

Shorter incisions alone would mean little without results to match. Combined with the deep-plane repositioning at the technique’s core, the approach aims to deliver both discretion and durability.

Incision placement and length also influence how quickly a patient feels comfortable returning to normal routines, since shorter access points generally mean less disruption to surrounding tissue during healing. That said, individual recovery timelines depend heavily on the specific patient, their skin quality and how closely they follow post-operative guidance.

Anyone researching facelift options should ask prospective surgeons directly how incision length and placement factor into their specific technique, since this detail varies considerably between practitioners even when procedures are marketed under similar names. Visit this page on Instagram, for more information.

Learn more about Dr. Andrew Jacono on https://goodmenproject.com/everyday-life-2/dr-andrew-jacono-on-the-rising-demand-of-male-facelifts/