The Ponytail Test Behind Dr. Andrew Jacono’s Facelift
Patients considering a facelift often worry about one thing above all else: whether the surgery will show. Dr. Andrew Jacono built part of his reputation on answering that concern directly, developing a technique patients and staff describe as ponytail-friendly.
The phrase refers to incision placement. Where conventional facelifts require longer incisions that can be difficult to fully conceal, Dr. Jacono’s extended deep-plane method uses incisions measuring roughly a third the length, hidden behind the ear or along the hairline. Patients can pull their hair back without revealing any sign that surgery occurred.
Smaller Incisions, Deeper Work
The shorter incision is possible because of what the technique accomplishes beneath the skin rather than at its surface. Dr. Andrew Jacono works underneath the superficial musculoaponeurotic system, releasing ligaments and repositioning the midface, jawline and neck vertically, so skin, muscle and fat move together as one connected unit instead of being pulled tight from above.
That structural approach also produces a face that looks refreshed rather than obviously altered, since the correction addresses the position of underlying tissue instead of stretching skin over an unchanged frame. Patients consistently describe the outcome as looking like an earlier version of themselves.
Dr. Jacono has performed the procedure on roughly 250 patients annually and has trained other surgeons internationally through master classes and published research, including a first peer-reviewed study in the Aesthetic Surgery Journal in 2011 covering 153 patients.
The safety data reinforces the cosmetic appeal. Early outcomes showed a revision rate of 3.9 percent and a temporary facial nerve injury rate of just 1.3 percent, numbers that suggest the smaller incisions and deeper tissue work do not come at the expense of surgical safety.
For anyone hesitant about visible scarring, the combination of minimal incisions and structural correction explains much of why this approach has become a reference point in facial plastic surgery. Results also last 12 to 15 years, meaning the concealed incisions stay concealed for well over a decade rather than fading in value after only a few years. Refer to this article for related information.
More about Dr. Andrew Jacono on https://www.instagram.com/drjacono/?hl=en
