After Decades of Misinformation, Meta-Analysis Study Reveals Deep Plane Facelifting Technique and Other Methods Equally Safe

Wednesday, February 20, 2019 General News
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Study Shows Deep Plane Facelift Has Lowest Facial Nerve Injury Rate of All SMAS Facelifting Techniques and Concludes Facelift Approach Should be Selected Based on Quality of Results and Not the Complication Profile

NEW YORK, Feb. 19, 2019 /PRNewswire/ -- In a new meta-analysis study published in the Aesthetic

Surgery Journal, Andrew Jacono, M.D., FACS and Director of the New York Center for Facial Plastic & Laser Surgery, debunks the long held dogma that the Deep Plane facelift technique has a higher facial nerve injury rate than other facelift methods practiced today.

The study, entitled "A Meta-Analysis of Complication Rates Among Different SMAS Facelift Techniques," required Dr. Jacono and his team to systematically review 4,273 studies published in plastic surgery literature and include the results and complications of 41,141 facelift patients in those studies. The most feared complication of a facelift is a facial nerve injury that affects the ability to animate and express the face, for example the ability to smile. Using a statistical model called a meta-analysis with logistic regression, the study calculated that the Deep Plane technique, which lifts under the facial muscle called the SMAS, has the exact same temporary facial nerve injury rate of .69% as a superficial based facelift that simply stitches the surface of the SMAS muscle, called a SMAS Plication. In all cases the nerve injuries resolved spontaneously without treatment as healing progressed, and no patient had permanent facial nerve injury. The SMAS facelift techniques that had the highest rate of temporary facial nerve injury were the High Lateral SMAS facelift and the Composite facelift, at 1.85%, but these injuries resolved spontaneously as well.  

"Unlike other facelift techniques, the Deep Plane facelift lifts the skin, facial fat and muscle together as one unit and repositions all the deep facial musculature creating a more natural and longer lasting outcome," says Dr. Jacono, who has performed facelifts with many different techniques, but prefers the Deep Plane approach. "Deep Plane surgery is performed only by a small percentage of plastic surgeons, but regarded by many leaders to be the most advanced approach to facelifting," continues Dr. Jacono. "The older SMAS Plication technique of the past 40 years has more limited ability to create long-lasting outcomes."

"Today's facelift patient is often confused by conflicting information given to them regarding techniques and facial nerve injury rates," says Dr. Jacono. "I'm happy to finally be able to set the record straight and reveal that all facelift approaches have a comparable and safe complication profile," continues Dr. Jacono. "Technique should be selected based on quality of results and not the complication profile."

About Dr. Andrew JaconoA world-leading expert on minimally invasive facelifting, Dual Board Certified Facial Plastic and Reconstructive Surgeon, Dr. Andrew Jacono has presented clinical research and conducted live surgery in front of peer audiences at over 100 plastic surgery meetings and symposiums around the world and has delivered lectures at the most prestigious universities in America, including Harvard, Yale, Stanford, and the University of Pennsylvania.  

A Castle Connolly Top Doctor, Dr. Jacono serves as Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital and Associate Clinical Professor, Division of Facial Plastic & Reconstructive Surgery at Albert Einstein College of Medicine. Additionally, Dr. Jacono serves as Director of The New York Center for Facial Plastic & Laser Surgery in New York, New York and Fellowship Director of the American Academy of Facial Plastic and Reconstructive Surgery.

Dr. Jacono has published extensively in medical literature, with more than 50 articles appearing in peer-reviewed journals, including Aesthetic Surgery Journal, JAMA Facial Plastic Surgery, and Aesthetic Plastic Surgery. He was selected by Harper's Bazaar as one of twenty-four top plastic surgeons in America, and as one of the best facial plastic surgeons in New York City by New York Magazine. He has appeared on Good Morning America, Anderson, CNBC, and CNN and in USA Today, Town & Country, Departures, Huffington Post, O, The Oprah Magazine, Marie Claire, GQ and Esquire, among others. To learn more about Dr. Jacono and his practice, visit

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SOURCE The New York Center for Facial Plastic & Laser Surgery

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