The Longevity Economy Is Sending Patients to Dr. Andrew Jacono at 45

People are working longer, and they are preparing their appearances to match. The facelift, once considered a procedure for the post-retirement set, has moved earlier in the life cycle for a growing number of professionals. Dr. Andrew Jacono, whose Manhattan practice performs approximately 250 deep-plane facelifts per year, says the average patient age has settled in the mid-40s — a generation younger than the traditional demographic.

Preventive Surgery Mirrors Preventive Health

The framing that resonates with this younger cohort is prevention. Waiting for severe tissue descent requires more aggressive correction. Addressing mild jowling or early midface deflation at 45 allows less invasive surgery with a subtler outcome. The model tracks closely with how this demographic approaches diet, fitness, and preventive medicine: intervening early to avoid more disruptive correction later.

Dr. Andrew Jacono’s extended deep-plane technique works beneath the SMAS layer, moving fat pads and releasing ligaments to restore facial structure from within. Town & Country described his approach as keeping skin, muscle, and fat together as one unit rather than separating tissue planes and pulling skin taut. That structural work produces results lasting 12 to 15 years, contingent on technique, skin quality, lifestyle habits, and ongoing care.

Recovery Built for Busy Schedules

Younger patients often have less tolerance for extended downtime. The technique’s approach of keeping tissue layers intact preserves blood supply and supports faster healing. Most patients resume professional activity within two weeks, and incisions placed along the hairline and behind the ear remain concealed even with short hair or a ponytail — a detail that matters to patients stepping back in front of clients or cameras quickly.

Newsweek ranked Dr. Andrew Jacono third among American facelift surgeons for 2025. He has published more than 70 peer-reviewed articles and his 2021 textbook synthesizes outcomes from over 2,000 procedures, establishing benchmarks for the natural, earlier-intervention results that now define the field’s direction.