Send Dr. Andrew Jacono an email
About My Practice
How are you helping to advance the field at large?
I am one of 61 surgeons in the United States who is an advanced facial plastic surgery fellowship director for the American Academy of Facial Plastic and Reconstructive Surgery. I am also an assistant clinical professor of facial plastic surgery at New York Medical College and Albert Einstein College of Medicine. One of my passions is conducting clinical research on new techniques, and my studies are regularly published in leading plastic surgery journals.
What are some of your hobbies?
Drawing, painting, surfing, mountain climbing, biking, playing classical guitar, traveling and writing.
What alternative occupation would you choose?
Architecture designing libraries or museums is very appealing to me.
What's one thing you're never without?
I’m never without hugs from my four children.
Why is giving back so important to you?
This aspect of my work is so gratifying. It’s why I became a facial plastic surgeon. Many of my pro-bono patients have suffered disfigurement due to domestic violence, while others were born with deformities. I can remove some of the physical scars so they can move on with their lives.
What are some of your proudest moments thus far in your career?
Receiving the Community Service Award from the American Academy of Facial Plastic and Reconstructive Surgery for the charitable surgery I do for babies born with cleft lip and palate deformities, as well as for women disfigured by domestic violence. This award is given to one surgeon each year. I have also been named “Best Facial Plastic Surgeon in America” by Castle Connolly’s Guide to Top Doctors and Harper’s Bazaar. Additionally, I summited Mount Kilimanjaro and Mount Elbrus, the tallest mountains in Africa and Europe respectively, to raise money for the treatment of underprivileged children born with facial deformities.
In what ways are you philanthropy-minded?
While much of my time is dedicated to age-defying makeovers, I devote 20 percent of my practice to complex facial reconstructive surgery. I have served as the chairman of FACE TO FACE, a national organization offering pro-bono plastic surgery to victims of domestic violence. I have also served as surgical team leader for Healing the Children, during which I provided plastic surgery for more than 500 underprivileged children worldwide born with cleft lip and palate deformities.
American Board of Otolaryngology/Head and Neck Surgery
Affiliation:American Academy of Facial Plastic and Reconstructive Surgery
A Minute With
The ideal face
Audrey Hepburn because she has a delicate face and feminine features, but her lips and chin are both strong
Three words that best describe me
Passionate, dedicated, loyal
What sets my practice apart
Customized care—from the minute you step foot in my practice, my staff and I provide each patient with care tailored to their individual needs
The future of my field
Minimally invasive plastic surgery procedures and rapid recoveries are the future of plastic surgery
How i make the best first impression
Listening to my patients to truly understand their desired results and being honest about the best path to that goal
The biggest misconception about my field
That every feature works for every face
My dream innovation
A device that could create a nonsurgical facelift
Celeb photos my patients most often bring in
Angelina Jolie’s lips, Kim Kardashian’s nose or Reese Witherspoon’s heart-shaped face
How are you helping to advance the field at large?
Between lifting necks and jawlines, and sculpting noses, lips and cheeks, I conduct clinical research, lecture, teach, write and enjoy formulating new products. I have published two books and my studies are regularly published in the leading plastic surgery journals. My lectures can be heard at international facial plastic surgery conferences all over the world
What do you do to provide the safest environment for your patients?
I own and operate an AAAASF-certified surgical facility, which provides the highest level of surgical care and offer patients local or twilight anesthesia instead of general to reduce surgical risk
Why is giving back so important to you?
As a father of four, I’m passionate about helping children across the globe through pro-bono surgery. I have performed more than 500 cleft lip and palate surgeries on children in South East Asia and South and Central America over the past 12 years. Making a difference in a child’s life is like no other feeling in the world
- Aesthetic Injectables / Fillers
- Lip Augmentation
- Chin and Cheek Sculpting
- M.A.D.E. Vertical Facelift
- Endoscopic Facelift
- Necklift / Neck Liposuction
- Micro Fat Grafting
- Fraxel® Laser Resurfacing
- Extended Deep Plane Facelift
What is a nonsurgical nose job?What our experts say:
It’s a misnomer because it’s not really a nose job. It’s used if you have bump on your bridge. We put some filler above the bump so it camouflages it. It doesn’t make big noses smaller, but makes bumps appears less noticeable.
How are cheek and chin implants inserted?What our experts say:
Most can be inserted internally, inside the mouth, so they can’t be seen.
What is a mini/multi-planar facelift?What our experts say:
A mini facelift can tighten the jowl and neck areas and require a smaller incision than a full facelift. It doesn’t involve as much lifting of the face and is used on people who are not as droopy, usually patients who are in their 40s to mid-50s. There is a quicker recovery with less scarring.
What is a weekend facelift?What our experts say:
A weekend facelift uses different procedures to give the appearance of lifted face with no significant downtime, but it’s not an actual facelift. We can use liposuction to contour the face including the neck line and jaw area or we can use laser treatments. Sometimes we use injectables like Radiesse or Sculptra, or chin and cheek implants. It’s not really a specific operation, but we perform less-invasive procedures to make patients look tighter and more rejuvenated.
What is a deep plane face lift?What our experts say:
It’s an operation that lifts all the muscles of the face, but doesn’t dissect the skin from the face. It just goes under the muscles of the face. The results are much more powerful and provide a more natural result. It lasts longer because we are rebuilding the muscles of the face, not stretching the skin which gives that stretched look. There is also less recovery because all the swelling and bruising under the surface of the skin, so patients heal faster. It can be performed at any age, it depends on what your goals are, but here are not that many doctors that do it—probably less than five percent.
How is liposuction used in facial plastic surgery?What our experts say:
We primarily use liposuction to contour the jawline and neck. It’s a relatively simple procedure with a three to five day recovery. Doctors can use any style--laser, the old style, fiber optics, it all works. But, it’s not good to use liposuction on other parts of the face where it causes irregularities and puckering.
How do you know if you need a brow lift?What our experts say:
Stand in front of the mirror and lift your forehead. If you like the way it looks, you need a brow lift. Some people have heavy foreheads—it has to do with genetics. Sometimes patients think they need eyelift because their upper eyelids look heavy, but they really need a forehead or brow lift, not an eyelift.
What is an endoscopic brow lift?What our experts say:
One that’s performed with small incisions in the hairline, instead of making large cuts. We make poke holes the size of a drinking straw. They are hidden in the scalp and don’t cause problems with hair growth.
Can a brow lift be reversed? How?What our experts say:
Yes they can, but it’s more complicated. We make a cranial large incision over the top of the forehead, and then lift everything up, bringing all the tissues forward. Then we use tacks and anchor the forehead and brow in a lower position. It’s hard to make it go back to its regular state. It’s a much-more extensive surgery.
How do you get rid of droopy upper eyelids?What our experts say:
If it’s not a dropped forehead or brow, we make a small incision in the eyelid and remove the extra skin. It’s a very small procedure.
What is the best way to get rid of under-eye circles?What our experts say:
There are different ways. The non-surgical way is to use filler—like Restalyne or Juvederm— in the deep hollows under the eyes. We do a surgical procedure not commonly performed: Fat transposition lower blepharoplasty. It’s like filler, but we use the natural fat from around the eye area, not from elsewhere in the body, and fill in the deep hollows. It’s a very strong, effective procedure.
What is the best way to change the shape of your nose?What our experts say:
It depends upon the patient. There are so many techniques for rhinoplasty, and each technique is not the used for everybody. We try to minimize incisions and do a “closed” rhinoplasty, where the incision is made on the inside of the nose, but it’s not for everyone. In an open rhinoplasy, there is a small external scar.
Are there less-invasive treatments to rejuvenate the face?What our experts say:
We do chemical peels, but it’s all about laser resurfacing. We have so many lasers.
What is a liquid facelift?What our experts say:
With a liquid facelift, we use materials, or fillers, to revolumize the face and fill in grooves. It’s like re-inflating a balloon. They give the skin a lifted appearance, but are non-surgical. All it takes in 10 minutes and you look great!
How do I know what injectable fillers are right for me?What our experts say:
It depends on what you are trying to accomplish. Hyaluronics can be used all over, but last a shorter period of time, six to eight months. They work superficial lines and wrinkles better. Radiesse lasts over a year. It’s designed to be more supportive because it’s made form bone particles. Sculptra also is long-term. It lasts two to three years. It helps the body create its own natural collegen, but you need two to three sessions.
How do I make my lips fuller?What our experts say:
For lips, the best are hyaluronic materials. The other types of fillers can cause nodules in the lips. I use Juvederm for lips the most.
Is silicone still used as a facial filler?What our experts say:
I don’t use it, but some doctors are good at it. The problem with silicone is that a small percentage of people can have a bad reaction to it. You have to cut it out if you have a reaction to it.
Is there a lot of swelling and bruising after a nose job?What our experts say:
There shouldn’t be, generally speaking. It usually goes away after a week. I usually don’t break nasal bones (which is what causes swelling and bruising). There are newer techniques. Some surgeons do it a lot because that’s what they are used to, and what they are comfortable with.
What is a traditional full facelift? A mid-facelift?What our experts say:
A mid-facelift usually lifts the cheek area and rejuvenates droopy cheeks and nasalabial folds. It is usually performed without a large incision, endoscopically through the hairline (scalp) or eyelid. A full facelift usually involves a relatively hidden incision behind the ear. A full facelift deals with the Cheek area, jawline, jowl, and neck areas—it works on all of the face. There is a more visible incision, but when done properly it is well hidden.
How do you get rid of “lipstick bleed” lines?What our experts say:
Generally speaking we use something to fill them, like hyaluronic acids, or we use lasers to smooth them out. The fractional CO2 laser resurfaces the best with the least amount of color changing to the skin. It’s used to smooth out lines and wrinkles of the face.
How does Botox actually work? Is it safe?What our experts say:
It is extremely safe. It lifts slightly and gets rid of the lines and wrinkles caused by flexing facial muscles by relaxing them. It makes the face look refreshed and the eyes look more open and less tired.
Can I use my own fat/tissue to fill my face? If so, how long do the effects last?What our experts say:
They do it all the time. Sure. As you get older you droop and you deflate. You lose volume and natural elasticity. We use fat to augment these areas—like in the cheeks, hallows under the eyes and around the mouth—and rebuild the natural heart-shaped face. We borrow fat from other parts of the body. It’s also referred to as a stem cell facelift because fat has stem cells and properties beyond filling things—it can lift and revolumize at the same. If the fat “takes,” it’s permanent. But doctors have to be honest with patients: 30 percent of them time it doesn’t take and needs to be repeated. But we do everything we can to make sure it takes. It can be frustrating, but it is still a very good treatment.
What kind of implant is used for the chin or cheeks?What our experts say:
There are so many different materials. It depends on the patient’s facial structure. Different materials can be customized. And some come in different shapes and sizes. The most common are Silastic (which is silicone), Gortex, and Porex.
How do you get rid of “turkey neck?”What our experts say:
With a neck lift, which is actually a face lifting procedure. We can also use Ultherapy (a non-invasive device that uses focused ultrasound energy to lift the skin on the face and neck). It’s a new treatment that is about 30 percent effective. It tightens, but doesn’t treat the problem entirely.
Is Botox only used to get rid of frown lines, or are there other uses for it in the face?What our experts say:
I use it all over: For neck bands, for a gummy smile, lifting a downturned mouth, etc.