When Marc Jacobs determined to get his first-ever facelift earlier this 12 months, he opted for a plastic surgeon identified for delivering astonishing, but in some way completely plausible, outcomes: New York Metropolis-based Andrew Jacono.
Between Jacono’s signature MADE (Minimal Entry Deep Aircraft Prolonged) facelift method and using hyperbaric oxygen remedy for speedy therapeutic, the 58-year-old designer not solely emerged as contemporary as a daisy, he additionally obtained main “transparency” cred for documenting virtually the entire process on Instagram. There he was, mummified in bandages, instantly post-op. Subsequent up have been blissed-out photographs from the oxygen chamber and many #livelovelift and #f*ckgravity hashtagging.
“I used to be honored that Marc selected me to do his facelift,” says Jacono, who estimates {that a} hefty 30 % chunk of his clientele is male. “He was candidate as a result of he had exhausted many different choices underneath the care of a talented and measured beauty dermatologist.”
In different phrases, at a sure level, all of the Botox and filler on the planet simply aren’t going to chop it. In truth, an excessive amount of of the latter — i.e., years of Juvéderm, Restylane or Sculptra injections — can result in “filler face,” or ugly stretching.
“Something that you just put in your face is occupying an area that wasn’t there,” says Jacono. “When a talented beauty dermatologist makes use of small quantities of filler in the fitting locations, the outcomes could be constructive. However it’s when the face is overfilled — and sadly this may be seen all over the place we glance — that the pores and skin could be materially stretched.”
It actually isn’t simply high-profile New Yorkers like Jacobs (and fellow Jacono patient Sonja Morgan, of “RHONY” fame) who’re shifting on from stop-gap dermatological procedures and carving outing of their schedules for a surgical refresh. Based on the latest statistics launched by the American Academy of Facial Plastic and Reconstructive Surgical procedure (AAFPRS), COVID-driven “Zoom dysmorphia” has created an unprecedented demand for surgical procedure throughout the US, driving the primary decline in noninvasive remedies in 9 years. Based on a latest AAFPRS member ballot, facelifts have been up 69 % in 2020 versus 2019.

Basic slicing is again in, just like the restricted incision/brief scar facelift method pioneered by New York Metropolis-based plastic surgeon Gerald Imber many years in the past, alongside along with his newer “C-lift” for males, which contains a C-shaped incision within the higher sideburn that permits him to tighten facial muscle tissue and cheek pores and skin with no seen scar. Though he already had greater than 3,000 facelifts underneath his belt, Imber says this previous spring and summer season have been the busiest time of his whole profession. “Apparently nobody obtained youthful or higher trying by way of the COVID horror,” he quips. “The decision to motion sounded as quickly as we started to see each other.”
“My reply to the query, ‘Is it time, or am I too younger?’ is all the time the identical: That is in regards to the mirror, not the calendar.”
Plastic surgeon Gerald Imber
Like Jacono’s suggestion for post-op oxygen, which may get sufferers out and about in as few as 10 days, Imber now routinely augments his lifts with fats transfers to the cheek space for a bit extra quantity. A substitute for fillers, the minimally invasive process “makes use of your individual fats, and most of us have loads to donate. A superb share of the result’s everlasting, and it all the time seems to be pure, as a result of it’s pure.”
Different add-ons Imber suggests for amping surgical procedure outcomes? Deep microneedling and platelet-rich plasma injections to enhance pores and skin high quality and increase collagen manufacturing, and earlobe shortening for an total friskier, younger impact. “I’m doing a lot of earlobe shortening,” he notes. “It sounds humorous, however the three issues that make individuals look aged are lack of facial quantity, stretching of the earlobes and drooping of the nasal tip.”
Name it the Facelift Plus — the core process with further tweaks that both scale back the prolonged downtime usually related to cosmetic surgery, or assist the outcomes last more. Fairly than a dramatic overhaul, and an excessively taut, stretched look that screams “dangerous work,” sufferers who align themselves with expert surgeons can anticipate a extra practical rejuvenation that Jacono says can maintain up for a decade-plus.
Given how younger first-time facelift sufferers are nowadays (40 is the brand new 60 in surgical suites), coupled with how lengthy we’re dwelling, the longer a facelift lasts, the higher.
Whereas the American Society of Plastic Surgeons says the typical value of a facelift within the US was $8,005 in 2020, a New York-caliber “facelift plus” will set you again significantly extra. Whereas Imber’s approximate beginning worth for a facelift with cheek-fat switch and pores and skin resurfacing is $33,750, Jacono fetches at the least $80,000 for his signature prolonged deep airplane facelift alone (when he’s not busy saving fellow airline passengers). Bundle that with a neck carry, fats grafting and fractional CO2 laser, and Jacono’s invoice swells to $160,000. And that doesn’t embody the $400 hyperbaric oxygen remedy periods, which happen off-site.
However for anybody who needs to get forward of ageing, there’s no disgrace within the surgical procedure recreation.
“My reply to the query, ‘Is it time, or am I too younger?’ is all the time the identical,” says Imber. “That is in regards to the mirror, not the calendar.”