Men Are Choosing Facelifts Earlier, Led by Dr. Andrew Jacono

Male patients were once a footnote in facial plastic surgery practices. Today they represent a growing share of the patient base. Dr. Andrew Jacono, a Manhattan facial plastic surgeon known for his extended deep-plane facelift technique, reports that men now make up 20% of his facelift cases. A decade ago, that figure was just 2%. The reasons are practical: professional competition, video call visibility, and a broader cultural acceptance of surgical intervention among men.

Discretion Is the Deciding Factor

The biggest barrier for male patients has historically been the fear of visible signs of surgery. Dr. Andrew Jacono’s technique addresses this directly. Incisions are placed behind the ear and along the hairline, remaining invisible even with short hairstyles. Results look natural rather than pulled, which matters for executives and client-facing professionals who cannot afford to appear as though they have had work done.

High-profile choices have helped shift perception. Dr. Paul Nassif, well known from the reality television program Botched, traveled from Beverly Hills to New York specifically to have his deep-plane facelift performed by Dr. Andrew Jacono. Fashion designer Marc Jacobs went public in 2021 about his own surgery, helping normalize the decision for men in creative and business industries alike.

The Economics of Early Intervention

The financial logic of earlier surgery is straightforward. A facelift performed at 45 with results lasting 12 to 15 years carries a patient through their most productive professional years. Waiting until 60 may compress those results against retirement, potentially requiring additional procedures sooner. Viewed as professional maintenance rather than cosmetic indulgence, the timing makes sense.

Dr. Andrew Jacono performs around 250 deep-plane facelifts each year at his Manhattan practice. Newsweek placed him third among facelift surgeons nationwide for 2025. He holds academic appointments as Associate Clinical Professor at Albert Einstein College of Medicine and has served most of his career as a Fellowship Director for the American Academy of Facial Plastic and Reconstructive Surgery, training surgeons in the advanced techniques that make earlier, subtler intervention possible.