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Men accounted for 2% of facelift patients a decade ago. Today, they represent 20% of cases at the New York practice of Dr. Andrew Jacono, a tenfold increase driven by professional pressures and shifting attitudes toward cosmetic surgery.
The surge reflects broader changes in how men approach aging. Executive presence matters. Video conferences expose every line. Younger colleagues compete for the same positions. Men who once dismissed facial surgery now see it as career maintenance rather than vanity.
Dr. Andrew Jacono documented this shift in a 2020 Town & Country interview, noting that professional pressures to look vibrant fueled much of the increase. The dual board-certified facial plastic surgeon has built his Manhattan practice on delivering results that don’t announce themselves, a particularly important consideration for male patients who face greater scrutiny about obvious cosmetic work.
Professional Pressure Drives Demand
Corporate environments punish visible aging. Men competing in finance, law, and technology sectors increasingly seek surgical solutions to maintain competitive advantages. The calculation is straightforward: appearing vigorous and energetic influences hiring decisions, client relationships, and advancement opportunities.
Dr. Andrew Jacono’s extended deep-plane facelift technique addresses male facial aging without the telltale signs that mark conventional procedures. Traditional facelifts separate skin from underlying muscle, creating tension that produces the “pulled” appearance men especially want to avoid. His approach lifts skin, muscle, and fat together as one structural unit, repositioning tissue at deeper anatomical layers.
The technique matters for male patients because masculine facial features require different handling than female faces. Men have thicker skin, heavier bone structure, and less tolerance for the softened contours that suit female aesthetics. Jacono’s method preserves masculine jawlines and angular facial architecture while addressing descended tissue and jowling.
What Changed in Male Attitudes
Stigma surrounding male cosmetic surgery has diminished considerably. Fashion designer Marc Jacobs publicly discussed his facelift with Dr. Andrew Jacono in 2021, telling Vogue it was “possible to look like yourself… without looking like you had bad plastic surgery.” Even plastic surgeon Dr. Paul Nassif traveled from Beverly Hills to New York for Jacono’s extended deep-plane technique, later discussing the procedure with media outlets.
These high-profile cases normalized male facial surgery among demographics that previously avoided it. Men no longer view facelifts as exclusively female procedures. The calculation shifted from “should I?” to “which surgeon can deliver undetectable results?”
The Town & Country profile noted another trend in Jacono’s practice: the average patient age dropped to mid-40s as both men and women pursued surgical intervention earlier. Maintaining appearance became preferable to dramatic correction later.
Technical Considerations for Male Faces
Male facelift surgery presents distinct anatomical challenges. Men grow facial hair that extends into surgical zones, requiring incision placement that avoids disrupting beard patterns. Blood supply to male facial skin differs from female anatomy, necessitating adjustments in surgical technique.
Dr. Andrew Jacono’s “ponytail-friendly” incision approach, which places scars behind the ear and along the hairline at roughly one-third the length of traditional facelifts, serves male patients well. Shorter scars mean less visible evidence and faster social recovery, both priorities for men who face greater workplace skepticism about cosmetic procedures.
Newsweek ranked Dr. Andrew Jacono third among America’s best facelift surgeons for 2025, based on peer nominations and patient reviews. He serves as Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital and Associate Clinical Professor at Albert Einstein College of Medicine.
Dr. Andrew Jacono performs approximately 250 extended deep-plane facelifts annually at his Manhattan practice. The proportion of male patients continues to climb as surgical techniques improve and workplace dynamics reward youthful appearance. What began as a procedure almost exclusively requested by women has become standard across demographics.
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Photo provided by the author.
