This man is a confident incompetent. He talks a good game but his skills do not match. I'm living proof. He has ruined my face. Stay away from him, it will only bring you hardship and pain.
I had an s-lift, brow lift and 3 revision rhinoplasties with him. The facelift has left me with asymmetry where one cheek is higher than the other. I have pleats in my skin more noticeable on one side than the other. He also pulled the skin too high over my cheekbones leaving an unnatural look with lines radiating from my mouth when I speak. The rhinoplasty was even worse. I've had 3 surgeries with Dr Jacono and they have all been bad. The first one where he took a significant amount off the length of my nose without consent-we never discussed shortening my nose. This along with the s-lift where the skin pulled too high (and asymmetrically) makes me look hideous. He obviously has no sense of aesthetics. I went back to him again for what he was originally supposed to do which was to even out the sides from my first surgery. In the 2nd surgery, again, he did not even out the sides and he made my nose look worse. My nose collapsed on the left and he did not even out the sides. In fact over time, when the swelling went down, my nose looked more uneven and looked like it was deviating left. I had a 3rd surgery(stupid me to go back to him) where he was supposed to finally fix the unevenness and lengthen my nose to bring it back what it was before. We agreed on what he was going to do. He did a digital image, After this surgery, my nose is not noticeably longer which is the biggest issue and I can see my nose deviating right as he left more cartilage on the right. I can barely look at myself in the mirror. My feeling is he has no sense of aesthetics, never takes notes, always rushing, he doesn't think about what he's doing - he just does.
The man is incompetent. Beware of his confidence. He has left a trail of destruction. Read the reviews.