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‘My Eyes Were So Swollen I Couldn’t Even Open Them’

Onemanda Preisinger feels anxious about her child’s upcoming 13th birthday party. It’s not due to the typical causes associated with a house full of loud preteen children, but because it’s the first time she will showcase her recently altered face to friends and relatives. “Obviously I’m going to inform all guests as they arrive, ‘Just so you know, this is not how I appear,’” states the 30-year-old property agent from south Florida.

How she looks is, well, a little surprising – her face puffed up and unnaturally tightened, as though secured by industrial-grade tape. Her new – and she’s eager to emphasize, short-term – appearance is the result of half a dozen aesthetic surgeries, including an minimally invasive facelift, performed by a surgeon in Istanbul, Turkey, the previous month. “My spouse teared up when he viewed me for the first time because I couldn’t even unseal my eyes. That’s how puffy I was,” she explains to me via online call from her house. “I had to tell him: ‘Honey, I’m okay, I’m not in pain. I just look like someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

According to cosmetic specialists, Preisinger is among a growing number of individuals choosing to have a rhytidectomy in their 20s and 30s – significantly before a decade before most doctors’ usual candidate age of forty to sixty. (Although most surgeons are eager to highlight the industry edict of: “We treat genetics, not age.”) “I have 28-year-olds asking for facial lifts,” says based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the facial area. “It’s a major procedure, and I’m a bit concerned when I see individuals choosing it as a personal preference.”

Explaining the Facelift Procedure

A facelift, alternatively called a facelift, lifts the tissues in the face that start to sag as we grow older. “Our faces are structured a little like onion layers,” says based in Kent facial plastic surgeon Marc Pacifico. “Skin and fat on the surface, then a layer of connective tissue known as the SMAS. Consider the facial framework as the structural foundation of the face. And that is what ages us; that is what becomes lax and drags the skin down with it.”

You risk performing surgery on individuals that have deeper issues. It’s not advisable for an ethical plastic surgeon to pursue

Once the preserve of affluent seniors, overuse of injectables – when excessive use of injectable gels expands the face and leads to looseness in the dermis – combined with the common adoption of slimming medications, low-cost surgical travel, and the advancement of new, celebrity-endorsed surgical techniques are driving a different type of customer towards this major operation. Statistics show an eight percent rise in facelifts over the past 12 months in the United Kingdom; while a study revealed that the portion of younger facelift patients is growing, with 32% of facelifts now performed on individuals aged thirty-five to fifty-five.

“People are asking now to look like the best version of themselves and obviously the methods are following,” says Orfaniotis. At present, the trending procedure is the comprehensive facial lift, a technique promoted by everyone from Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Deep Plane Technique

While a conventional rhytidectomy involves elevating the superficial layer, the deep plane facelift loosens the underlying structures beneath it, enabling doctors to reshape the face by repositioning the deeper tissue, and avoiding the taut, pulled appearance sometimes wrought by older methods. “We’re not putting stress on the dermis because we’re going below, to the underlying structures,” says Harley Street cosmetic doctor Rajiv Grover, who focuses on the deep plane technique. “It is the deeper tissue that is adjusted. The dermis follows along as a secondary element.” Lifting the entire soft tissue layer as a unified block allows for a authentic-appearing and more durable result. It also means that the surgery is not just being used for the express purpose of youth preservation – or rejuvenation, as the cosmetic field terms it – but for “enhancement” and facial restructuring, too. “We’re getting many inquiries from patients aged 28 to 35 for this purpose,” notes Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at least not at the age of 30. But years of using hyaluronic acid dermal fillers in an attempt at “facial balancing” meant that by the time she reached her late 20s, she was “damaged”. “I didn’t undergo this because I wanted to look young,” she says. “I underwent it because the injectable ruined my face. I regret ever using it. If I had avoided the injectable, I don’t believe I would be in this situation currently.”

Whether injectable substances ever fully dissolve has historically been a point of contention in the cosmetic field. “Research have indicated that they seldom completely dissolve,” says Grover, “but they migrate and can obstruct lymphatic channels. A contributing factor to what we term ‘pillow face’ is additionally the fact that in a sense, the face gets slightly waterlogged because its capacity to drain lymphatic fluid has been reduced.” Although studies into the topic is early-stage, warnings on injectables’ potential impact on the body’s drainage have been released, and additional studies announced. One highly regarded face specialist, commenting on the condition of anonymity, says he would never use injectables in a patient because of the risks they pose. “A lot of doctors don’t want to discussing this, because the manufacturers who make filler can be pretty aggressive.” He’s been told accounts, he adds, of plastic surgeons being landed with legal actions after raising their concerns.

Choice and Surgery

For Preisinger, once she started using injectables, she felt as if she had to keep replenishing it – particularly when it began moving to other parts of her face. She was just 28 when a local plastic surgeon in Florida suggested that a face and neck lift might be what she needed to exit the injectable hamster wheel. After 24 months, she ended up choosing between a list of suggested accommodations in Istanbul, sent to her by the clinic assistant at her surgeon’s office.

Initially, Preisinger had scheduled an upper and lower blepharoplasty – commonly called blepharoplasty – but her doctor recommended that a facelift was the correct option for the laxity she was finding in her face. She booked a brow lift, a cheek lift and a neck lift. The eve of her operation, 24 hours post she’d touched down solo in the country, she decided to add a lip lift. “Then he stated, ‘We’re going to lift the lower eyelid puffiness.’ He added, ‘I think if we extract some buccal fat, it will sculpt your face.’ So I ended up including additional procedures,” she recalls. She spent $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, including a three-day|

Written by

Rachel Leonard

A tech journalist with over a decade of experience covering digital transformation and startup ecosystems.

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