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‘I Couldn’t Even Unseal My Eyes. That’s How Swollen I Was’

Onemanda Preisinger experiences worry about her daughter’s upcoming 13th birthday party. Not for the typical reasons associated with a house full of loud adolescent kids, but since it’s the initial occasion she will showcase her new face to friends and relatives. “Obviously I’m going to tell everyone as they come in, ‘For your information, this is not how I appear,’” states the 30-year-old property agent from Southern Florida.

How she looks is, admittedly, a somewhat startling – her face swollen and unnaturally tightened, as though held together by industrial-grade tape. Her new – and she’s keen to stress, short-term – appearance is the outcome of six cosmetic procedures, including an minimally invasive facelift, conducted by a surgeon in Istanbul, Turkey, last month. “My poor husband became emotional when he saw me for the first time because I couldn’t even unseal my eyes. That’s how puffy I was,” she tells me via video call from her house. “I needed to inform him: ‘Honey, I’m okay, I’m not in pain. I just appear as if someone jumped me.’”

Growing Trend of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is among a rising count of people choosing to undergo a rhytidectomy in their 20s and 30s – significantly before a ten years before most doctors’ typical patient age range of forty to sixty. (Though many specialists are keen to emphasise the professional guideline of: “We treat genetics, not age.”) “I have 28-year-olds asking for facial lifts,” states London-based aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the facial area. “It’s a very significant surgery, and I’m a bit concerned when I observe people choosing it as a lifestyle choice.”

Understanding the Facelift Procedure

A facelift, alternatively called a facelift, lifts the ligaments in the face that start to sag as we age. “Our faces are structured a little like onion layers,” explains based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue called the superficial musculoaponeurotic system. Think of the facial framework as the soft tissue skeleton of the face. And that’s what ages us; that is what becomes lax and pulls the skin down with it.”

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

Previously reserved of affluent seniors, “filler fatigue” – when overuse of injectable gels stretches the face and causes looseness in the skin – combined with the common adoption of slimming medications, low-cost medical tourism, and the advancement of novel, famous-figure-promoted surgical techniques are attracting a different type of patient towards this major operation. Reports indicate an eight percent rise in facial lifts over the last year in the United Kingdom; while a study revealed that the percentage of youthful candidates is increasing, with 32% of facelifts now conducted for individuals aged thirty-five to fifty-five.

“People are now requesting to appear as the optimal form of themselves and naturally the methods are evolving,” comments Orfaniotis. Currently, the operation du jour is the deep plane facelift, a technique evangelised by figures including reality TV star Kris Jenner, to fashion designer Marc Jacobs.

Deep Plane Technique

Where a more traditional facelift entails elevating the superficial layer, the comprehensive lift releases the underlying structures beneath it, enabling doctors to reshape the face by repositioning the underlying layers, and preventing the tight, stretched look sometimes wrought by more traditional techniques. “We’re not putting tension on the skin because we’re going below, to the deeper tissue,” explains Harley Street cosmetic doctor Rajiv Grover, who focuses on the deep plane technique. “It is the deeper tissue that is repositioned. The skin comes with it as a secondary element.” Lifting the entire soft tissue layer as a single unit allows for a authentic-appearing and more durable result. It additionally implies that the procedure is no longer being used for the express purpose of youth preservation – or rejuvenation, as the cosmetic field terms it – but for “beautification” and contouring, too. “We receive many inquiries from clients aged 28 to 35 for this reason,” says Grover.

Individual Experience

Preisinger had never planned on getting a facial lift – at least not at the thirty years old. 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 “botched”. “I didn’t undergo this because I desired to appear young,” she clarifies. “I underwent it because the filler ruined my face. I regret ever done it. If I had avoided the filler, I don’t think I would be in this situation currently.”

Whether dermal fillers ever fully dissolve has historically been a debated topic in the aesthetics industry. “Research have shown that they seldom completely dissolve,” says Grover, “but they migrate and can block drainage pathways. A contributing factor to what we call ‘pillow face’ is also the fact that to some extent, the face gets somewhat waterlogged because its capacity to drain lymphatic fluid has been reduced.” Though research into the topic is preliminary, warnings on dermal fillers’ potential impact on the body’s drainage have been issued, and additional studies initiated. One highly regarded face specialist, commenting anonymously, says he would never use fillers in a patient because of the dangers they pose. “A lot of doctors don’t want to talk about this, because the companies who make filler can be quite forceful.” He’s been told accounts, he adds, of cosmetic doctors being landed with legal actions after raising their concerns.

Choice and Surgery

For Preisinger, once she started injecting filler, she felt as if she had to keep adding more – especially as it started to migrate to different areas of her face. She was just 28 when a nearby cosmetic doctor in the state suggested that a facial and neck surgery might be what she required to exit the injectable hamster wheel. After 24 months, she ended up choosing between a selection of suggested accommodations in Istanbul, texted to her by the patient coordinator at her doctor’s clinic.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her doctor advised her that a facelift was the right solution for the laxity she was experiencing in her face. She arranged a forehead lift, a mid-facelift and a neck lift. The eve of her operation, one day after she’d arrived solo in the country, she decided to add a mouth enhancement. “Then he stated, ‘We’re going to lift the lower eyelid puffiness.’ Then he said, ‘I believe if we extract some cheek fat, it will sculpt your face.’ Thus I ultimately adding two more surgeries,” she recalls. She spent $22,000 (£16,500) for the six-hour surgery, plus a three-day|

Written by

Elizabeth Mclean

A tech entrepreneur and writer with over a decade of experience in digital transformation and startup ecosystems.

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