‘I Wasn’t Able to Even Open My Eyes. That’s The Extent of the Swelling I Was’

Onemanda Preisinger is nervous about her daughter’s impending 13th birthday party. It’s not due to the typical reasons associated with a house full of loud preteen kids, but since it’s the first time she will reveal her recently altered face to friends and extended family. “Obviously I’m going to tell everyone as they come in, ‘Just so you know, this is not how I look,’” says the thirty-year-old real estate agent from south Florida.

How she looks is, admittedly, a somewhat surprising – her face swollen and unnaturally tightened, as though secured by heavy-duty tape. Her altered – and she’s eager to emphasize, temporary – look is the outcome of six cosmetic procedures, such as an minimally invasive facelift, conducted by a doctor in Turkey’s Istanbul, last month. “My spouse teared up when he viewed me for the initial time because I couldn’t even unseal my eyes. That indicates puffy I was,” she explains to me via video call from her house. “I needed to inform him: ‘Honey, I’m fine, I’m not hurting. I just look like someone jumped me.’”

Increasing Popularity of Early Facelifts

According to plastic surgeons, Preisinger is among a growing number of people choosing to undergo a rhytidectomy in their twenties and thirties – significantly before a decade prior to most doctors’ usual candidate age of forty to sixty. (Although most surgeons are keen to emphasise the professional guideline of: “We address genetics, not age.”) “I have individuals in their late twenties requesting facial lifts,” states based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the facial area. “It’s a very significant procedure, and I’m a somewhat worried when I see individuals opting for it as a personal preference.”

Explaining the Facelift Procedure

A rhytidectomy, also known as a facelift, elevates the tissues in the face that begin to droop as we age. “Human faces are built a bit like layers of an onion,” explains based in Kent face specialist Marc Pacifico. “Dermis and adipose on the surface, then a layer of connective tissue known as the superficial musculoaponeurotic system. Think of the facial framework as the structural foundation of the face. And that’s what causes aging; that’s what becomes lax and pulls the dermis downward with it.”

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

Once the preserve of affluent seniors, overuse of injectables – when excessive use of dermal fillers expands the face and leads to laxity in the skin – alongside the widespread use of slimming medications, low-cost medical tourism, and the development of new, famous-figure-promoted operative methods are driving a new kind of customer towards this major operation. Statistics indicate an 8% increase in facelifts over the past 12 months in the UK; while a study found that the percentage of younger facelift patients is increasing, with 32% of facelifts now performed on patients aged 35-55.

“People are asking now to appear as the optimal form of themselves and obviously the techniques are evolving,” says 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.

Advanced Lifting Method

While a conventional facelift entails lifting the superficial layer, the comprehensive lift releases the facial ligaments underneath, enabling doctors to restructure the face by moving the deeper tissue, and preventing the taut, pulled look sometimes wrought by older methods. “We avoid placing tension on the dermis because we’re targeting deeper, to the deeper tissue,” says prestigious London cosmetic doctor Rajiv Grover, who specialises in the advanced method. “It is the deeper tissue that is adjusted. The dermis comes with it as a passenger.” Elevating the whole facial structure as a single unit results in a authentic-appearing and more durable result. It additionally implies that the surgery is no longer being used for the express purpose of youth preservation – or revitalization, as the aesthetics industry describes it – but for “enhancement” and facial restructuring, too. “We’re getting numerous requests from clients aged 28 to 35 for this purpose,” says Grover.

Personal Journey

Preisinger had not intended on undergoing a facial lift – at least not at the age of 30. But years of using injectable gels in an effort at “symmetry correction” implied that by the time she reached her late twenties, she was “damaged”. “I didn’t undergo this because I desired to appear youthful,” she says. “I underwent it because the injectable harmed my face. I wish I had never using it. If I didn’t have the injectable, I don’t believe I would be where I’m at currently.”

Whether dermal fillers ever fully dissolve has historically been a point of contention in the cosmetic field. “Research have shown that not only do they rarely fully dissipate,” states Grover, “but they migrate and can obstruct lymphatic channels. One of the contributors to what we call ‘pillow face’ is additionally the fact that to some extent, the face becomes slightly waterlogged because its capacity to drain bodily fluid has been diminished.” Although research into the topic is preliminary, warnings on injectables’ possible effects on the body’s drainage have been issued, and further research initiated. One highly regarded facial plastic surgeon, speaking anonymously, mentioned he would avoid using injectables in a patient because of the dangers they pose. “A lot of surgeons avoid discussing this, because the companies who make injectables can be quite forceful.” He’s been told accounts, he says, of plastic surgeons facing legal actions after expressing worries.

Decision and Procedure

For Preisinger, after beginning injecting filler, she believed she needed to continue adding more – particularly when it started to migrate to different areas of her face. She was just 28 when a nearby cosmetic doctor in the state proposed that a face and neck lift could be what she required to finally step off the cycle of treatments. After 24 months, she found herself selecting from a selection of recommended hotels in the city, texted to her by the clinic assistant at her surgeon’s office.

Initially, Preisinger had planned for an upper and lower blepharoplasty – better known as eyelid surgery – but her surgeon advised her that a facial lift was the correct option for the laxity she was finding in her face. She arranged a forehead lift, a cheek lift and a jawline surgery. The eve of her operation, 24 hours post she’d arrived solo in the country, she decided to add a lip lift. “Then he stated, ‘We will elevate the lower eyelid puffiness.’ Then he said, ‘I think if we extract some buccal fat, it will sculpt your face.’ So I ended up adding two more surgeries,” she recalls. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour surgery, plus a three-day|

Tara Wilkinson MD
Tara Wilkinson MD

A business strategist with over 15 years of experience in corporate consulting and digital transformation.