‘I Couldn’t Even Unseal My Eyes. That’s The Extent of the Swelling I Was’

Onemanda Preisinger experiences worry about her child’s upcoming 13th birthday celebration. It’s not due to the typical causes related to a house full of loud adolescent children, but because it’s the initial occasion she will showcase her recently altered face to friends and relatives. “Obviously I’m going to inform all guests as they come in, ‘For your information, this is not how I appear,’” says the 30-year-old property agent from Southern Florida.

Her appearance is, well, a little startling – her face puffed up and preternaturally lifted, as though held together by heavy-duty tape. Her altered – and she’s eager to emphasize, short-term – look is the result of six cosmetic procedures, including an endoscopic mid-facelift, performed by a surgeon in Turkey’s Istanbul, last month. “My spouse became emotional when he saw me for the initial time because I wasn’t able to even open my eyes. That indicates swollen I was,” she explains to me via video call from her house. “I needed to inform him: ‘Babe, I’m okay, I’m not hurting. I just look like someone attacked me.’”

Growing Trend of Early Facelifts

Based on cosmetic specialists, Preisinger is among a growing number of people choosing to have a facelift in their 20s and 30s – well over a decade before typical surgeons’ typical patient age range of forty to sixty. (Though many specialists are eager to highlight the industry edict of: “We treat heredity, not years.”) “I have individuals in their late twenties asking for facelifts,” says based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the facial area. “It’s a very significant surgery, and I’m a bit concerned when I see individuals choosing it as a personal preference.”

Explaining the Rhytidectomy Surgery

A facelift, also known as a rhytidectomy, elevates the ligaments in the face that start to sag as we age. “Human faces are built a bit like layers of an onion,” says based in Kent facial plastic surgeon Marc Pacifico. “Skin and fat on the surface, then a stratum of connective tissue known as the SMAS. Consider the facial framework as the structural foundation of the face. And that’s what causes aging; that is what becomes lax and pulls the dermis downward with it.”

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

Once the preserve of moneyed older people, overuse of injectables – when overuse of injectable gels stretches the face and causes laxity in the dermis – alongside the common adoption of weight-loss drugs, cut-price medical tourism, and the advancement of novel, celebrity-endorsed surgical techniques are driving a different type of customer towards this invasive surgery. Reports show an eight percent rise in facelifts over the past 12 months in the United Kingdom; while a study revealed that the percentage of younger facelift patients is increasing, with 32% of facelifts now conducted for individuals aged thirty-five to fifty-five.

“People are asking now to look like the best version of themselves and obviously the techniques are evolving,” says Orfaniotis. Currently, the trending procedure is the comprehensive facial lift, a technique evangelised by figures including reality TV star Kris Jenner, to fashion designer Marc Jacobs.

Deep Plane Technique

While a more traditional rhytidectomy entails elevating the superficial layer, the comprehensive lift loosens the facial ligaments beneath it, enabling surgeons to restructure the face by moving the deeper tissue, and preventing the tight, stretched appearance sometimes wrought by more traditional techniques. “We avoid placing tension on the skin because we’re going below, 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 skin follows along as a passenger.” Elevating the entire soft tissue layer as a single unit results in a more natural-looking and more durable result. It additionally implies that the surgery is no longer being used for the primary goal of youth preservation – or rejuvenation, as the aesthetics industry terms it – but for “beautification” and facial restructuring, too. “We receive many inquiries from patients aged late twenties to mid-thirties for this reason,” says Grover.

Personal Journey

Preisinger had never planned on getting a facelift – at least not at the age of 30. But years of using injectable gels in an effort at “facial balancing” implied that by the time she entered her late 20s, she was “botched”. “I didn’t undergo this because I wanted to look youthful,” she clarifies. “I did it because the injectable harmed my face. I regret ever done it. If I didn’t have the injectable, I don’t think I would be in this situation right now.”

Whether dermal fillers ever fully dissolve has long been a debated topic in the cosmetic field. “Research have indicated that not only do they rarely fully dissipate,” says Grover, “but they migrate and can block drainage pathways. One of the contributors to what we term ‘pillow face’ is also the fact that in a sense, the face gets somewhat waterlogged because its ability to drain lymphatic fluid has been reduced.” Though studies into the area is early-stage, warnings on injectables’ potential impact on the lymphatic system have been released, and further research announced. One highly regarded face specialist, commenting anonymously, mentioned he would never use injectables in a client because of the risks they pose. “A lot of doctors don’t want to talk about this, because the manufacturers who make injectables can be pretty aggressive.” He’s heard stories, he says, of plastic surgeons being landed with court orders after raising their concerns.

Decision and Procedure

For Preisinger, after beginning injecting filler, she felt as if she needed to continue replenishing it – particularly when it began moving to other parts of her face. She was only twenty-eight when a nearby cosmetic doctor in the state proposed that a facial and neck surgery might be what she required to exit the injectable hamster wheel. After 24 months, she ended up selecting from a selection of suggested accommodations in Istanbul, texted to her by the patient coordinator at her doctor’s clinic.

Originally, Preisinger had planned for an eyelid surgery – better known as eyelid surgery – but her doctor advised her that a facelift was the right solution for the looseness she was experiencing in her face. She booked a forehead lift, a cheek lift and a neck lift. The day before her surgery, 24 hours post she’d arrived alone in the country, she decided to add a lip lift. “Then he said, ‘We will lift the under-eye bags.’ Then he said, ‘I believe if we remove some buccal fat, it will contour your face.’ So I ended up including additional surgeries,” she says. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour surgery, including a three-day|

Allen Thompson
Allen Thompson

A tech enthusiast and software developer with over a decade of experience in building scalable applications and mentoring teams.