‘I Wasn’t Able to Even Open My Eyes. That’s How Swollen I Was’

Onemanda Preisinger experiences worry about her child’s impending 13th birthday celebration. Not for the usual reasons related to a house full of loud adolescent children, but because it’s the first time she will debut her new face to friends and extended family. “Clearly I’m going to tell all guests as they arrive, ‘Just so you know, this is not how I look,’” states the thirty-year-old real estate agent from Southern Florida.

How she looks is, admittedly, a somewhat startling – her face swollen and preternaturally lifted, as though secured by heavy-duty tape. Her new – and she’s eager to emphasize, temporary – appearance is the outcome of six aesthetic surgeries, such as an minimally invasive facelift, performed by a surgeon in Istanbul, Turkey, the previous month. “My poor husband teared up when he viewed me for the first time because I couldn’t even open my eyes. That indicates puffy I was,” she explains to me via online call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not in pain. I just appear as if someone attacked me.’”

Increasing Popularity of Early Facelifts

According to cosmetic specialists, Preisinger is among a growing number of individuals choosing to undergo a rhytidectomy in their 20s and 30s – significantly before a decade prior to typical surgeons’ usual candidate age of forty to sixty. (Although most surgeons are keen to emphasise the industry edict of: “We address genetics, not years.”) “I have 28-year-olds asking for facelifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the head and neck. “It’s a very significant procedure, and I’m a somewhat worried when I see individuals choosing it as a lifestyle choice.”

Explaining the Facelift Procedure

A facelift, also known as a rhytidectomy, elevates the ligaments in the face that begin to droop as we age. “Our faces are structured a bit like layers of an onion,” says Kent-based face specialist Marc Pacifico. “Skin and fat on the surface, then a stratum of connective tissue called the superficial musculoaponeurotic system. Consider the facial framework as the soft tissue skeleton of the face. And that’s what ages us; that is what loosens and sags and pulls the dermis down with it.”

You endanger operating on individuals that have underlying problems. It’s not advisable for an ethical plastic surgeon to follow

Previously reserved of affluent seniors, overuse of injectables – when excessive use of dermal fillers stretches the face and causes looseness in the skin – combined with the widespread use of weight-loss drugs, low-cost medical tourism, and the advancement of novel, famous-figure-promoted operative methods are attracting a different type of customer towards this major operation. Statistics show an 8% increase in facelifts over the last year in the United Kingdom; while a study revealed that the portion of youthful candidates is increasing, with 32% of facelifts now performed on patients aged thirty-five to fifty-five.

“Patients are asking now to appear as the optimal form of themselves and naturally the techniques are following,” comments Orfaniotis. At present, the operation du jour is the deep plane facelift, a method evangelised by everyone from Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

While a more traditional rhytidectomy entails elevating the superficial layer, the comprehensive lift releases the underlying structures beneath it, allowing doctors to restructure the face by moving the underlying layers, and avoiding the taut, pulled look sometimes wrought by more traditional techniques. “We’re not putting tension on the skin because we’re targeting deeper, to the deeper tissue,” says prestigious London plastic surgeon Rajiv Grover, who focuses on the deep plane technique. “It is the underlying layers that is repositioned. The dermis comes with it as a passenger.” Lifting the whole facial structure as a single unit allows for a more natural-looking and longer-lasting result. It additionally implies that the surgery is no longer being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry terms it – but for “beautification” and facial restructuring, too. “We’re getting many inquiries from patients aged late twenties to mid-thirties for this reason,” notes Grover.

Individual Experience

Preisinger had not intended on getting a facial lift – at least not at the age of 30. But long-term 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 young,” she clarifies. “I did it because the injectable ruined my face. I wish I had never using it. If I didn’t have the filler, I don’t believe I would be where I’m at right now.”

If injectable substances completely disappear has historically been a point of contention in the cosmetic field. “Research have indicated that they seldom fully dissipate,” says Grover, “but they move and can block lymphatic channels. One of the contributors to what we call ‘puffy appearance’ is additionally the reality that in a sense, the face gets somewhat waterlogged because its capacity to drain bodily fluid has been reduced.” Though research into the area is preliminary, warnings on dermal fillers’ possible effects on the body’s drainage have been issued, and further research initiated. One highly regarded facial plastic surgeon, commenting anonymously, mentioned he would avoid using fillers in a client because of the dangers they present. “Many doctors don’t want to talk about 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 expressing worries.

Decision and Procedure

For Preisinger, once she started injecting filler, she believed she had to keep adding more – particularly when it began moving to different areas of her face. She was only twenty-eight when a nearby cosmetic doctor in the state suggested that a face and neck lift could be what she required to exit the injectable hamster wheel. After 24 months, she found herself selecting from a selection of suggested accommodations in the city, texted 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 advised her that a facelift was the right solution for the looseness she was finding in her face. She arranged a brow lift, a mid-facelift and a neck lift. The day before her surgery, 24 hours post she’d touched down alone in Turkey, she decided to add a lip lift. “Subsequently the surgeon stated, ‘We will elevate the under-eye bags.’ Then he said, ‘I believe if we extract some buccal fat, it will sculpt your face.’ So I ended up adding two more surgeries,” she says. She spent $22,000 (sixteen thousand five hundred pounds) for the half-day surgery, including a three-day|

Jennifer Ponce
Jennifer Ponce

A tech journalist with a passion for emerging technologies and digital innovation, exploring how tech shapes our daily lives.