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

Onemanda Preisinger is nervous about her daughter’s impending 13th birthday celebration. Not for the typical causes related to a house full of clamorous preteen kids, but since it’s the first time she will showcase her recently altered face to friends and extended family. “Obviously I’m going to inform all guests as they arrive, ‘Just so you know, this is not how I appear,’” says the 30-year-old real estate agent from south Florida.

Her appearance is, admittedly, a somewhat surprising – her face swollen and unnaturally tightened, as though secured by industrial-grade tape. Her altered – and she’s keen to stress, temporary – look is the outcome of half a dozen cosmetic procedures, such as an minimally invasive facelift, conducted by a doctor in Turkey’s Istanbul, last month. “My spouse became emotional when he viewed me for the initial time because I couldn’t even open my eyes. That indicates puffy I was,” she explains to me via online call from her home. “I had to tell him: ‘Babe, I’m fine, I’m not hurting. I just look like someone jumped me.’”

Increasing Popularity of Early Facelifts

Based on plastic surgeons, Preisinger is one of a rising count of individuals choosing to undergo a facelift in their 20s and 30s – significantly before a decade prior to typical surgeons’ usual candidate age of forty to sixty. (Although most surgeons are eager to highlight the professional guideline of: “We treat heredity, not years.”) “I have 28-year-olds asking for facelifts,” states London-based cosmetic surgeon Georgios Orfaniotis, a former NHS consultant 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.”

Understanding the Rhytidectomy Surgery

A facelift, also known as a facelift, lifts the tissues in the face that begin to droop as we age. “Our faces are built a little like layers of an onion,” says based in Kent facial plastic surgeon Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue known as the superficial musculoaponeurotic system. Think of the SMAS as the structural foundation of the face. And that’s what causes aging; that is what loosens and sags and pulls the skin downward with it.”

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

Once the preserve of affluent seniors, “filler fatigue” – when overuse of dermal fillers expands the face and leads to looseness in the skin – combined with the common adoption of weight-loss drugs, low-cost surgical travel, and the advancement of novel, celebrity-endorsed operative methods are attracting a different type of patient towards this invasive surgery. Statistics show an 8% increase in facial lifts over the past 12 months in the United Kingdom; while a survey found that the portion of younger facelift patients is increasing, with one-third of procedures now conducted for patients aged thirty-five to fifty-five.

“People are now requesting to appear as the optimal form of themselves and obviously the techniques are evolving,” says Orfaniotis. Currently, the trending procedure is the comprehensive facial lift, a technique promoted by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

Where a more traditional facelift entails lifting the SMAS, the comprehensive lift loosens the underlying structures beneath it, enabling surgeons to restructure the face by repositioning 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 Harley Street 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 secondary element.” Elevating the entire soft tissue layer as a single unit results in a more natural-looking and more durable outcome. It additionally implies that the procedure is no longer being used for the express purpose of anti-ageing – or rejuvenation, as the aesthetics industry describes it – but for “beautification” and facial restructuring, too. “We’re getting many inquiries from clients aged 28 to 35 for this purpose,” notes Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at minimum not at the thirty years old. But long-term using hyaluronic acid dermal fillers in an attempt at “symmetry correction” meant that by the time she entered her late 20s, she was “botched”. “I didn’t do this because I wanted to look young,” she says. “I did it because the injectable harmed my face. I regret ever done it. If I had avoided the injectable, I don’t believe I would be in this situation right now.”

If injectable substances completely disappear has long been a debated topic in the aesthetics industry. “Research have shown that not only do they rarely completely dissolve,” states Grover, “but they move and can block drainage pathways. A contributing factor to what we call ‘puffy appearance’ is additionally the reality that to some extent, the face gets somewhat waterlogged because its ability to drain lymphatic fluid has been diminished.” Though studies into the area is preliminary, cautionary statements on injectables’ potential impact on the body’s drainage have been issued, and further research initiated. An esteemed face specialist, commenting anonymously, says he would avoid using fillers in a patient because of the risks they pose. “Many doctors don’t want to talk about this, because the companies who produce filler can be pretty aggressive.” He’s heard stories, he says, of cosmetic doctors facing court orders after raising their concerns.

Choice and Surgery

For Preisinger, once she started injecting filler, she believed she needed to continue replenishing it – especially as it started to migrate to other parts of her face. She was only twenty-eight when a local plastic surgeon in Florida proposed that a face and neck lift could be what she needed to exit the cycle of treatments. Two years later, she ended up choosing between a list of recommended hotels in the city, sent to her by the patient coordinator at her surgeon’s office.

Initially, Preisinger had planned for an eyelid surgery – better known as 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 mid-facelift and a jawline surgery. The day before her operation, one day after she’d arrived alone in Turkey, she opted to include a lip lift. “Then he said, ‘We will lift the under-eye bags.’ Then he said, ‘I think if we extract some buccal fat, it will sculpt your face.’ Thus I ultimately adding two more procedures,” she says. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour surgery, plus a three-day|

The writer

Deborah Rogers

A productivity coach and writer with over a decade of experience helping professionals optimize their workflows and achieve their goals.

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