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

Onemanda Preisinger experiences worry about her daughter’s upcoming 13th birthday celebration. Not for the usual reasons related to a home packed of loud adolescent kids, but because it’s the first time she will showcase her recently altered face to acquaintances and relatives. “Clearly I’m going to tell all guests as they arrive, ‘Just so you know, this is not the way I look,’” states the thirty-year-old real estate agent from Southern Florida.

How she looks is, admittedly, a little surprising – her face swollen and preternaturally lifted, as though secured by heavy-duty tape. Her new – and she’s keen to stress, short-term – appearance is the outcome of half a dozen aesthetic surgeries, such as an minimally invasive facelift, performed by a doctor in Istanbul, Turkey, last month. “My poor husband became emotional when he saw me for the initial time because I couldn’t even unseal my eyes. That indicates swollen I was,” she tells me via video call from her house. “I had to tell him: ‘Babe, I’m okay, I’m not hurting. I just appear as if someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

According to cosmetic specialists, Preisinger is one of a rising count of people choosing to undergo a facelift in their twenties and thirties – well over a ten years before typical surgeons’ typical patient age range of 40 to 60. (Although most surgeons are keen to emphasise the industry edict of: “We treat heredity, not years.”) “I have 28-year-olds requesting facial lifts,” states London-based aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the facial area. “It’s a major procedure, and I’m a somewhat worried when I observe individuals choosing it as a lifestyle choice.”

Explaining the Rhytidectomy Surgery

A facelift, alternatively called a facelift, elevates the ligaments in the face that begin to droop as we age. “Our faces are structured a little like onion layers,” says based in Kent facial plastic surgeon Marc Pacifico. “Dermis and adipose on the top, then a stratum of supportive tissue called the superficial musculoaponeurotic system. Consider the facial framework as the structural foundation of the face. And that’s what causes aging; that is what loosens and sags and drags the skin downward with it.”

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

Once the preserve of affluent seniors, overuse of injectables – when overuse of injectable gels expands the face and causes looseness in the skin – alongside the widespread use of slimming medications, low-cost medical tourism, and the advancement of novel, celebrity-endorsed operative methods are driving a different type of customer towards this invasive surgery. Statistics indicate an 8% increase in facial lifts over the past 12 months in the UK; while a study found that the percentage of younger facelift patients is growing, 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 methods are following,” comments Orfaniotis. Currently, the trending procedure is the comprehensive facial lift, a technique promoted by figures including Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

Where a conventional facelift entails lifting the SMAS, the deep plane facelift loosens the underlying structures beneath it, enabling doctors to restructure the face by repositioning the deeper tissue, and avoiding the taut, pulled appearance sometimes wrought by older methods. “We’re not putting tension on the dermis because we’re targeting deeper, to the deeper tissue,” says Harley Street plastic surgeon Rajiv Grover, who focuses on the advanced method. “It is the deeper tissue 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 more durable outcome. It also means that the procedure is no longer being used for the primary goal of youth preservation – or rejuvenation, as the cosmetic field describes it – but for “enhancement” and contouring, too. “We’re getting many inquiries from patients aged 28 to 35 for this reason,” notes Grover.

Individual Experience

Preisinger had not intended on getting a facial lift – at minimum not at the thirty years old. But long-term using injectable gels in an attempt at “symmetry correction” implied that by the time she reached her late twenties, she was “damaged”. “I didn’t do this because I wanted to look youthful,” she says. “I underwent it because the filler ruined my face. I wish I had never using it. If I had avoided the filler, I don’t think I would be where I’m at currently.”

If injectable substances ever fully dissolve has historically been a debated topic in the cosmetic field. “Studies have indicated that they seldom completely dissolve,” says Grover, “but they migrate and can obstruct lymphatic channels. One of the contributors to what we call ‘puffy appearance’ is additionally the fact that in a sense, the face becomes somewhat waterlogged because its ability to drain lymphatic fluid has been diminished.” Although studies into the topic is preliminary, cautionary statements on injectables’ potential impact on the body’s drainage have been issued, and additional studies initiated. One highly regarded face specialist, commenting on the condition of anonymity, mentioned he would avoid using fillers in a client because of the risks they present. “Many doctors avoid talk about this, because the manufacturers who produce filler can be pretty aggressive.” He’s heard stories, he says, of plastic surgeons facing court orders after raising their concerns.

Decision and Procedure

For Preisinger, after beginning injecting filler, she believed she had to keep replenishing it – especially as it began moving to other parts of her face. She was just 28 when a local plastic surgeon in the state suggested that a face and neck lift could be what she required to finally step off the injectable hamster wheel. After 24 months, she ended up selecting from a list of recommended hotels in the city, sent to her by the patient coordinator at her surgeon’s office.

Originally, Preisinger had scheduled an eyelid surgery – better known as blepharoplasty – but her surgeon advised her that a facelift was the correct option for the looseness she was experiencing in her face. She arranged a forehead lift, a mid-facelift and a jawline surgery. The eve of her surgery, one day after she’d arrived solo in the country, she opted to include a mouth enhancement. “Subsequently the surgeon stated, ‘We’re going to elevate the lower eyelid puffiness.’ Then he said, ‘I believe if we remove some cheek fat, it will sculpt your face.’ Thus I ultimately including additional surgeries,” she says. She spent $22,000 (sixteen thousand five hundred pounds) for the half-day operation, including a three-day|

The writer

Jared Herrera

Elena is a digital productivity consultant with over a decade of experience helping professionals optimize their workflows and leverage technology effectively.

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