‘I Couldn’t Even Open My Eyes. That’s How Swollen I Was’

Onemanda Preisinger is nervous about her daughter’s upcoming 13th birthday party. It’s not due to the usual causes related to a house full of loud adolescent children, but because it’s the initial occasion she will debut her new face to friends and relatives. “Clearly I’m going to inform all guests as they come in, ‘For your information, this is not the way I look,’” states the thirty-year-old property agent from Southern Florida.

Her appearance is, well, a little surprising – her face swollen and unnaturally tightened, as though held together by heavy-duty tape. Her altered – and she’s eager to emphasize, short-term – look is the result of six aesthetic surgeries, such as an minimally invasive facelift, performed by a surgeon in Turkey’s Istanbul, the previous month. “My spouse became emotional when he viewed me for the initial time because I wasn’t able to even unseal my eyes. That’s how swollen I was,” she explains to me via online call from her house. “I had to tell him: ‘Babe, I’m fine, I’m not in pain. I just appear as if someone attacked me.’”

Increasing Popularity of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is among a growing number of people electing to undergo a facelift in their 20s and 30s – significantly before a decade prior to most doctors’ usual candidate age of 40 to 60. (Although most surgeons are keen to emphasise the industry edict of: “We treat heredity, not age.”) “I have individuals in their late twenties requesting facial lifts,” says based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the head and neck. “It’s a very significant surgery, and I’m a somewhat worried when I observe people opting for it as a personal preference.”

Explaining the Facelift Procedure

A facelift, 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,” says based in Kent facial plastic surgeon Marc Pacifico. “Dermis and adipose on the surface, then a stratum of supportive tissue called the superficial musculoaponeurotic system. Consider the facial framework as the soft tissue skeleton of the face. And that is what ages us; that’s what becomes lax and drags the dermis down with it.”

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

Previously reserved of moneyed older people, “filler fatigue” – when overuse of dermal fillers expands the face and leads to laxity in the dermis – alongside the widespread use of weight-loss drugs, low-cost surgical travel, and the advancement of new, famous-figure-promoted operative methods are driving a new kind of customer towards this invasive surgery. Reports show an eight percent rise in facelifts over the last year in the United Kingdom; while a survey revealed that the portion of youthful candidates is growing, with 32% of facelifts now performed on patients aged 35-55.

“People are now requesting to look like the best version of themselves and naturally the techniques are evolving,” says Orfaniotis. At present, the operation du jour is the deep plane facelift, a technique evangelised by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

While a more traditional rhytidectomy involves elevating the SMAS, the deep plane facelift releases the facial ligaments beneath it, allowing doctors to restructure the face by repositioning the underlying layers, and avoiding the taut, pulled look sometimes wrought by more traditional techniques. “We’re not putting stress on the dermis because we’re going below, to the underlying structures,” explains prestigious London cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the underlying layers that is adjusted. The skin follows along as a secondary element.” Lifting the whole facial structure as a single unit results in a authentic-appearing and more durable result. It also means that the surgery is not just being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “enhancement” and facial restructuring, too. “We receive numerous requests from patients aged 28 to 35 for this purpose,” says Grover.

Individual Experience

Preisinger had not intended on undergoing a facial lift – at least not at the age of 30. But long-term using injectable gels in an attempt at “symmetry correction” meant that by the time she reached her late twenties, she was “botched”. “I didn’t do this because I wanted to look 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 think I would be in this situation currently.”

Whether injectable substances completely disappear has historically been a point of contention in the cosmetic field. “Studies have indicated that they seldom completely dissolve,” states Grover, “but they move and can obstruct drainage pathways. A contributing factor to what we term ‘pillow face’ is additionally the reality that to some extent, the face becomes somewhat waterlogged because its ability to remove lymphatic fluid has been reduced.” Although studies into the topic is preliminary, cautionary statements on injectables’ potential impact on the lymphatic system have been issued, and additional studies announced. One highly regarded facial plastic surgeon, commenting on the condition of anonymity, says he would never use fillers in a client because of the dangers they present. “A lot of doctors don’t want to discussing this, because the manufacturers who make injectables can be quite forceful.” 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 believed she had to keep replenishing it – especially as it began moving to other parts of her face. She was just 28 when a nearby cosmetic doctor in the state proposed that a facial and neck surgery could be what she needed to finally step off the cycle of treatments. After 24 months, she found herself selecting from a list of suggested accommodations in the city, texted to her by the clinic assistant at her surgeon’s office.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her surgeon recommended that a facelift was the right solution for the looseness she was finding in her face. She arranged a brow lift, a cheek lift and a jawline surgery. The eve of her operation, one day after she’d touched down alone in Turkey, she decided to add a lip lift. “Then he said, ‘We will elevate the under-eye bags.’ Then he said, ‘I think if we remove some cheek fat, it will contour your face.’ Thus I ultimately adding two more procedures,” she says. She spent $22,000 (£16,500) for the six-hour operation, plus a three-day|

Stephen Martinez
Stephen Martinez

A tech enthusiast and digital strategist with over a decade of experience in emerging technologies and digital transformation.