‘I Wasn’t Able to Even Open My Eyes. That’s The Extent of the Swelling I Was’

Onemanda Preisinger feels anxious about her daughter’s impending 13th birthday celebration. Not for the usual reasons related to a home packed of loud preteen children, but because it’s the initial occasion she will debut her recently altered face to acquaintances and relatives. “Obviously I’m going to tell all guests as they come in, ‘For your information, this is not the way I look,’” says the 30-year-old property agent from south Florida.

Her appearance is, admittedly, a little surprising – her face puffed up and unnaturally tightened, as though held together by industrial-grade tape. Her altered – and she’s eager to emphasize, short-term – look is the result of half a dozen cosmetic procedures, such as an endoscopic mid-facelift, performed by a surgeon in Turkey’s Istanbul, last month. “My spouse became emotional when he viewed me for the initial time because I wasn’t able to even open my eyes. That indicates puffy I was,” she explains to me via video call from her home. “I had to tell him: ‘Honey, I’m okay, I’m not in pain. I just appear as if someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is one of a rising count of people electing to undergo a rhytidectomy in their 20s and 30s – significantly before a ten years before typical surgeons’ usual candidate age of forty to sixty. (Although most surgeons are keen to emphasise the industry edict of: “We address heredity, not years.”) “I have individuals in their late twenties asking for facial lifts,” says based in London cosmetic 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 opting for it as a lifestyle choice.”

Explaining the Rhytidectomy Surgery

A rhytidectomy, also known as a rhytidectomy, lifts the tissues in the face that begin to droop as we grow older. “Our faces are built a bit like layers of an onion,” says based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue called the superficial musculoaponeurotic system. Consider the SMAS as the soft tissue skeleton of the face. And that’s what ages us; that’s what loosens and sags and pulls the skin down with it.”

You endanger operating on individuals that have deeper issues. It’s not advisable for an conscientious surgeon to follow

Once the preserve of affluent seniors, overuse of injectables – when overuse of dermal fillers stretches the face and leads to looseness in the skin – combined with the widespread use of slimming medications, cut-price medical tourism, and the development of novel, celebrity-endorsed surgical techniques are attracting a new kind of patient towards this invasive surgery. Statistics indicate an 8% increase in facelifts over the past 12 months in the UK; while a study found that the portion of younger facelift patients is growing, with one-third of procedures now performed on patients aged thirty-five to fifty-five.

“Patients are asking now to appear as the best version of themselves and obviously the methods are evolving,” says Orfaniotis. Currently, the operation du jour is the deep plane facelift, a technique promoted by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

Where a more traditional facelift involves elevating the superficial layer, the comprehensive lift releases the underlying structures underneath, enabling surgeons to restructure the face by repositioning the underlying layers, and preventing the taut, pulled look occasionally caused by more traditional techniques. “We’re not putting stress on the dermis because we’re targeting deeper, to the deeper tissue,” says prestigious London cosmetic doctor Rajiv Grover, who specialises in the deep plane technique. “It is the deeper tissue that is adjusted. The skin comes with it as a secondary element.” Elevating the whole facial structure 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 cosmetic field terms it – but for “enhancement” and contouring, too. “We receive numerous requests from clients aged 28 to 35 for this reason,” notes Grover.

Personal Journey

Preisinger had not intended on undergoing a facelift – at least not at the age of 30. But long-term using hyaluronic acid dermal fillers in an attempt at “facial balancing” implied that by the time she reached her late 20s, she was “damaged”. “I didn’t undergo this because I wanted to look youthful,” she says. “I did it because the injectable harmed my face. I wish I had never done it. If I didn’t have the injectable, I don’t think I would be in this situation right now.”

If injectable substances completely disappear has historically been a point of contention in the cosmetic field. “Research have shown that they seldom fully dissipate,” says Grover, “but they migrate and can obstruct lymphatic channels. One of the contributors to what we call ‘pillow face’ is additionally the fact that in a sense, the face gets slightly fluid-filled because its capacity to drain lymphatic fluid has been reduced.” Though studies into the area is preliminary, cautionary statements on dermal fillers’ possible effects on the body’s drainage have been issued, and additional studies initiated. An esteemed facial plastic surgeon, speaking anonymously, mentioned he would never use injectables in a patient because of the dangers they pose. “Many surgeons avoid discussing this, because the companies who make filler can be pretty aggressive.” He’s heard stories, he adds, of cosmetic doctors facing court orders after raising their concerns.

Decision and Procedure

For Preisinger, after beginning using injectables, she felt as if she had to keep replenishing it – especially as it started to migrate to different areas of her face. She was only twenty-eight when a local plastic surgeon in the state suggested that a face and neck lift might be what she required to exit the injectable hamster wheel. After 24 months, she found herself choosing between a selection of recommended hotels in the city, sent to her by the clinic assistant at her surgeon’s office.

Initially, Preisinger had scheduled an eyelid surgery – commonly called eyelid surgery – but her doctor advised her that a facial lift was the correct option for the looseness she was finding in her face. She booked a brow lift, a cheek lift and a neck lift. The day before her surgery, one day after she’d arrived alone in the country, she opted to include a lip lift. “Subsequently the surgeon said, ‘We will elevate the lower eyelid puffiness.’ Then he said, ‘I believe if we extract some cheek fat, it will sculpt your face.’ So I ended up adding two more procedures,” she says. She spent $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, plus a three-day|

Ronnie Arnold
Ronnie Arnold

Digital strategist and tech enthusiast with a decade of experience in business innovation.