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

Onemanda Preisinger experiences worry about her child’s impending 13th birthday celebration. Not for the typical causes related to a home packed of clamorous preteen kids, but because it’s the initial occasion she will showcase her new face to acquaintances and relatives. “Clearly I’m going to inform all guests as they arrive, ‘Just so you know, this is not the way I look,’” states the 30-year-old real estate agent from south Florida.

Her appearance is, admittedly, a somewhat startling – her face puffed up and unnaturally tightened, as though held together by industrial-grade tape. Her altered – and she’s eager to emphasize, temporary – appearance is the outcome of six cosmetic procedures, such as an endoscopic mid-facelift, conducted by a surgeon in Turkey’s Istanbul, last month. “My spouse teared up when he viewed me for the initial time because I wasn’t able to even open my eyes. That’s how swollen I was,” she explains to me via online call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not hurting. I just look like someone attacked me.’”

Increasing Popularity of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is one of a rising count of individuals choosing to undergo a rhytidectomy in their twenties and thirties – well over a ten years before typical surgeons’ usual candidate age of forty to sixty. (Though many specialists are eager to highlight the industry edict of: “We treat heredity, not age.”) “I have individuals in their late twenties asking for facial lifts,” says London-based cosmetic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the facial area. “It’s a major procedure, 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, lifts the ligaments in the face that begin to droop as we grow older. “Our faces are built a little like onion layers,” explains Kent-based face specialist Marc Pacifico. “Skin and fat on the top, then a layer of supportive tissue known as the superficial musculoaponeurotic system. Consider the facial framework as the soft tissue skeleton of the face. And that is what causes aging; that’s what loosens and sags and drags the dermis downward with it.”

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

Previously reserved of affluent seniors, overuse of injectables – when overuse of injectable gels expands the face and leads to looseness in the dermis – combined with the common adoption of weight-loss drugs, low-cost surgical travel, and the development of novel, celebrity-endorsed operative methods are driving a different type of patient towards this invasive surgery. Statistics indicate an 8% increase in facelifts over the past 12 months in the United Kingdom; while a study revealed that the portion of younger facelift patients is increasing, with one-third of procedures now performed on individuals aged 35-55.

“Patients are now requesting to look like the best version of themselves and naturally the methods are following,” comments Orfaniotis. At present, the trending procedure 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 involves elevating the SMAS, the comprehensive lift loosens the underlying structures beneath it, allowing doctors to reshape the face by repositioning the deeper tissue, and avoiding the taut, pulled appearance occasionally caused by older methods. “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 advanced method. “It is the deeper tissue that is adjusted. The skin follows along as a passenger.” Lifting the whole facial structure as a single unit results in a authentic-appearing and longer-lasting result. It also means that the procedure is no longer being used for the primary goal of anti-ageing – or revitalization, as the cosmetic field terms it – but for “beautification” and contouring, too. “We receive many inquiries from patients aged late twenties to mid-thirties for this reason,” notes Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at least not at the age of 30. But long-term using injectable gels in an attempt at “facial balancing” implied that by the time she entered her late 20s, she was “botched”. “I didn’t do this because I wanted to look young,” she clarifies. “I underwent it because the filler harmed my face. I regret ever using it. If I had avoided the filler, I don’t believe I would be in this situation right now.”

If injectable substances ever fully dissolve has long been a point of contention in the cosmetic field. “Research have shown that not only do they rarely fully dissipate,” states Grover, “but they move and can obstruct lymphatic channels. A contributing factor to what we term ‘puffy appearance’ is also the fact that in a sense, the face gets somewhat waterlogged because its capacity to drain lymphatic fluid has been diminished.” Though studies into the area is early-stage, warnings on injectables’ possible effects on the lymphatic system have been released, and further research announced. One highly regarded facial plastic surgeon, speaking anonymously, says he would avoid using injectables in a patient because of the risks they pose. “A lot of doctors don’t want to discussing this, because the manufacturers who produce injectables can be quite forceful.” He’s heard stories, he adds, of cosmetic doctors facing legal actions after expressing worries.

Decision and Procedure

For Preisinger, after beginning injecting filler, she believed she had to keep adding more – particularly when it started to migrate to other parts of her face. She was just 28 when a nearby cosmetic doctor in the state suggested that a facial and neck surgery might 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 Istanbul, texted to her by the patient coordinator at her surgeon’s office.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her doctor advised her that a facelift was the right solution for the looseness she was experiencing in her face. She arranged a brow lift, a cheek lift and a neck lift. The day before her operation, one day after she’d arrived alone in Turkey, she decided to add a mouth enhancement. “Then he 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 recalls. She paid $22,000 (£16,500) for the half-day operation, plus a three-day|

PB
The writer

Paul Brown

Maritime consultant with over a decade of experience in UK port operations and logistics strategy.

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