‘My Eyes Were So Puffy I Was Unable to Even Open Them’

Onemanda Preisinger feels anxious about her child’s upcoming 13th birthday party. It’s not due to the usual causes related to a house full of loud adolescent children, but since it’s the initial occasion she will debut her recently altered face to friends and extended family. “Obviously I’m going to inform everyone as they arrive, ‘For your information, this is not the way I look,’” says the thirty-year-old property agent from south Florida.

Her appearance is, admittedly, a little surprising – her face swollen and preternaturally lifted, as though held together by heavy-duty tape. Her altered – and she’s eager to emphasize, temporary – appearance is the outcome of half a dozen cosmetic procedures, including an endoscopic mid-facelift, conducted by a surgeon in Turkey’s Istanbul, the previous month. “My spouse teared up when he viewed me for the first time because I couldn’t even unseal my eyes. That indicates swollen I was,” she tells me via online call from her home. “I needed to inform him: ‘Honey, I’m fine, I’m not hurting. I just look like someone jumped me.’”

Growing Trend of Youthful Facial Lifts

According to plastic surgeons, Preisinger is among a growing number of people electing to have a rhytidectomy in their 20s and 30s – well over a ten years prior to most doctors’ typical patient age range of forty to sixty. (Although most surgeons are eager to highlight the industry edict of: “We address genetics, not years.”) “I have 28-year-olds asking for facial lifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the head and neck. “It’s a major surgery, and I’m a somewhat worried when I see individuals opting for it as a lifestyle choice.”

Understanding the Facelift Procedure

A facelift, also known as a rhytidectomy, lifts the tissues in the face that begin to droop as we age. “Our faces are structured a bit like layers of an onion,” says Kent-based facial plastic surgeon Marc Pacifico. “Dermis and adipose on the top, then a layer of supportive tissue known as the SMAS. Think of the SMAS as the soft tissue skeleton of the face. And that is what ages us; that’s what becomes lax and drags the dermis downward with it.”

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

Once the preserve of moneyed older people, overuse of injectables – when excessive use of dermal fillers stretches the face and leads to laxity in the skin – combined with the widespread use of weight-loss drugs, low-cost surgical travel, and the advancement of new, famous-figure-promoted operative methods are driving a different type 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 found that the portion of youthful candidates is increasing, with one-third of procedures now conducted for patients aged 35-55.

“Patients are asking now to look like the best version of themselves and naturally the methods are following,” says Orfaniotis. At present, the trending procedure is the comprehensive facial lift, a technique promoted by everyone from Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

While a conventional facelift involves lifting the superficial layer, the comprehensive lift releases the facial ligaments beneath it, enabling doctors to reshape the face by moving the underlying layers, and preventing the tight, stretched appearance occasionally caused by older methods. “We avoid placing stress on the skin because we’re targeting deeper, to the deeper tissue,” says Harley Street plastic surgeon Rajiv Grover, who focuses on the deep plane technique. “It is the deeper tissue that is repositioned. The skin follows along as a passenger.” Elevating the entire soft tissue layer as a unified block results in a authentic-appearing and more durable result. It also means that the procedure is not just being used for the primary goal of youth preservation – or revitalization, as the cosmetic field describes it – but for “enhancement” and contouring, too. “We’re getting numerous requests from clients aged 28 to 35 for this purpose,” says Grover.

Individual Experience

Preisinger had never planned on undergoing a facelift – at least not at the thirty years old. But years of using injectable gels in an effort at “facial balancing” implied that by the time she entered her late twenties, she was “damaged”. “I didn’t undergo this because I wanted to look youthful,” she says. “I did it because the filler harmed my face. I regret ever done it. If I had avoided the filler, I don’t believe I would be in this situation currently.”

Whether injectable substances ever fully dissolve has historically been a debated topic in the cosmetic field. “Research have shown that they seldom fully dissipate,” states Grover, “but they migrate and can obstruct drainage pathways. A contributing factor to what we term ‘pillow face’ is additionally the fact that in a sense, the face becomes slightly waterlogged because its ability to drain bodily fluid has been reduced.” Although studies into the area is preliminary, warnings on dermal fillers’ potential impact on the body’s drainage have been released, and additional studies initiated. An esteemed face specialist, speaking on the condition of anonymity, says he would never use injectables in a patient because of the risks they pose. “A lot of doctors avoid discussing this, because the companies who produce injectables can be pretty aggressive.” He’s been told accounts, he says, of plastic surgeons facing legal actions after expressing worries.

Decision and Procedure

For Preisinger, once she started using injectables, she felt as if she needed to continue replenishing it – particularly when it began moving to different areas of her face. She was only twenty-eight when a nearby cosmetic doctor in the state 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 Istanbul, texted to her by the clinic assistant at her doctor’s clinic.

Originally, Preisinger had planned for an eyelid surgery – better known as blepharoplasty – but her surgeon recommended that a facial lift was the right solution for the laxity she was experiencing in her face. She arranged a forehead lift, a mid-facelift and a jawline surgery. The day before her surgery, one day after she’d touched down solo in the country, she decided to add a lip lift. “Then he stated, ‘We’re going to lift the under-eye bags.’ Then he said, ‘I believe if we extract some cheek fat, it will contour your face.’ Thus I ultimately including additional surgeries,” she recalls. She paid $22,000 (£16,500) for the six-hour operation, including a three-day|

Amanda Ward
Amanda Ward

A digital artist and design educator with over a decade of experience specializing in vector graphics and creative workflows.