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‘I Wasn’t Able to Even Open My Eyes. That’s How Swollen I Was’

Onemanda Preisinger is nervous about her daughter’s impending 13th birthday party. It’s not due to the usual causes associated with a house full of loud preteen kids, but because it’s the initial occasion she will reveal her new face to acquaintances and extended family. “Clearly I’m going to inform everyone as they come in, ‘Just so you know, this is not how I appear,’” says the thirty-year-old real estate agent from south Florida.

How she looks is, well, a little startling – her face puffed up and unnaturally tightened, as though secured by heavy-duty tape. Her new – and she’s keen to stress, temporary – appearance is the outcome of six aesthetic surgeries, such as an minimally invasive facelift, performed by a surgeon in Turkey’s Istanbul, last month. “My poor husband teared up 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 online call from her home. “I needed to inform him: ‘Babe, I’m okay, I’m not in pain. 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 people electing to undergo a rhytidectomy in their twenties and thirties – significantly before a ten years before typical surgeons’ typical patient age range of 40 to 60. (Although many specialists are keen to emphasise the industry edict of: “We treat heredity, not age.”) “I have 28-year-olds requesting facelifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the head and neck. “It’s a very significant surgery, and I’m a bit concerned 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 start to sag as we grow older. “Our faces are built a little like layers of an onion,” explains based in Kent face specialist Marc Pacifico. “Dermis and adipose on the top, then a layer of supportive tissue known as the superficial musculoaponeurotic system. Think of the SMAS as the soft tissue skeleton of the face. And that is what causes aging; that’s what loosens and sags and drags the skin down with it.”

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

Once the preserve of affluent seniors, overuse of injectables – when overuse of injectable gels stretches the face and causes laxity in the skin – combined with the common adoption of slimming medications, low-cost medical tourism, and the advancement of new, famous-figure-promoted operative methods are attracting a new kind of customer towards this invasive surgery. Reports indicate an eight percent rise in facelifts over the last year in the United Kingdom; while a study revealed that the portion of younger facelift patients is growing, with 32% of facelifts 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 techniques are evolving,” says Orfaniotis. At present, the trending procedure 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 conventional rhytidectomy involves elevating the SMAS, the deep plane facelift releases the facial ligaments beneath it, enabling doctors to reshape the face by repositioning the deeper tissue, and preventing the taut, pulled look occasionally caused by older methods. “We’re not putting stress on the skin because we’re targeting deeper, to the underlying structures,” explains 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 secondary element.” Elevating the entire soft tissue layer as a single unit allows for a authentic-appearing and more durable outcome. It also means that the procedure is not just being used for the primary goal of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “enhancement” and contouring, too. “We’re getting numerous requests from patients aged late twenties to mid-thirties for this reason,” says Grover.

Personal Journey

Preisinger had never planned on undergoing a facial lift – at least not at the age of 30. But years of using injectable gels in an attempt at “symmetry correction” implied that by the time she entered her late twenties, she was “damaged”. “I didn’t undergo this because I wanted to look young,” she clarifies. “I did it because the filler ruined my face. I wish I had never using it. If I didn’t have the injectable, I don’t believe I would be where I’m at right now.”

If dermal fillers ever fully dissolve has long been a point of contention in the cosmetic field. “Research have indicated that they seldom completely dissolve,” says Grover, “but they migrate and can block drainage pathways. One of the contributors to what we term ‘pillow face’ is also the fact that to some extent, the face gets somewhat fluid-filled because its capacity to remove bodily fluid has been reduced.” Though research into the topic is early-stage, cautionary statements on injectables’ possible effects on the lymphatic system have been issued, and additional studies announced. One highly regarded facial plastic surgeon, commenting on the condition of anonymity, mentioned he would never use fillers in a patient because of the risks they present. “A lot of surgeons don’t want to discussing this, because the companies who produce filler can be pretty aggressive.” He’s been told accounts, he adds, of cosmetic doctors being landed with court orders after raising their concerns.

Choice and Surgery

For Preisinger, once she started injecting filler, she felt as if she had to keep adding more – especially as it began moving to different areas of her face. She was only twenty-eight when a local plastic surgeon in Florida proposed that a facial and neck surgery might be what she needed to exit the injectable hamster wheel. Two years later, she ended up selecting from a list of suggested accommodations in the city, texted to her by the patient coordinator at her surgeon’s office.

Originally, Preisinger had scheduled an upper and lower blepharoplasty – better known as eyelid surgery – but her surgeon advised her that a facelift was the correct option for the laxity she was experiencing in her face. She arranged a brow lift, a mid-facelift and a neck lift. The eve of her surgery, one day after she’d touched down solo in Turkey, she decided to add a lip lift. “Then he stated, ‘We will elevate the under-eye bags.’ Then he said, ‘I believe if we remove some cheek fat, it will sculpt your face.’ So I ended up including additional surgeries,” she says. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, including a three-day|

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George Smith

A passionate fashion blogger with a keen eye for emerging trends and sustainable style.

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