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

Onemanda Preisinger feels anxious about her daughter’s upcoming 13th birthday celebration. It’s not due to the typical reasons associated with a home packed of loud preteen kids, but because it’s the initial occasion she will reveal her new face to friends and relatives. “Obviously 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 property agent from Southern Florida.

Her appearance is, admittedly, a somewhat surprising – her face puffed up and unnaturally tightened, as though secured by heavy-duty tape. Her new – and she’s keen to stress, temporary – look is the result of six aesthetic surgeries, such as an minimally invasive facelift, performed by a surgeon in Istanbul, Turkey, last month. “My poor husband 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 needed to inform him: ‘Honey, I’m fine, I’m not hurting. I just appear as if someone attacked me.’”

Increasing Popularity of Youthful Facial Lifts

Based on plastic surgeons, Preisinger is among a growing number of people choosing to have a facelift in their 20s and 30s – significantly before a ten years before most doctors’ usual candidate age of 40 to 60. (Although many specialists are eager to highlight the industry edict of: “We address heredity, not years.”) “I have 28-year-olds requesting facial lifts,” states based in London 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 see individuals opting for it as a lifestyle choice.”

Explaining the Facelift Procedure

A facelift, alternatively called a facelift, elevates the ligaments in the face that start to sag as we grow older. “Our faces are built a little like layers of an onion,” says based in Kent facial plastic surgeon Marc Pacifico. “Dermis and adipose on the top, then a layer of supportive tissue known as the SMAS. Think of the facial framework as the structural foundation of the face. And that is what ages us; that’s what loosens and sags and drags the dermis downward with it.”

You endanger performing surgery on individuals that have deeper issues. It’s not a practice for an conscientious surgeon to pursue

Once the preserve of affluent seniors, overuse of injectables – when excessive use of injectable gels stretches the face and causes looseness in the skin – alongside the common adoption of slimming medications, cut-price surgical travel, and the development of new, celebrity-endorsed operative methods are driving a different type of customer towards this major operation. Reports indicate an eight percent rise in facial lifts over the past 12 months in the UK; while a survey found that the portion of younger facelift patients is growing, with 32% of facelifts now conducted for patients aged thirty-five to fifty-five.

“People are asking now to look like the best version of themselves and naturally the methods are evolving,” comments Orfaniotis. At present, the operation du jour is the deep plane facelift, a method promoted by figures including Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

While a conventional facelift entails lifting the superficial layer, 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 appearance sometimes wrought by more traditional techniques. “We’re not putting stress on the skin because we’re targeting deeper, to the deeper tissue,” explains Harley Street plastic surgeon Rajiv Grover, who focuses on the deep plane technique. “It is the deeper tissue that is repositioned. The skin comes with it as a secondary element.” Lifting the whole facial structure as a unified block allows for a more natural-looking and more durable outcome. It also means that the surgery is not just being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry terms it – but for “beautification” and contouring, too. “We receive numerous requests from clients aged late twenties to mid-thirties for this reason,” notes Grover.

Personal Journey

Preisinger had never planned on getting a facial lift – 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 20s, she was “damaged”. “I didn’t do this because I desired to appear youthful,” she clarifies. “I underwent it because the injectable harmed my face. I regret ever using it. If I didn’t have the filler, I don’t think I would be in this situation right now.”

Whether injectable substances completely disappear has historically been a point of contention in the aesthetics industry. “Research have shown that they seldom completely dissolve,” says Grover, “but they migrate and can block lymphatic channels. A contributing factor to what we term ‘pillow face’ is additionally the reality that to some extent, the face becomes slightly waterlogged because its ability to remove lymphatic fluid has been reduced.” Though research into the topic is preliminary, cautionary statements on dermal fillers’ potential impact on the lymphatic system have been released, and additional studies initiated. One highly regarded facial plastic surgeon, commenting anonymously, says he would avoid using fillers in a client because of the dangers they pose. “Many doctors avoid discussing this, because the companies who make injectables can be pretty aggressive.” He’s heard stories, he says, of plastic surgeons being landed with legal actions after raising their concerns.

Decision and Procedure

For Preisinger, once she started using injectables, she felt as if she had to keep adding more – especially as it began moving to different areas of her face. She was just 28 when a nearby cosmetic doctor in Florida proposed that a face and neck lift could be what she required to finally step off the injectable hamster wheel. Two years later, she ended up selecting from a list of suggested accommodations in the city, sent to her by the clinic assistant at her surgeon’s office.

Originally, Preisinger had scheduled an upper and lower blepharoplasty – better known as eyelid surgery – but her doctor recommended that a facelift was the correct option for the looseness she was experiencing in her face. She booked a forehead lift, a mid-facelift and a neck lift. The day before her surgery, 24 hours post she’d touched down solo in Turkey, she decided to add a mouth enhancement. “Subsequently the surgeon said, ‘We will lift the lower eyelid puffiness.’ Then he said, ‘I think if we extract some buccal fat, it will sculpt your face.’ So I ended up including additional procedures,” she recalls. She spent $22,000 (£16,500) for the half-day operation, including a three-day|

Joseph Anderson
Joseph Anderson

A tech futurist and innovation strategist with over a decade of experience analyzing emerging technologies and their societal impacts.