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‘My Eyes Were So Puffy I Couldn’t Even Open Them’

Onemanda Preisinger experiences worry about her child’s impending 13th birthday party. It’s not due to the usual reasons associated with a house full of loud adolescent children, but since it’s the first time she will debut her new face to acquaintances and extended family. “Obviously I’m going to inform everyone as they come in, ‘For your information, this is not the way I look,’” states the 30-year-old property agent from south Florida.

How she looks is, well, a somewhat surprising – her face swollen and preternaturally lifted, as though held together by industrial-grade tape. Her new – and she’s keen to stress, temporary – look is the result of six cosmetic procedures, including an endoscopic mid-facelift, conducted by a doctor in Istanbul, Turkey, the previous month. “My spouse teared up when he viewed me for the initial time because I wasn’t able to even unseal my eyes. That indicates swollen I was,” she explains to me via online call from her home. “I needed to inform him: ‘Babe, I’m fine, I’m not in pain. I just appear as if someone attacked me.’”

Growing Trend of Early Facelifts

According to cosmetic specialists, Preisinger is among a rising count of people electing to have a facelift in their 20s and 30s – significantly before a decade before typical surgeons’ typical patient age range of forty to sixty. (Though most surgeons are eager to highlight the industry edict of: “We treat heredity, not age.”) “I have 28-year-olds requesting facelifts,” states based in London aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the head and neck. “It’s a very significant surgery, and I’m a somewhat worried when I observe people choosing it as a personal preference.”

Understanding the Facelift Procedure

A facelift, also known as a facelift, lifts the tissues in the face that begin to droop as we age. “Human faces are structured a little like onion layers,” explains based in Kent face specialist Marc Pacifico. “Dermis and adipose on the surface, then a stratum of supportive tissue called the SMAS. Consider the SMAS as the structural foundation of the face. And that’s what causes aging; that’s what becomes lax and drags the skin down with it.”

You risk performing surgery on people that have underlying problems. It’s not advisable for an conscientious surgeon to follow

Previously reserved of affluent seniors, overuse of injectables – when overuse of injectable gels expands the face and leads to laxity in the skin – combined with the common adoption of weight-loss drugs, low-cost surgical travel, and the development of new, celebrity-endorsed operative methods are attracting a new kind of customer towards this invasive surgery. Statistics show an eight percent rise in facial lifts over the past 12 months in the UK; while a study revealed that the percentage of youthful candidates is increasing, with 32% of facelifts now performed on patients aged 35-55.

“Patients are asking now to appear as the best version of themselves and obviously the techniques are evolving,” says Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method promoted by figures including reality TV star Kris Jenner, to style creator Marc Jacobs.

Deep Plane Technique

Where a more traditional facelift involves elevating the SMAS, the deep plane facelift loosens the underlying structures beneath it, enabling surgeons to restructure the face by repositioning the underlying layers, and preventing the taut, pulled appearance sometimes wrought by older methods. “We’re not putting stress on the dermis because we’re going below, to the underlying structures,” says Harley Street cosmetic doctor Rajiv Grover, who focuses on the deep plane technique. “It is the underlying layers that is repositioned. The skin comes with it as a passenger.” Lifting the whole facial structure as a single unit results in a more natural-looking and longer-lasting outcome. It also means that the procedure is no longer being used for the primary goal of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “enhancement” and contouring, too. “We receive many inquiries from patients aged late twenties to mid-thirties for this purpose,” says Grover.

Individual Experience

Preisinger had never planned on getting a facelift – at minimum not at the thirty years old. But long-term using injectable gels in an effort at “symmetry correction” meant that by the time she entered her late twenties, she was “damaged”. “I didn’t undergo this because I desired to appear young,” she clarifies. “I underwent it because the injectable ruined my face. I wish I had never using it. If I had avoided the injectable, I don’t think I would be where I’m at right now.”

If dermal fillers ever fully dissolve has long been a point of contention in the aesthetics industry. “Studies have shown that not only do they rarely fully dissipate,” states Grover, “but they migrate and can block drainage pathways. One of the contributors to what we call ‘puffy appearance’ is also the reality that to some extent, the face becomes slightly waterlogged because its capacity to remove lymphatic fluid has been diminished.” Though research into the area is early-stage, warnings on dermal fillers’ potential impact on the lymphatic system have been issued, and additional studies initiated. One highly regarded facial plastic surgeon, speaking on the condition of anonymity, mentioned he would never use injectables in a client because of the risks they present. “Many surgeons don’t want to talk about this, because the manufacturers who produce filler can be pretty aggressive.” He’s heard stories, he adds, of plastic surgeons facing legal actions after raising their concerns.

Choice and Surgery

For Preisinger, after beginning using injectables, she felt as if she had to keep adding more – particularly when it began moving to different areas of her face. She was just 28 when a nearby cosmetic doctor in the state suggested that a face and neck lift could be what she needed to finally step off the cycle of treatments. Two years later, she found herself selecting from a list of suggested accommodations in the city, texted to her by the clinic assistant at her surgeon’s office.

Initially, Preisinger had scheduled an upper and lower blepharoplasty – better known as eyelid surgery – but her surgeon advised her that a facelift was the right solution for the laxity she was finding in her face. She booked a forehead lift, a mid-facelift and a jawline surgery. The day before her operation, one day after she’d arrived solo in Turkey, she opted to include a mouth enhancement. “Then he said, ‘We’re going to elevate the lower eyelid puffiness.’ Then he said, ‘I think if we extract some buccal fat, it will sculpt your face.’ Thus I ultimately including additional surgeries,” she says. She spent $22,000 (£16,500) for the six-hour operation, plus a three-day|

Written by

Claire Stephens

Award-winning journalist with over a decade of experience covering international affairs and investigative reporting.

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