‘I Couldn’t Even Unseal My Eyes. That’s How Swollen I Was’

Onemanda Preisinger is nervous about her daughter’s impending 13th birthday party. Not for the typical causes related to a house full of clamorous preteen kids, but because it’s the initial occasion she will debut her new face to friends and relatives. “Obviously I’m going to inform everyone as they arrive, ‘Just so you know, this is not how I appear,’” states the 30-year-old property agent from south Florida.

Her appearance is, well, a somewhat surprising – her face swollen and preternaturally lifted, as though secured by industrial-grade tape. Her altered – and she’s eager to emphasize, short-term – look is the outcome of six cosmetic procedures, such as an endoscopic mid-facelift, performed by a doctor in Istanbul, Turkey, last month. “My spouse teared up when he saw me for the initial time because I couldn’t even unseal my eyes. That’s how swollen I was,” she tells me via online call from her house. “I needed to inform him: ‘Babe, I’m okay, I’m not in pain. I just look like someone attacked me.’”

Growing Trend of Early Facelifts

According to plastic surgeons, Preisinger is among a growing number of people electing to undergo a rhytidectomy in their twenties and thirties – well over a decade prior to most doctors’ typical patient age range of 40 to 60. (Although most surgeons are eager to highlight the professional guideline of: “We treat genetics, not years.”) “I have 28-year-olds asking for facial lifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the head and neck. “It’s a major procedure, and I’m a bit concerned when I observe individuals choosing it as a lifestyle choice.”

Explaining the Facelift Procedure

A facelift, also known as a facelift, elevates the ligaments in the face that begin to droop as we grow older. “Human faces are built a little like onion layers,” explains Kent-based facial plastic surgeon Marc Pacifico. “Dermis and adipose on the surface, then a layer of connective tissue known as the SMAS. Think of the SMAS as the structural foundation of the face. And that is what causes aging; that’s what loosens and sags and drags the dermis down with it.”

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

Previously reserved of affluent seniors, overuse of injectables – when excessive use of injectable gels expands the face and leads to laxity in the dermis – alongside the widespread use of slimming medications, low-cost surgical travel, and the development of new, celebrity-endorsed surgical techniques are attracting a new kind of customer towards this major operation. Statistics show an eight percent rise in facelifts over the last year in the United Kingdom; while a study revealed that the percentage of younger facelift patients is increasing, with one-third of procedures now conducted for patients aged 35-55.

“Patients are now requesting to look like the optimal form of themselves and naturally the techniques are following,” comments Orfaniotis. Currently, the operation du jour is the deep plane facelift, a technique evangelised by figures including Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

Where a more traditional rhytidectomy involves elevating the superficial layer, the comprehensive lift releases the facial ligaments underneath, enabling doctors to reshape the face by moving the underlying layers, and preventing the taut, pulled appearance sometimes wrought by more traditional techniques. “We’re not putting tension on the skin because we’re targeting deeper, to the underlying structures,” explains Harley Street cosmetic doctor Rajiv Grover, who focuses on the deep plane technique. “It is the deeper tissue that is adjusted. The skin follows along as a passenger.” Lifting the whole facial structure as a single unit allows for a more natural-looking and longer-lasting result. It additionally implies that the procedure is no longer being used for the express purpose of youth preservation – or rejuvenation, as the aesthetics industry terms it – but for “beautification” and facial restructuring, too. “We receive many inquiries from clients aged 28 to 35 for this reason,” says Grover.

Personal Journey

Preisinger had never planned on getting a facelift – at least not at the thirty years old. But long-term using injectable gels in an attempt at “facial balancing” meant that by the time she entered her late twenties, she was “botched”. “I didn’t do this because I wanted to look young,” she says. “I did it because the filler ruined my face. I wish I had never done it. If I didn’t have the injectable, I don’t think I would be in this situation currently.”

If dermal fillers ever fully dissolve has long been a point of contention in the cosmetic field. “Studies have shown that they seldom completely dissolve,” states Grover, “but they move and can block drainage pathways. A contributing factor to what we term ‘pillow face’ is also the fact that in a sense, the face gets slightly fluid-filled because its capacity to drain bodily fluid has been reduced.” Although research into the area is early-stage, warnings on dermal fillers’ potential impact on the body’s drainage have been released, and further research announced. An esteemed facial plastic surgeon, speaking anonymously, mentioned he would never use fillers in a client because of the dangers they pose. “Many surgeons avoid talk about this, because the companies who make filler can be quite forceful.” He’s heard stories, he says, of cosmetic doctors facing legal actions after raising their concerns.

Choice and Surgery

For Preisinger, once she started using injectables, she believed she needed to continue adding more – particularly when it started to migrate to different areas of her face. She was only twenty-eight when a local plastic surgeon in the state suggested that a facial and neck surgery could be what she needed to exit the injectable hamster wheel. Two years later, she found herself choosing between a list of suggested accommodations in Istanbul, texted to her by the clinic assistant at her doctor’s clinic.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her surgeon advised her that a facial lift was the right solution for the laxity she was experiencing in her face. She booked a forehead lift, a cheek lift and a jawline surgery. The day before her surgery, one day after she’d touched down solo in Turkey, she opted to include a lip lift. “Then he stated, ‘We’re going to lift the lower eyelid puffiness.’ He added, ‘I think if we remove some buccal fat, it will contour your face.’ Thus I ultimately adding two more procedures,” she says. She spent $22,000 (sixteen thousand five hundred pounds) for the half-day surgery, plus a three-day|

David Howell
David Howell

Professional gamer and content creator, exploring interactive entertainment.