🔗 Share this article ‘My Eyes Were So Puffy I Couldn’t Even Unseal Them’ Onemanda Preisinger feels anxious about her daughter’s impending 13th birthday party. Not for the typical causes related to a house full of loud preteen children, but since it’s the initial occasion she will reveal her recently altered face to friends and relatives. “Obviously I’m going to tell all guests as they arrive, ‘Just so you know, this is not how I appear,’” states the 30-year-old property agent from Southern Florida. How she looks is, admittedly, a somewhat surprising – her face swollen and unnaturally tightened, as though secured by heavy-duty tape. Her new – and she’s keen to stress, temporary – appearance is the result of six aesthetic surgeries, such as an endoscopic mid-facelift, performed by a doctor in Turkey’s Istanbul, the previous month. “My spouse teared up when he saw me for the initial time because I couldn’t 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 Youthful Facial Lifts Based on plastic surgeons, Preisinger is among a rising count of individuals choosing to have a facelift in their twenties and thirties – well over a decade before most doctors’ typical patient age range of forty to sixty. (Though many specialists are keen to emphasise the industry edict of: “We treat heredity, not age.”) “I have 28-year-olds asking for facial lifts,” states based in London aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the facial area. “It’s a major procedure, and I’m a somewhat worried when I see individuals choosing it as a lifestyle choice.” Explaining the Rhytidectomy Surgery A rhytidectomy, alternatively called a rhytidectomy, lifts the ligaments in the face that begin to droop as we grow older. “Our faces are built a bit like layers of an onion,” says based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of connective tissue called the superficial musculoaponeurotic system. Think of the facial framework as the structural foundation of the face. And that’s what ages us; that’s what loosens and sags and drags the dermis downward with it.” You risk operating on individuals that have deeper issues. It’s not a practice for an conscientious surgeon to follow Once the preserve of affluent seniors, overuse of injectables – when excessive use of dermal fillers expands the face and leads to laxity in the dermis – combined with the common adoption of slimming medications, low-cost medical tourism, and the development of new, famous-figure-promoted surgical techniques are attracting a new kind of patient towards this invasive surgery. Reports indicate an eight percent rise in facelifts over the past 12 months 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 35-55. “People are asking now to appear as the best version of themselves and naturally the techniques are following,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a technique evangelised by everyone from Kardashian matriarch Kris Jenner, to style creator Marc Jacobs. Advanced Lifting Method While a more traditional rhytidectomy entails lifting the superficial layer, the comprehensive lift loosens the underlying structures underneath, allowing doctors to reshape the face by moving the underlying layers, and avoiding the tight, stretched appearance sometimes wrought by older methods. “We avoid placing tension on the skin because we’re going below, to the deeper tissue,” says Harley Street plastic surgeon Rajiv Grover, who focuses on the advanced method. “It is the deeper tissue that is repositioned. The dermis follows along as a passenger.” Lifting the entire soft tissue layer as a unified block results in a authentic-appearing and longer-lasting outcome. It additionally implies that the procedure is no longer being used for the express purpose of anti-ageing – or revitalization, as the cosmetic field terms it – but for “beautification” and contouring, too. “We receive numerous requests from clients aged late twenties to mid-thirties for this purpose,” says Grover. Personal Journey Preisinger had never planned on undergoing a facelift – at minimum not at the thirty years old. But years of using hyaluronic acid dermal fillers in an effort at “symmetry correction” meant that by the time she entered her late 20s, she was “damaged”. “I didn’t do this because I desired to appear young,” she clarifies. “I underwent it because the filler harmed my face. I regret ever using it. If I had avoided the filler, I don’t think I would be in this situation right now.” Whether dermal fillers ever fully dissolve has long been a debated topic in the cosmetic field. “Research have shown that not only do they rarely fully dissipate,” states Grover, “but they move and can block lymphatic channels. One of the contributors to what we term ‘pillow face’ is additionally the fact that in a sense, the face becomes somewhat fluid-filled because its ability to drain bodily fluid has been diminished.” Although studies into the area is preliminary, warnings on dermal fillers’ possible effects on the body’s drainage have been issued, and further research announced. An esteemed facial plastic surgeon, commenting anonymously, says he would avoid using fillers in a client because of the dangers they present. “A lot of doctors avoid discussing this, because the companies who make filler can be pretty aggressive.” He’s heard stories, he adds, of plastic surgeons facing legal actions after expressing worries. Choice and Surgery For Preisinger, after beginning using injectables, she believed she needed to continue replenishing it – particularly when it started to migrate to different areas of her face. She was just 28 when a nearby cosmetic doctor in Florida suggested that a facial and neck surgery might be what she required to exit the injectable hamster wheel. After 24 months, 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 recommended that a facial lift was the correct option for the laxity she was finding in her face. She arranged a brow lift, a mid-facelift and a jawline surgery. The day before her surgery, 24 hours post she’d touched down solo in the country, she opted to include a mouth enhancement. “Subsequently the surgeon stated, ‘We’re going to lift the under-eye bags.’ He added, ‘I believe if we remove some buccal fat, it will sculpt your face.’ So I ended up including additional surgeries,” she recalls. She paid $22,000 (£16,500) for the six-hour surgery, plus a three-day|