🔗 Share this article ‘I Couldn’t Even Unseal My Eyes. That’s The Extent of the Swelling I Was’ Onemanda Preisinger is nervous about her daughter’s impending 13th birthday celebration. It’s not due to the typical reasons associated with a home packed of clamorous adolescent kids, but because it’s the initial occasion she will debut her new face to friends and relatives. “Obviously I’m going to inform all guests as they come in, ‘Just so you know, this is not the way I look,’” states the 30-year-old property agent from south Florida. How she looks is, well, a little startling – her face swollen and unnaturally tightened, as though secured by heavy-duty tape. Her new – and she’s eager to emphasize, short-term – appearance is the outcome of half a dozen cosmetic procedures, including an endoscopic mid-facelift, performed by a surgeon in Istanbul, Turkey, last month. “My spouse became emotional when he saw me for the first time because I wasn’t able to even open my eyes. That indicates swollen I was,” she explains to me via online call from her home. “I had to tell him: ‘Babe, I’m fine, I’m not hurting. I just appear as if someone jumped me.’” Increasing Popularity of Youthful Facial Lifts Based on plastic surgeons, Preisinger is one of a growing number of individuals choosing to have a facelift in their twenties and thirties – significantly before a decade before typical surgeons’ typical patient age range of 40 to 60. (Although most surgeons are keen to emphasise the professional guideline of: “We address heredity, not age.”) “I have 28-year-olds requesting facelifts,” says based in London cosmetic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the head and neck. “It’s a major surgery, and I’m a bit concerned when I see people opting for it as a lifestyle choice.” Explaining the Rhytidectomy Surgery A facelift, alternatively called a facelift, lifts the tissues in the face that begin to droop as we grow older. “Our faces are built a bit like onion layers,” says based in Kent face specialist Marc Pacifico. “Dermis and adipose on the surface, then a layer of connective tissue known as the SMAS. Consider the facial framework as the soft tissue skeleton of the face. And that’s what causes aging; that is what loosens and sags and drags the skin downward with it.” You endanger performing surgery on individuals that have deeper issues. It’s not a practice for an ethical plastic surgeon to follow Once the preserve of moneyed older people, overuse of injectables – when overuse of dermal fillers expands the face and causes laxity in the skin – alongside the widespread use of weight-loss drugs, cut-price medical tourism, and the development of new, celebrity-endorsed surgical techniques are driving a different type of customer towards this invasive surgery. Statistics show an 8% increase in facelifts over the last year in the UK; while a study found that the portion of younger facelift patients is growing, with one-third of procedures now conducted for individuals aged thirty-five to fifty-five. “Patients are asking now to look like the best version of themselves and naturally the techniques are following,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method promoted by figures including reality TV star Kris Jenner, to fashion designer Marc Jacobs. Advanced Lifting Method While a conventional rhytidectomy entails elevating the superficial layer, the comprehensive lift loosens the facial ligaments underneath, allowing doctors to restructure the face by repositioning the deeper tissue, and avoiding the tight, stretched look sometimes wrought by older methods. “We avoid placing stress on the skin because we’re targeting deeper, to the deeper tissue,” says prestigious London cosmetic doctor Rajiv Grover, who specialises in the advanced method. “It is the underlying layers that is repositioned. The dermis comes with it as a passenger.” Lifting the whole facial structure as a unified block results in a authentic-appearing and more durable outcome. It also means that the procedure is not just being used for the express purpose of anti-ageing – or rejuvenation, as the aesthetics industry describes it – but for “beautification” and contouring, too. “We receive numerous requests from clients aged 28 to 35 for this purpose,” notes Grover. Individual Experience 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 “symmetry correction” implied that by the time she reached her late 20s, she was “damaged”. “I didn’t do this because I desired to appear youthful,” she says. “I underwent it because the filler harmed my face. I wish I had never using it. If I had avoided the filler, I don’t believe I would be where I’m at currently.” If dermal fillers ever fully dissolve has long been a debated topic in the aesthetics industry. “Studies have shown that not only do they rarely completely dissolve,” says Grover, “but they move and can obstruct lymphatic channels. One of the contributors to what we term ‘pillow face’ is additionally the reality that to some extent, the face gets slightly fluid-filled because its ability to remove lymphatic fluid has been reduced.” Although research into the topic is early-stage, warnings on dermal fillers’ possible effects on the lymphatic system have been issued, and additional studies announced. An esteemed face specialist, commenting anonymously, mentioned he would avoid using injectables in a client because of the dangers they present. “A lot of doctors avoid talk about this, because the manufacturers who produce filler can be pretty aggressive.” He’s heard stories, he says, of plastic surgeons being landed with court orders after raising their concerns. Decision and Procedure For Preisinger, once she started injecting filler, she believed she needed to continue adding more – especially as it began moving to other parts of her face. She was just 28 when a nearby cosmetic doctor in the state suggested that a face and neck lift might be what she needed to finally step off the injectable hamster wheel. Two years later, she ended up selecting from a list of recommended hotels in the city, texted to her by the clinic assistant at her surgeon’s office. Originally, Preisinger had scheduled an eyelid surgery – better known as eyelid surgery – but her doctor advised her that a facelift was the right solution for the laxity she was finding in her face. She arranged a forehead lift, a cheek lift and a neck lift. The eve of her operation, one day after she’d arrived alone in the country, she opted to include a lip lift. “Subsequently the surgeon said, ‘We’re going to lift the lower eyelid puffiness.’ Then he said, ‘I think if we extract some buccal fat, it will contour your face.’ So I ended up adding two more procedures,” she recalls. She paid $22,000 (sixteen thousand five hundred pounds) for the half-day surgery, including a three-day|