🔗 Share this article ‘I Wasn’t Able to Even Open My Eyes. That’s How Swollen I Was’ Onemanda Preisinger feels anxious about her child’s impending 13th birthday celebration. It’s not due to the typical reasons associated with a house full of clamorous adolescent kids, but since it’s the first time she will reveal her recently altered face to friends and extended family. “Clearly I’m going to inform all guests as they arrive, ‘For your information, this is not the way I appear,’” states the thirty-year-old property agent from south Florida. How she looks is, admittedly, a little surprising – her face swollen and preternaturally lifted, as though held together by heavy-duty tape. Her altered – and she’s eager to emphasize, short-term – appearance is the result of six aesthetic surgeries, such as an minimally invasive facelift, performed by a doctor in Istanbul, Turkey, last month. “My spouse became emotional when he saw me for the initial time because I couldn’t even open my eyes. That indicates swollen I was,” she tells me via online call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not in pain. I just appear as if someone jumped me.’” Growing Trend of Early Facelifts According to cosmetic specialists, Preisinger is among a growing number of people choosing to have a rhytidectomy in their 20s and 30s – well over a ten years before typical surgeons’ usual candidate age of forty to sixty. (Although many specialists are eager to highlight the industry edict of: “We address genetics, not age.”) “I have 28-year-olds asking for facial lifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the head and neck. “It’s a major surgery, and I’m a somewhat worried when I see people opting for it as a lifestyle choice.” Explaining the Rhytidectomy Surgery A facelift, also known as a facelift, elevates the tissues in the face that begin to droop as we age. “Our faces are structured a little like layers of an onion,” says Kent-based face specialist Marc Pacifico. “Dermis and adipose 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 causes aging; that’s what loosens and sags and drags the skin downward with it.” You endanger performing surgery on individuals that have underlying problems. It’s not a practice for an conscientious surgeon to pursue Previously reserved of affluent seniors, “filler fatigue” – when excessive use of dermal fillers expands the face and causes looseness in the skin – combined with the widespread use of slimming medications, cut-price medical tourism, and the development of novel, celebrity-endorsed surgical techniques are driving 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 survey found that the percentage of youthful candidates is growing, with one-third of procedures now performed on patients aged thirty-five to fifty-five. “People are now requesting to appear as the optimal form of themselves and obviously the methods are following,” says Orfaniotis. At present, the operation du jour is the comprehensive facial lift, a method promoted by figures including Kardashian matriarch Kris Jenner, to style creator Marc Jacobs. Advanced Lifting Method While a more traditional rhytidectomy involves elevating the SMAS, the deep plane facelift releases the underlying structures beneath it, enabling doctors to reshape the face by moving the underlying layers, and preventing the tight, stretched look occasionally caused by more traditional techniques. “We avoid placing stress on the dermis because we’re targeting deeper, to the deeper tissue,” explains Harley Street plastic surgeon Rajiv Grover, who specialises in the deep plane technique. “It is the underlying layers that is repositioned. The dermis follows along as a secondary element.” Lifting the entire soft tissue layer as a unified block allows for a authentic-appearing and more durable outcome. It also means that the surgery is not just being used for the primary goal of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “enhancement” and contouring, too. “We’re getting many inquiries from patients aged 28 to 35 for this reason,” says Grover. Individual Experience Preisinger had not intended on getting a facial lift – at minimum 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 “botched”. “I didn’t do this because I wanted to look young,” she clarifies. “I did it because the filler harmed my face. I regret ever using it. If I had avoided the filler, I don’t believe I would be in this situation currently.” If dermal fillers completely disappear has historically been a debated topic in the cosmetic field. “Research have shown that not only do they rarely fully dissipate,” says Grover, “but they move and can block drainage pathways. A contributing factor to what we term ‘pillow face’ is additionally the reality that to some extent, the face becomes somewhat fluid-filled because its capacity to remove bodily fluid has been diminished.” Though research into the topic is early-stage, warnings on dermal fillers’ potential impact on the body’s drainage have been released, and further research announced. One highly regarded face specialist, commenting on the condition of anonymity, says he would never use injectables in a client because of the dangers they present. “A lot of surgeons avoid discussing this, because the manufacturers who produce injectables can be pretty aggressive.” He’s heard stories, he says, of cosmetic doctors facing legal actions after expressing worries. Choice and Surgery For Preisinger, after beginning injecting filler, she felt as if she needed to continue adding more – particularly when it started to migrate to different areas of her face. She was just 28 when a local plastic surgeon in the state proposed that a face and neck lift might be what she needed to exit the injectable hamster wheel. Two years later, she found herself selecting from a list of suggested accommodations in Istanbul, texted to her by the patient coordinator at her surgeon’s office. Originally, Preisinger had planned for an upper and lower blepharoplasty – commonly called eyelid surgery – but her doctor recommended that a facelift was the right solution for the laxity she was finding 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 arrived solo in Turkey, she opted to include a mouth enhancement. “Then he said, ‘We will lift the under-eye bags.’ Then he said, ‘I think if we remove some cheek fat, it will contour your face.’ So I ended up adding two more procedures,” she recalls. She spent $22,000 (sixteen thousand five hundred pounds) for the six-hour surgery, plus a three-day|