‘I Couldn’t Even Unseal My Eyes. That’s The Extent of the Swelling I Was’

Onemanda Preisinger is nervous about her daughter’s upcoming 13th birthday party. Not for the typical causes associated with a home packed of clamorous preteen kids, but since it’s the first time she will showcase her new face to acquaintances and relatives. “Clearly I’m going to tell all guests as they arrive, ‘For your information, this is not how I look,’” states the 30-year-old property agent from south Florida.

Her appearance is, well, a somewhat surprising – her face puffed up and unnaturally tightened, as though held together by industrial-grade tape. Her new – and she’s eager to emphasize, temporary – appearance is the outcome of six cosmetic procedures, such as an minimally invasive facelift, conducted by a doctor in Istanbul, Turkey, last month. “My spouse became emotional when he viewed me for the initial time because I wasn’t able to even unseal my eyes. That’s how puffy I was,” she tells me via online call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not hurting. I just appear as if someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is among a growing number of people electing to have a rhytidectomy in their 20s and 30s – significantly before a ten years before most doctors’ usual candidate age of 40 to 60. (Although many specialists are eager to highlight the industry edict of: “We address genetics, not age.”) “I have 28-year-olds requesting facelifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the facial area. “It’s a very significant procedure, and I’m a bit concerned when I see people choosing it as a lifestyle choice.”

Understanding the Facelift Procedure

A rhytidectomy, also known as a facelift, lifts the tissues in the face that start to sag as we age. “Our faces are structured a bit like onion layers,” says based in Kent facial plastic surgeon 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 soft tissue skeleton of the face. And that’s what causes aging; that’s what loosens and sags and pulls the dermis downward with it.”

You endanger operating on people that have deeper issues. It’s not a practice for an conscientious surgeon to follow

Previously reserved of moneyed older people, overuse of injectables – when excessive use of injectable gels expands the face and causes looseness in the skin – combined with the common adoption of slimming medications, low-cost medical tourism, and the development of new, celebrity-endorsed surgical techniques are driving a different type of patient towards this major operation. Reports show an 8% increase in facial lifts over the last year in the United Kingdom; while a study found that the percentage of younger facelift patients is growing, with one-third of procedures now performed on patients aged thirty-five to fifty-five.

“Patients are now requesting to appear as the optimal form of themselves and obviously the techniques are following,” comments Orfaniotis. Currently, the operation du jour is the comprehensive facial lift, a technique promoted by figures including reality TV star Kris Jenner, to fashion designer Marc Jacobs.

Deep Plane Technique

Where a more traditional facelift involves elevating the superficial layer, the deep plane facelift loosens the underlying structures beneath it, enabling doctors to reshape the face by moving the underlying layers, and avoiding the tight, stretched look occasionally caused by older methods. “We avoid placing tension 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 deeper tissue that is repositioned. The dermis follows along as a passenger.” Elevating the whole facial structure as a unified block results in a authentic-appearing and more durable outcome. It additionally implies that the surgery is not just being used for the express purpose of anti-ageing – or revitalization, as the cosmetic field terms it – but for “beautification” and facial restructuring, too. “We’re getting numerous requests from clients aged 28 to 35 for this reason,” notes Grover.

Individual Experience

Preisinger had not intended on undergoing a facial lift – at minimum not at the age of 30. But long-term using injectable gels in an attempt at “facial balancing” implied that by the time she reached her late 20s, she was “damaged”. “I didn’t undergo this because I desired to appear youthful,” she clarifies. “I underwent it because the filler harmed my face. I wish I had never using it. If I didn’t have the injectable, I don’t believe I would be in this situation currently.”

If injectable substances completely disappear has historically been a debated topic in the cosmetic field. “Research have indicated that they seldom completely dissolve,” states Grover, “but they move and can block drainage pathways. A contributing factor to what we call ‘puffy appearance’ is additionally the reality that in a sense, the face becomes somewhat waterlogged because its capacity to drain lymphatic fluid has been reduced.” Although studies into the area is early-stage, warnings on injectables’ possible effects on the body’s drainage have been issued, and additional studies initiated. An esteemed facial plastic surgeon, commenting on the condition of anonymity, mentioned he would avoid using injectables in a client because of the risks they pose. “Many doctors avoid talk about this, because the companies who produce filler can be quite forceful.” He’s heard stories, he says, of cosmetic doctors being landed with legal actions after expressing worries.

Choice and Surgery

For Preisinger, after beginning using injectables, she believed she had to keep adding more – especially as it began moving to different areas of her face. She was only twenty-eight when a local plastic surgeon in Florida suggested that a facial and neck surgery could be what she required to exit the cycle of treatments. After 24 months, she ended up choosing between a list of recommended hotels in Istanbul, texted to her by the patient coordinator at her surgeon’s office.

Initially, Preisinger had planned for an eyelid surgery – better known as eyelid surgery – but her surgeon advised her that a facelift was the correct option for the looseness she was experiencing in her face. She booked a forehead lift, a mid-facelift and a neck lift. The day before her operation, 24 hours post she’d touched down alone in Turkey, she opted to include a lip lift. “Then he stated, ‘We will elevate the under-eye bags.’ He added, ‘I believe if we remove some cheek fat, it will contour your face.’ Thus I ultimately adding two more procedures,” she says. She paid $22,000 (sixteen thousand five hundred pounds) for the half-day surgery, including a three-day|

Glenn Ho
Glenn Ho

A Canadian expat sharing her family's adventures in the Netherlands with humor and heart.