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‘I Wasn’t Able to 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. It’s not due to the typical causes associated with a house full of clamorous adolescent children, but since it’s the first time she will reveal her new face to friends and relatives. “Obviously I’m going to tell all guests as they arrive, ‘For your information, this is not how I appear,’” states the 30-year-old property agent from Southern Florida.

How she looks is, well, a somewhat surprising – her face swollen and preternaturally lifted, as though held together by heavy-duty tape. Her altered – and she’s keen to stress, temporary – appearance is the outcome of six cosmetic procedures, such as an minimally invasive facelift, performed by a surgeon in Istanbul, Turkey, last month. “My poor husband teared up when he viewed me for the first time because I couldn’t even open my eyes. That’s how swollen I was,” she explains to me via online call from her home. “I had to tell him: ‘Honey, I’m okay, I’m not hurting. I just look like someone attacked me.’”

Growing Trend of Early Facelifts

Based on cosmetic specialists, Preisinger is among a growing number of individuals choosing to undergo a rhytidectomy in their twenties and thirties – significantly before a decade prior to most doctors’ usual candidate age of 40 to 60. (Although many specialists are keen to emphasise the industry edict of: “We address genetics, not age.”) “I have 28-year-olds requesting facelifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the facial area. “It’s a very significant procedure, and I’m a somewhat worried when I observe individuals opting for it as a personal preference.”

Understanding the Rhytidectomy Surgery

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 layers of an onion,” explains based in Kent face specialist Marc Pacifico. “Dermis and adipose on the surface, then a layer of supportive 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 becomes lax and drags the dermis down with it.”

You risk performing surgery on individuals that have underlying problems. It’s not a practice for an ethical plastic surgeon to pursue

Once the preserve of affluent seniors, overuse of injectables – when excessive use of dermal fillers stretches the face and leads to looseness in the dermis – combined with the common adoption of weight-loss drugs, low-cost surgical travel, and the development of new, famous-figure-promoted operative methods are attracting a different type of patient towards this major operation. Reports show an eight percent rise in facelifts over the past 12 months in the UK; while a study revealed that the percentage of youthful candidates is growing, with one-third of procedures now conducted for individuals aged thirty-five to fifty-five.

“Patients are now requesting to look like the optimal form of themselves and obviously the methods are evolving,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method evangelised by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

Where a conventional facelift entails elevating the SMAS, the comprehensive lift loosens the underlying structures beneath it, allowing doctors to reshape the face by moving the deeper tissue, and preventing the tight, stretched appearance sometimes wrought by more traditional techniques. “We’re not putting tension on the skin because we’re going below, to the deeper tissue,” says Harley Street plastic surgeon Rajiv Grover, who focuses on the deep plane technique. “It is the deeper tissue that is adjusted. The skin follows along as a passenger.” Elevating the whole facial structure as a unified block allows for a more natural-looking and longer-lasting result. It also means that the surgery is not just being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “enhancement” and facial restructuring, too. “We receive many inquiries from clients aged 28 to 35 for this purpose,” says Grover.

Personal Journey

Preisinger had not intended on getting a facial lift – at minimum not at the age of 30. But long-term using injectable gels in an effort at “symmetry correction” implied that by the time she entered her late twenties, she was “damaged”. “I didn’t undergo this because I desired to appear youthful,” she clarifies. “I underwent it because the filler ruined my face. I wish I had never done it. If I had avoided the filler, I don’t think I would be in this situation currently.”

If injectable substances completely disappear has long been a debated topic in the cosmetic field. “Research have indicated that not only do they rarely completely dissolve,” says Grover, “but they move and can obstruct drainage pathways. One of the contributors to what we term ‘puffy appearance’ is additionally the reality that to some extent, the face becomes slightly waterlogged because its capacity to drain lymphatic fluid has been diminished.” Although research into the topic is preliminary, cautionary statements on dermal fillers’ potential impact on the body’s drainage have been released, and additional studies announced. One highly regarded facial plastic surgeon, commenting on the condition of anonymity, mentioned he would avoid using fillers in a client because of the dangers they pose. “A lot of surgeons don’t want to discussing this, because the manufacturers who make filler can be pretty aggressive.” He’s been told accounts, he says, of cosmetic doctors being landed with court orders after expressing worries.

Decision and Procedure

For Preisinger, after beginning injecting filler, she felt as if 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 Florida proposed that a face and neck lift could be what she needed to finally step off the injectable hamster wheel. Two years later, she found herself choosing between a list of suggested accommodations in the city, sent to her by the clinic assistant at her surgeon’s office.

Initially, Preisinger had scheduled an eyelid surgery – better known as eyelid surgery – but her surgeon recommended that a facial lift was the correct option for the looseness she was experiencing in her face. She booked a forehead lift, a mid-facelift and a jawline surgery. The day before her operation, 24 hours post she’d arrived solo in the country, she opted to include a lip lift. “Subsequently the surgeon stated, ‘We’re going to elevate the under-eye bags.’ Then he said, ‘I think if we remove some buccal fat, it will contour your face.’ So I ended up including additional procedures,” she recalls. She spent $22,000 (sixteen thousand five hundred pounds) for the half-day operation, plus a three-day|

Written by

Natalie Martinez

A passionate local guide with over 10 years of experience in showcasing Bolzano's hidden gems and cultural heritage.

StateWire UK

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