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‘I Wasn’t Able to Even Unseal My Eyes. That’s How Swollen I Was’

Onemanda Preisinger experiences worry about her child’s impending 13th birthday party. It’s not due to the typical reasons associated with a house full of clamorous adolescent kids, but because it’s the initial occasion she will debut her new face to acquaintances and relatives. “Clearly I’m going to tell all guests as they arrive, ‘Just so you know, this is not how I look,’” says the 30-year-old real estate agent from Southern Florida.

How she looks is, well, a somewhat surprising – her face swollen and preternaturally lifted, as though held together by industrial-grade tape. Her altered – and she’s keen to stress, temporary – appearance is the outcome of six aesthetic surgeries, including an minimally invasive facelift, conducted by a surgeon in Istanbul, Turkey, the previous month. “My spouse teared up 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 house. “I needed to inform him: ‘Honey, I’m fine, I’m not hurting. I just look like someone attacked me.’”

Growing Trend of Youthful Facial Lifts

According to cosmetic specialists, Preisinger is among a rising count of people electing to have a facelift in their 20s and 30s – significantly before a ten years before typical surgeons’ usual candidate age of forty to sixty. (Though many specialists are keen to emphasise the professional guideline of: “We address genetics, not age.”) “I have individuals in their late twenties requesting facial lifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the head and neck. “It’s a very significant procedure, and I’m a somewhat worried when I observe individuals choosing it as a lifestyle choice.”

Explaining the Rhytidectomy Surgery

A rhytidectomy, also known as a rhytidectomy, elevates the tissues in the face that start to sag as we age. “Human faces are structured a little like onion layers,” says based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a stratum of supportive tissue known as the SMAS. Consider 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 dermis down with it.”

You risk performing surgery on people that have underlying problems. It’s not advisable for an conscientious surgeon to pursue

Previously reserved of affluent seniors, overuse of injectables – when excessive use of injectable gels stretches the face and causes laxity in the dermis – alongside the common adoption of slimming medications, low-cost medical tourism, and the advancement of new, famous-figure-promoted surgical techniques are driving a new kind of customer towards this invasive surgery. Statistics show an eight percent rise in facelifts over the past 12 months in the UK; while a survey revealed that the percentage of youthful candidates is growing, with one-third of procedures now performed on patients aged thirty-five to fifty-five.

“Patients are asking now to look like the optimal form of themselves and naturally the methods are following,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a technique evangelised by everyone from reality TV star Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

While a more traditional rhytidectomy entails lifting the SMAS, the deep plane facelift loosens the facial ligaments beneath it, allowing doctors to restructure the face by repositioning the deeper tissue, and avoiding the taut, pulled appearance sometimes wrought by older methods. “We’re not putting tension on the skin because we’re targeting deeper, 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 repositioned. The skin comes with it as a secondary element.” Lifting the whole facial structure as a single unit results in a authentic-appearing and longer-lasting outcome. It also means that the procedure is no longer being used for the express purpose of anti-ageing – or rejuvenation, as the aesthetics industry describes it – but for “enhancement” and contouring, too. “We’re getting numerous requests from clients aged 28 to 35 for this purpose,” notes Grover.

Personal Journey

Preisinger had never planned on getting a facelift – 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 do this because I desired to appear young,” she says. “I did it because the injectable ruined my face. I regret ever using it. If I had avoided the filler, I don’t believe I would be where I’m at right now.”

If dermal fillers completely disappear has historically been a debated topic in the cosmetic field. “Studies have shown that they seldom completely dissolve,” says Grover, “but they migrate and can obstruct drainage pathways. One of the contributors to what we term ‘puffy appearance’ is additionally the fact that to some extent, the face becomes slightly fluid-filled because its ability to drain lymphatic fluid has been reduced.” Although studies into the topic is preliminary, warnings on dermal fillers’ potential impact on the lymphatic system have been released, and additional studies initiated. One highly regarded face specialist, commenting on the condition of anonymity, mentioned he would never use injectables in a patient because of the dangers they pose. “Many surgeons don’t want to talk about this, because the companies who make injectables can be quite forceful.” He’s heard stories, he adds, of plastic surgeons being landed with legal actions after raising their concerns.

Decision and Procedure

For Preisinger, once she started using injectables, she felt as if she had to keep replenishing it – particularly when it started to migrate to different areas of her face. She was only twenty-eight when a local plastic surgeon in the state suggested that a facial and neck surgery could be what she needed to finally step off the injectable hamster wheel. Two years later, she ended up selecting from a selection of recommended hotels in Istanbul, 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 laxity she was experiencing in her face. She arranged a forehead lift, a mid-facelift and a jawline surgery. The day before her operation, 24 hours post she’d touched down solo in the country, she opted to include a lip lift. “Subsequently the surgeon said, ‘We’re going to elevate the lower eyelid puffiness.’ He added, ‘I believe if we extract some cheek fat, it will sculpt your face.’ So I ended up adding two more procedures,” she says. She spent $22,000 (£16,500) for the six-hour surgery, including a three-day|

By

Jeffery Irwin

A seasoned business strategist with over a decade of experience in international markets, specializing in digital transformation and growth hacking.

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