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‘My Eyes Were So Swollen I Was Unable to Even Unseal Them’

Onemanda Preisinger feels anxious about her daughter’s impending 13th birthday celebration. Not for the usual reasons related to a home packed of clamorous adolescent kids, but because it’s the initial occasion she will debut her recently altered face to acquaintances and relatives. “Obviously I’m going to tell all guests as they arrive, ‘Just so you know, 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 puffed up and unnaturally tightened, as though held together by heavy-duty tape. Her altered – and she’s keen to stress, temporary – look is the outcome of half a dozen aesthetic surgeries, such as an minimally invasive facelift, conducted by a surgeon in Turkey’s Istanbul, the previous month. “My spouse teared up when he saw me for the initial time because I couldn’t even open my eyes. That indicates puffy 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 appear as if someone attacked me.’”

Increasing Popularity of Youthful Facial Lifts

Based on plastic surgeons, Preisinger is one of a rising count of people electing to have a facelift in their twenties and thirties – well over a decade before most doctors’ usual candidate age of 40 to 60. (Though most surgeons are eager to highlight the industry edict of: “We address heredity, not age.”) “I have 28-year-olds asking for facial lifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the head and neck. “It’s a major procedure, and I’m a somewhat worried when I see individuals opting for it as a personal preference.”

Explaining the Rhytidectomy Surgery

A rhytidectomy, alternatively called a facelift, lifts the tissues in the face that begin to droop as we grow older. “Our faces are built a little like layers of an onion,” explains based in Kent facial plastic surgeon Marc Pacifico. “Skin and fat on the top, then a layer of supportive tissue called the SMAS. Think of the SMAS as the structural foundation of the face. And that is what causes aging; that’s what loosens and sags and pulls the dermis downward with it.”

You risk operating on individuals that have underlying problems. It’s not advisable for an ethical plastic surgeon to follow

Previously reserved of affluent seniors, overuse of injectables – when excessive use of dermal fillers stretches the face and leads to laxity in the dermis – combined with the widespread use of weight-loss drugs, cut-price medical tourism, and the development of new, celebrity-endorsed operative methods are attracting a different type of customer towards this invasive surgery. Statistics show an eight percent rise in facial lifts over the last year in the United Kingdom; while a survey revealed that the portion of younger facelift patients is growing, with one-third of procedures now performed on patients aged thirty-five to fifty-five.

“People are asking now to look like the optimal form of themselves and naturally the methods are evolving,” says Orfaniotis. Currently, the trending procedure is the comprehensive facial lift, a method evangelised by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

While a more traditional rhytidectomy entails elevating the SMAS, the comprehensive lift releases the underlying structures underneath, enabling doctors to reshape the face by moving the deeper tissue, and avoiding the taut, pulled look occasionally caused by older methods. “We avoid placing tension on the skin because we’re targeting deeper, to the underlying structures,” explains prestigious London cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the underlying layers that is adjusted. The dermis follows along as a secondary element.” Lifting the entire soft tissue layer as a single unit allows for a authentic-appearing and longer-lasting outcome. It also means that the procedure is not just being used for the express purpose of youth preservation – or revitalization, as the cosmetic field terms it – but for “beautification” and contouring, too. “We receive numerous requests from patients aged late twenties to mid-thirties for this reason,” says Grover.

Personal Journey

Preisinger had never planned on getting a facelift – at least not at the age of 30. But years of using injectable gels in an attempt at “facial balancing” meant that by the time she reached her late 20s, she was “botched”. “I didn’t undergo this because I wanted to look young,” she says. “I underwent it because the filler harmed my face. I wish I had never using it. If I didn’t have the filler, I don’t believe I would be in this situation right now.”

If injectable substances ever fully dissolve has historically been a point of contention in the cosmetic field. “Research have shown that not only do they rarely completely dissolve,” states Grover, “but they move and can obstruct lymphatic channels. A contributing factor to what we term ‘puffy appearance’ is also the reality that to some extent, the face gets somewhat waterlogged because its ability to drain lymphatic fluid has been diminished.” Although studies into the area is early-stage, warnings on dermal fillers’ possible effects on the body’s drainage have been released, and further research initiated. An esteemed facial plastic surgeon, speaking on the condition of anonymity, mentioned he would never use fillers in a patient because of the dangers they pose. “Many doctors don’t want to talk about this, because the companies who produce injectables can be pretty aggressive.” He’s heard stories, he says, of plastic surgeons facing court orders after expressing worries.

Choice and Surgery

For Preisinger, after beginning using injectables, she believed she had to keep adding more – particularly when 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 might be what she required to finally step off the cycle of treatments. Two years later, she found herself choosing between a list of suggested accommodations in the city, sent to her by the patient coordinator at her doctor’s clinic.

Initially, Preisinger had planned for an upper and lower blepharoplasty – commonly called blepharoplasty – but her surgeon recommended that a facial lift was the right solution for the looseness she was finding in her face. She booked a forehead lift, a mid-facelift and a neck lift. The day before her surgery, 24 hours post she’d touched down solo in the country, she decided to add a lip lift. “Subsequently the surgeon said, ‘We will elevate the lower eyelid puffiness.’ Then he said, ‘I think if we extract some cheek fat, it will sculpt your face.’ Thus I ultimately including additional procedures,” she recalls. She spent $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, plus a three-day|

About the author

Rhonda Wilcox

Urban mobility expert and researcher at TU Delft, specializing in AI-driven transportation systems.

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