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‘My Eyes Were So Puffy I Couldn’t Even Open Them’

Amanda Preisinger feels anxious about her daughter’s upcoming 13th birthday celebration. It’s not due to the typical reasons associated with a home packed of clamorous adolescent children, but since it’s the initial occasion she will reveal her new face to friends and relatives. “Obviously I’m going to tell everyone as they come in, ‘Just so you know, this is not how I look,’” says the thirty-year-old property agent from Southern Florida.

How she looks is, admittedly, a little startling – her face puffed up and preternaturally lifted, as though held together by heavy-duty tape. Her new – and she’s keen to stress, temporary – look is the result of half a dozen aesthetic surgeries, including an minimally invasive facelift, conducted by a surgeon in Istanbul, Turkey, last month. “My poor husband became emotional when he saw me for the first time because I wasn’t able to even unseal my eyes. That indicates puffy I was,” she explains to me via video call from her house. “I had to tell him: ‘Honey, I’m okay, I’m not in pain. I just appear as if someone jumped me.’”

Growing Trend of Youthful Facial Lifts

According to cosmetic specialists, Preisinger is one of a growing number of individuals choosing to undergo a facelift in their twenties and thirties – significantly before a ten years before most doctors’ typical patient age range of forty to sixty. (Though many specialists are keen to emphasise the professional guideline of: “We address genetics, not years.”) “I have 28-year-olds asking for facial lifts,” says based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the head and neck. “It’s a very significant surgery, and I’m a somewhat worried when I observe people opting for it as a lifestyle choice.”

Understanding the Facelift Procedure

A rhytidectomy, also known as a facelift, elevates the tissues in the face that start to sag as we grow older. “Our faces are structured a bit like layers of an onion,” explains based in Kent face specialist Marc Pacifico. “Dermis and adipose on the surface, then a layer of connective tissue called the SMAS. Consider the SMAS as the soft tissue skeleton of the face. And that is what ages us; that is what loosens and sags and drags the skin down with it.”

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

Previously reserved of affluent seniors, “filler fatigue” – when excessive use of dermal fillers stretches the face and causes looseness in the dermis – alongside the common adoption of slimming medications, cut-price medical tourism, and the development of novel, famous-figure-promoted surgical techniques are attracting a new kind of patient towards this major operation. Statistics show an eight percent rise in facelifts over the past 12 months in the UK; while a survey revealed that the portion of youthful candidates is increasing, with 32% of facelifts now performed on individuals aged 35-55.

“People are now requesting to look like the optimal form of themselves and naturally the techniques are evolving,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method promoted by figures including reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

While a more traditional rhytidectomy involves elevating the SMAS, the deep plane facelift loosens the facial ligaments underneath, allowing surgeons to reshape the face by moving the underlying layers, and preventing the tight, stretched appearance sometimes wrought by older methods. “We’re not putting tension on the dermis because we’re going below, to the deeper tissue,” explains Harley Street cosmetic doctor Rajiv Grover, who specialises in the deep plane technique. “It is the deeper tissue that is adjusted. The dermis comes with it as a secondary element.” Lifting the entire soft tissue layer 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 primary goal of anti-ageing – or rejuvenation, as the cosmetic field terms it – but for “enhancement” and contouring, too. “We’re getting numerous requests from patients aged late twenties to mid-thirties for this purpose,” says Grover.

Individual Experience

Preisinger had never planned on getting a facial lift – at minimum not at the thirty years old. But years of using hyaluronic acid dermal fillers in an effort at “facial balancing” implied that by the time she entered her late 20s, she was “damaged”. “I didn’t do this because I wanted to look youthful,” she says. “I underwent it because the injectable ruined my face. I wish I had never using it. If I had avoided the injectable, I don’t believe I would be where I’m at right now.”

If dermal fillers completely disappear has long been a point of contention in the cosmetic field. “Studies have indicated that not only do they rarely completely dissolve,” states Grover, “but they move and can block lymphatic channels. A contributing factor to what we call ‘pillow face’ is additionally the fact that to some extent, the face gets somewhat waterlogged because its ability to drain lymphatic fluid has been reduced.” Although studies 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 face specialist, commenting anonymously, says he would avoid using injectables in a client because of the dangers they present. “A lot of surgeons don’t want to discussing this, because the companies who produce filler can be quite forceful.” He’s heard stories, he adds, of plastic surgeons being landed with legal actions after expressing worries.

Decision and Procedure

For Preisinger, once she started injecting filler, she felt as if she had to keep replenishing it – especially as it began moving to other parts of her face. She was just 28 when a nearby cosmetic doctor in Florida suggested 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 selecting from a selection of suggested accommodations in Istanbul, sent to her by the patient coordinator at her doctor’s clinic.

Originally, Preisinger had scheduled an upper and lower blepharoplasty – commonly called blepharoplasty – but her doctor recommended that a facelift was the right solution for the laxity she was experiencing in her face. She booked a brow lift, a mid-facelift and a jawline surgery. The day before her surgery, 24 hours post she’d touched down alone in Turkey, she opted to include a mouth enhancement. “Then he said, ‘We will elevate the lower eyelid puffiness.’ He added, ‘I believe if we remove some cheek fat, it will contour your face.’ So I ended up including additional surgeries,” she says. She paid $22,000 (sixteen thousand five hundred pounds) for the half-day operation, plus a three-day|

Written by

Carolyn Collins

Maya Chen is a tech journalist and AI researcher with a passion for demystifying complex technologies and exploring their societal impacts.

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