Onemanda Preisinger is nervous about her daughter’s impending 13th birthday party. It’s not due to the typical reasons associated with a house full of clamorous preteen kids, but because it’s the first time she will debut her new face to acquaintances and extended family. “Clearly I’m going to inform everyone as they arrive, ‘For your information, this is not how I look,’” states the 30-year-old property agent from Southern Florida.
Her appearance is, well, a little startling – her face swollen and unnaturally tightened, as though held together by industrial-grade tape. Her altered – and she’s eager to emphasize, temporary – look is the outcome of six aesthetic surgeries, such as an minimally invasive facelift, conducted by a surgeon in Turkey’s Istanbul, the previous month. “My spouse became emotional when he viewed me for the initial time because I wasn’t able to even open my eyes. That indicates swollen I was,” she tells me via video call from her home. “I had to tell him: ‘Honey, I’m okay, I’m not in pain. I just look like someone jumped me.’”
Growing Trend of Youthful Facial Lifts
Based on cosmetic specialists, Preisinger is one of a rising count of individuals choosing to undergo a rhytidectomy in their 20s and 30s – significantly before a decade before typical surgeons’ usual candidate age of forty to sixty. (Although many specialists are keen to emphasise the industry edict of: “We address genetics, not years.”) “I have individuals in their late twenties asking for facial lifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the head and neck. “It’s a major procedure, and I’m a bit concerned when I see people opting for it as a lifestyle choice.”
Explaining the Facelift Procedure
A rhytidectomy, alternatively called a facelift, lifts the tissues in the face that begin to droop as we age. “Human faces are built a little like onion layers,” says based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue called the superficial musculoaponeurotic system. Consider the facial framework as the structural foundation of the face. And that is what causes aging; that is what loosens and sags and drags the skin downward with it.”
You endanger operating on individuals that have underlying problems. It’s not a practice for an conscientious surgeon to pursue
Once the preserve of moneyed older people, “filler fatigue” – when excessive use of dermal fillers stretches the face and causes looseness in the dermis – alongside the common adoption of weight-loss drugs, low-cost medical tourism, and the advancement of novel, famous-figure-promoted surgical techniques are driving a different type of customer towards this major operation. Statistics indicate an eight percent rise in facelifts over the past 12 months in the UK; while a study found that the percentage of younger facelift patients is growing, with one-third of procedures now conducted for individuals aged thirty-five to fifty-five.
“People are asking now to look like the best version of themselves and naturally the techniques are following,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method promoted by everyone from Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.
Advanced Lifting Method
Where a more traditional rhytidectomy entails lifting the superficial layer, the deep plane facelift loosens the facial ligaments underneath, enabling surgeons to reshape the face by moving the underlying layers, and preventing the tight, stretched look sometimes wrought by more traditional techniques. “We avoid placing stress on the dermis because we’re targeting deeper, to the underlying structures,” explains Harley Street cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the underlying layers that is repositioned. The skin follows along as a secondary element.” Elevating the whole facial structure as a unified block allows for a more natural-looking and longer-lasting outcome. It also means that the procedure is not just being used for the express purpose of youth preservation – or rejuvenation, as the aesthetics industry terms it – but for “enhancement” and contouring, too. “We’re getting numerous requests from clients aged 28 to 35 for this reason,” says Grover.
Individual Experience
Preisinger had never planned on getting a facelift – at minimum not at the thirty years old. But long-term using injectable gels in an effort at “symmetry correction” 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 says. “I did it because the injectable harmed my face. I wish I had never using it. If I didn’t have the filler, I don’t believe I would be where I’m at currently.”
Whether injectable substances completely disappear has historically been a point of contention in the cosmetic field. “Studies have shown that not only do they rarely fully dissipate,” says Grover, “but they migrate and can obstruct lymphatic channels. One of the contributors to what we term ‘pillow face’ is additionally the reality that to some extent, the face becomes somewhat fluid-filled because its ability to remove bodily fluid has been reduced.” Though studies into the area is preliminary, cautionary statements on injectables’ possible effects on the lymphatic system have been issued, and further research announced. An esteemed face specialist, commenting anonymously, mentioned he would avoid using fillers in a client because of the risks they pose. “A lot of surgeons avoid talk about this, because the companies who make injectables can be pretty aggressive.” He’s been told accounts, he says, of plastic surgeons facing legal actions after expressing worries.
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 just 28 when a nearby cosmetic doctor in Florida suggested that a facial and neck surgery could be what she needed to exit the cycle of treatments. Two years later, she ended up choosing between a list of recommended hotels in Istanbul, texted to her by the clinic assistant at her surgeon’s office.
Originally, Preisinger had planned for an upper and lower blepharoplasty – better known as eyelid surgery – but her doctor advised her that a facelift was the right solution for the looseness she was experiencing in her face. She arranged a forehead lift, a mid-facelift and a jawline surgery. The eve of her operation, 24 hours post she’d arrived alone in Turkey, she decided to add a lip lift. “Subsequently the surgeon said, ‘We’re going to lift the lower eyelid puffiness.’ Then he said, ‘I believe if we remove some cheek fat, it will sculpt your face.’ So I ended up including additional surgeries,” she says. She spent $22,000 (£16,500) for the six-hour operation, plus a three-day|