Onemanda Preisinger is nervous about her daughter’s impending 13th birthday celebration. Not for the typical causes associated with a home packed of loud adolescent children, but because it’s the first time she will debut her recently altered face to acquaintances and relatives. “Obviously I’m going to inform all guests as they come in, ‘Just so you know, this is not the way I appear,’” says the 30-year-old real estate agent from south Florida.
How she looks is, admittedly, a little surprising – her face puffed up and unnaturally tightened, as though held together by industrial-grade tape. Her new – and she’s eager to emphasize, temporary – look is the result of half a dozen cosmetic procedures, including an minimally invasive facelift, conducted by a doctor in Turkey’s Istanbul, 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 puffy I was,” she explains to me via online call from her home. “I had to tell him: ‘Babe, I’m fine, I’m not in pain. I just appear as if someone attacked me.’”
Growing Trend of Early Facelifts
According to cosmetic specialists, Preisinger is among a growing number of people electing to undergo a rhytidectomy in their 20s and 30s – significantly before a ten years prior to most doctors’ usual candidate age of 40 to 60. (Although many specialists are eager to highlight the industry edict of: “We treat heredity, not age.”) “I have individuals in their late twenties requesting facelifts,” says based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the head and neck. “It’s a major surgery, and I’m a somewhat worried when I see people opting for it as a personal preference.”
Explaining the Facelift Procedure
A rhytidectomy, also known as a facelift, elevates the ligaments in the face that start to sag as we age. “Our faces are built a little like onion layers,” explains based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of connective tissue known as the superficial musculoaponeurotic system. Think of the SMAS as the structural foundation of the face. And that’s what causes aging; that’s what becomes lax and pulls the dermis down with it.”
You endanger operating on individuals that have deeper issues. It’s not a practice for an conscientious surgeon to follow
Once the preserve of affluent seniors, overuse of injectables – when overuse of dermal fillers expands the face and leads to laxity in the skin – alongside the common adoption of weight-loss drugs, cut-price surgical travel, and the advancement of new, celebrity-endorsed surgical techniques are driving a different type of customer towards this major operation. Reports indicate an eight percent rise in facial lifts over the last year in the UK; while a study revealed that the portion of younger facelift patients is growing, with 32% of facelifts now conducted for individuals aged 35-55.
“Patients are now requesting to appear as the best version of themselves and obviously the methods are following,” says Orfaniotis. At present, the operation du jour is the comprehensive facial lift, a technique evangelised by figures including reality TV star Kris Jenner, to style creator Marc Jacobs.
Advanced Lifting Method
Where a more traditional facelift involves lifting the superficial layer, the deep plane facelift releases the underlying structures beneath it, enabling surgeons to restructure the face by repositioning the deeper tissue, and avoiding the taut, pulled look occasionally caused by more traditional techniques. “We avoid placing stress on the skin because we’re targeting deeper, to the deeper tissue,” says prestigious London cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the deeper tissue that is adjusted. The dermis follows along as a secondary element.” Lifting the whole facial structure as a unified block allows for a more natural-looking and more durable result. It additionally implies that the surgery is no longer being used for the express purpose of youth preservation – or rejuvenation, as the cosmetic field describes it – but for “enhancement” and contouring, too. “We receive numerous requests from clients aged 28 to 35 for this reason,” notes Grover.
Individual Experience
Preisinger had never planned on getting a facial lift – at least not at the thirty years old. But long-term using hyaluronic acid dermal fillers in an effort at “symmetry correction” meant that by the time she entered her late twenties, she was “damaged”. “I didn’t do this because I desired to appear young,” she clarifies. “I did it because the filler ruined my face. I wish I had never done it. If I didn’t have the injectable, I don’t believe I would be in this situation currently.”
If dermal fillers completely disappear has long been a point of contention in the cosmetic field. “Studies have shown that not only do they rarely completely dissolve,” says Grover, “but they move and can obstruct lymphatic channels. A contributing factor to what we call ‘puffy appearance’ is also the reality that in a sense, the face gets somewhat fluid-filled because its ability to drain lymphatic fluid has been diminished.” Though studies into the area is preliminary, warnings on dermal fillers’ potential impact on the body’s drainage have been issued, and further research announced. One highly regarded facial plastic surgeon, commenting anonymously, says he would avoid using injectables in a client because of the risks they present. “A lot of surgeons don’t want to discussing this, because the companies who produce filler can be pretty aggressive.” He’s been told accounts, he adds, of plastic surgeons facing legal actions after raising their concerns.
Choice and Surgery
For Preisinger, after beginning injecting filler, she felt as if she needed to continue replenishing it – especially as it began moving to different areas of her face. She was just 28 when a nearby cosmetic doctor in the state proposed that a face and neck lift might be what she required to finally step off the injectable hamster wheel. After 24 months, she ended up choosing between a list of suggested accommodations in the city, texted to her by the clinic assistant at her doctor’s clinic.
Originally, Preisinger had scheduled an upper and lower blepharoplasty – commonly called blepharoplasty – but her doctor recommended that a facial lift was the right solution for the looseness she was experiencing in her face. She booked a forehead lift, a cheek lift and a jawline surgery. The day before her operation, one day after she’d touched down alone in Turkey, she opted to include a mouth enhancement. “Then he said, ‘We’re going to lift the lower eyelid puffiness.’ Then he said, ‘I think if we remove some buccal fat, it will sculpt your face.’ Thus I ultimately including additional procedures,” she says. She spent $22,000 (£16,500) for the half-day operation, including a three-day|