Onemanda Preisinger is nervous about her daughter’s upcoming 13th birthday party. It’s not due to the usual reasons associated with a house full of loud preteen kids, but since it’s the initial occasion she will debut her recently altered face to friends and extended family. “Clearly I’m going to tell all guests as they arrive, ‘For your information, this is not how I appear,’” says the 30-year-old real estate agent from south Florida.
Her appearance is, well, a somewhat startling – her face swollen and unnaturally tightened, as though secured by heavy-duty tape. Her altered – and she’s eager to emphasize, short-term – appearance is the result of half a dozen cosmetic procedures, including an minimally invasive facelift, performed by a surgeon in Istanbul, Turkey, the previous month. “My spouse became emotional when he viewed me for the first time because I wasn’t able to even open my eyes. That indicates puffy I was,” she tells me via video call from her house. “I needed to inform him: ‘Babe, I’m okay, I’m not in pain. I just look like someone jumped me.’”
Increasing Popularity of Youthful Facial Lifts
Based on cosmetic specialists, Preisinger is one of a rising count of individuals choosing to undergo a facelift in their 20s and 30s – significantly before a decade before typical surgeons’ usual candidate age of forty to sixty. (Though most surgeons are keen to emphasise the industry edict of: “We treat genetics, not age.”) “I have individuals in their late twenties requesting facial lifts,” states based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the facial area. “It’s a major procedure, and I’m a bit concerned when I observe people opting for it as a personal preference.”
Explaining the Rhytidectomy Surgery
A rhytidectomy, alternatively called a facelift, elevates the ligaments in the face that begin to droop as we grow older. “Our faces are built a little like onion layers,” says Kent-based face specialist Marc Pacifico. “Skin and fat on the top, then a layer of supportive tissue known as the superficial musculoaponeurotic system. Consider the facial framework as the structural foundation of the face. And that is what ages us; that’s what loosens and sags and drags the skin down with it.”
You endanger performing surgery on individuals that have deeper issues. It’s not advisable for an ethical plastic surgeon to follow
Once the preserve of moneyed older people, “filler fatigue” – when overuse of injectable gels expands the face and causes laxity in the dermis – combined with the common adoption of slimming medications, cut-price medical tourism, and the advancement of novel, famous-figure-promoted operative methods are attracting a different type of customer towards this major operation. Reports show an 8% increase in facial lifts over the past 12 months in the United Kingdom; while a survey revealed that the portion of younger facelift patients is increasing, with 32% of facelifts now performed on individuals aged 35-55.
“Patients are now requesting to look like the best version of themselves and obviously the methods are following,” comments Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method evangelised by figures including Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.
Deep Plane Technique
While a conventional facelift entails lifting the SMAS, the deep plane facelift loosens the underlying structures underneath, enabling surgeons to reshape the face by repositioning the underlying layers, and preventing the tight, stretched appearance sometimes wrought by more traditional techniques. “We’re not putting stress on the skin because we’re going below, to the underlying structures,” says Harley Street cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the deeper tissue that is adjusted. The skin comes with it as a secondary element.” Lifting the whole facial structure as a unified block results in a authentic-appearing and longer-lasting result. It additionally implies that the procedure is no longer being used for the express purpose of anti-ageing – or revitalization, as the cosmetic field terms it – but for “beautification” and contouring, too. “We’re getting numerous requests from patients aged 28 to 35 for this reason,” notes Grover.
Individual Experience
Preisinger had never planned on getting a facial lift – at minimum not at the age of 30. But long-term using hyaluronic acid dermal fillers in an effort at “symmetry correction” meant that by the time she entered her late 20s, she was “damaged”. “I didn’t do this because I desired to appear youthful,” 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.”
Whether 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 migrate and can block drainage pathways. A contributing factor to what we term ‘pillow face’ is additionally the reality that in a sense, the face gets somewhat waterlogged because its ability to remove 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 further research announced. One highly regarded face specialist, speaking anonymously, mentioned he would avoid using fillers in a patient because of the dangers they pose. “A lot of surgeons avoid talk about this, because the companies who make filler can be quite forceful.” He’s heard stories, he says, of cosmetic doctors facing court orders after raising their concerns.
Choice and Surgery
For Preisinger, once she started injecting filler, she believed she had to keep replenishing it – especially as it began moving to different areas of her face. She was only twenty-eight when a nearby cosmetic doctor in the state proposed that a face and neck lift could be what she required to exit the injectable hamster wheel. Two years later, she found herself selecting from a selection of suggested accommodations in Istanbul, sent to her by the clinic assistant at her surgeon’s office.
Initially, Preisinger had planned for an eyelid surgery – commonly called blepharoplasty – but her surgeon recommended that a facial lift was the right solution for the looseness she was experiencing in her face. She arranged a forehead lift, a mid-facelift and a neck lift. The day before her surgery, one day after she’d touched down solo in Turkey, she decided to add a lip lift. “Then he said, ‘We’re going to lift the under-eye bags.’ Then he said, ‘I think if we extract some buccal fat, it will sculpt your face.’ Thus I ultimately including additional procedures,” she recalls. She paid $22,000 (£16,500) for the half-day surgery, including a three-day|