Onemanda Preisinger feels anxious about her daughter’s upcoming 13th birthday party. Not for the typical reasons related to a home packed of clamorous preteen children, but since it’s the initial occasion she will reveal her new face to acquaintances and extended family. “Obviously I’m going to tell everyone as they arrive, ‘For your information, this is not the way I look,’” says the 30-year-old real estate agent from Southern Florida.
Her appearance is, admittedly, a little surprising – her face puffed up and preternaturally lifted, as though held together by heavy-duty tape. Her altered – and she’s keen to stress, short-term – appearance is the result of half a dozen aesthetic surgeries, including an minimally invasive facelift, performed by a surgeon in Turkey’s Istanbul, the previous month. “My spouse teared up when he saw me for the initial time because I wasn’t able to even unseal my eyes. That indicates swollen I was,” she explains to me via online call from her house. “I had to tell him: ‘Babe, I’m okay, I’m not hurting. I just appear as if someone attacked me.’”
Growing Trend of Youthful Facial Lifts
Based on plastic surgeons, Preisinger is one of a growing number of individuals electing to undergo a facelift in their 20s and 30s – well over a decade before typical surgeons’ usual candidate age of forty to sixty. (Though most surgeons are eager to highlight the industry edict of: “We treat heredity, not age.”) “I have 28-year-olds requesting facial lifts,” says based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the head and neck. “It’s a major surgery, 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 rhytidectomy, elevates the ligaments in the face that start to sag as we grow older. “Our faces are structured a bit like layers of an onion,” explains Kent-based facial plastic surgeon Marc Pacifico. “Dermis and adipose on the surface, then a stratum of connective tissue known as the superficial musculoaponeurotic system. Think of the facial framework as the soft tissue skeleton of the face. And that’s what causes aging; that’s what loosens and sags and drags the dermis down with it.”
You endanger performing surgery on people that have underlying problems. It’s not a practice for an ethical plastic surgeon to pursue
Once the preserve of moneyed older people, overuse of injectables – when excessive use of dermal fillers stretches the face and leads to looseness in the skin – combined with the common adoption of slimming medications, cut-price medical tourism, and the development of novel, celebrity-endorsed surgical techniques are attracting a different type of customer towards this invasive surgery. Statistics indicate an eight percent rise in facial lifts over the past 12 months in the UK; while a survey found that the percentage of youthful candidates 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. At present, the trending procedure is the comprehensive facial lift, a method promoted by figures including reality TV star Kris Jenner, to style creator Marc Jacobs.
Deep Plane Technique
While a conventional facelift entails lifting the superficial layer, the deep plane facelift loosens the facial ligaments beneath it, enabling doctors to restructure the face by repositioning the underlying layers, and preventing the tight, stretched look sometimes wrought by older methods. “We’re not putting stress on the dermis because we’re going below, to the underlying structures,” explains prestigious London cosmetic doctor Rajiv Grover, who specialises in the advanced method. “It is the underlying layers that is repositioned. The skin follows along as a passenger.” Lifting the entire soft tissue layer as a unified block allows for a authentic-appearing and longer-lasting result. It additionally implies that the procedure is no longer being used for the primary goal of anti-ageing – or rejuvenation, as the cosmetic field terms it – but for “enhancement” and facial restructuring, too. “We’re getting many inquiries from clients aged 28 to 35 for this reason,” notes Grover.
Personal Journey
Preisinger had not intended 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 “facial balancing” implied that by the time she reached her late twenties, she was “botched”. “I didn’t undergo this because I desired to appear young,” she says. “I underwent it because the filler ruined my face. I wish I had never done it. If I didn’t have the injectable, I don’t think I would be in this situation right now.”
If dermal fillers completely disappear has historically been a point of contention in the cosmetic field. “Studies have indicated that not only do they rarely fully dissipate,” says Grover, “but they move and can block drainage pathways. A contributing factor to what we term ‘pillow face’ is also the fact that in a sense, the face gets slightly fluid-filled because its ability to remove bodily fluid has been diminished.” Although studies into the topic is early-stage, cautionary statements on dermal fillers’ potential impact on the body’s drainage have been released, and additional studies initiated. An esteemed face specialist, speaking on the condition of anonymity, mentioned he would never use injectables in a client because of the dangers they pose. “A lot of doctors avoid discussing this, because the manufacturers who produce injectables can be quite forceful.” He’s heard stories, he says, of plastic surgeons facing legal actions after raising their concerns.
Choice and Surgery
For Preisinger, after beginning using injectables, she felt as if she had to keep adding more – especially as it started to migrate to other parts of her face. She was only twenty-eight when a local plastic surgeon in Florida suggested that a facial and neck surgery could be what she required to exit the cycle of treatments. Two years later, she ended up selecting from a list of suggested accommodations in Istanbul, sent to her by the clinic assistant at her surgeon’s office.
Originally, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her surgeon advised her that a facial lift was the correct option for the looseness she was finding in her face. She arranged a forehead lift, a cheek lift and a neck lift. The day before her surgery, 24 hours post she’d touched down alone in the country, she opted to include a lip lift. “Then he stated, ‘We will lift the under-eye bags.’ He added, ‘I believe if we remove some cheek fat, it will contour your face.’ So I ended up adding two more surgeries,” she says. She paid $22,000 (£16,500) for the six-hour operation, plus a three-day|