‘I Wasn’t Able to Even Unseal My Eyes. That’s The Extent of the Swelling I Was’

Amanda Preisinger experiences worry about her child’s upcoming 13th birthday party. Not for the usual reasons related to a home packed of clamorous preteen kids, but since it’s the initial occasion she will reveal her recently altered face to friends and extended family. “Obviously I’m going to inform everyone as they come in, ‘Just so you know, this is not how I appear,’” says the 30-year-old real estate agent from south Florida.

How she looks is, well, a little startling – her face puffed up and preternaturally lifted, as though held together by industrial-grade tape. Her altered – and she’s keen to stress, short-term – appearance is the result of six aesthetic surgeries, including an minimally invasive facelift, conducted by a doctor in Istanbul, Turkey, the previous month. “My poor husband became emotional when he saw me for the initial time because I couldn’t even unseal my eyes. That’s how swollen I was,” she tells me via video call from her home. “I needed to inform him: ‘Honey, 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 people electing to have a facelift in their 20s and 30s – significantly before a ten years prior to typical surgeons’ typical patient age range of 40 to 60. (Although most surgeons are eager to highlight the professional guideline of: “We address heredity, not age.”) “I have 28-year-olds asking for facial lifts,” states London-based cosmetic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the facial area. “It’s a very significant surgery, and I’m a somewhat worried when I see people choosing it as a personal preference.”

Understanding the Facelift Procedure

A facelift, also known as a facelift, elevates the tissues in the face that start to sag as we grow older. “Our faces are built a little like onion layers,” says Kent-based face specialist Marc Pacifico. “Dermis and adipose on the surface, then a layer of supportive tissue called the SMAS. Consider the facial framework as the soft tissue skeleton of the face. And that is what ages us; that is 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

Previously reserved of affluent seniors, “filler fatigue” – when excessive use of dermal fillers stretches the face and causes laxity in the dermis – alongside the widespread use of slimming medications, low-cost surgical travel, and the development of novel, famous-figure-promoted operative methods are attracting a new kind of customer towards this major operation. Statistics show an eight percent rise in facelifts over the past 12 months in the UK; while a study found that the percentage of youthful candidates is growing, with one-third of procedures now performed on patients aged thirty-five to fifty-five.

“People are asking now to appear as the optimal form of themselves and naturally the methods are evolving,” says Orfaniotis. Currently, the operation du jour is the comprehensive facial lift, a technique evangelised by figures including Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

Where a conventional facelift entails elevating the superficial layer, the deep plane facelift loosens the facial ligaments beneath it, enabling surgeons to restructure the face by repositioning the underlying layers, and avoiding the taut, pulled appearance sometimes wrought by older methods. “We’re not putting stress on the dermis because we’re going below, to the underlying structures,” says prestigious London cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the deeper tissue that is repositioned. The skin 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 result. It additionally implies that the surgery is no longer being used for the primary goal of anti-ageing – or rejuvenation, as the cosmetic field terms it – but for “beautification” and contouring, too. “We’re getting many inquiries from patients aged late twenties to mid-thirties for this reason,” notes Grover.

Personal Journey

Preisinger had never planned on undergoing a facelift – at least not at the thirty years old. But long-term using injectable gels in an attempt at “symmetry correction” implied that by the time she entered her late 20s, she was “botched”. “I didn’t do this because I desired to appear youthful,” she clarifies. “I underwent it because the injectable ruined my face. I wish I had never using it. If I didn’t have the injectable, I don’t believe I would be where I’m at currently.”

If dermal fillers completely disappear has long been a point of contention in the aesthetics industry. “Research have indicated that they seldom fully dissipate,” says Grover, “but they move and can obstruct drainage pathways. A contributing factor to what we call ‘pillow face’ is additionally the reality that to some extent, the face becomes slightly waterlogged because its ability to remove bodily fluid has been reduced.” Although research into the topic is early-stage, cautionary statements on dermal fillers’ possible effects on the lymphatic system have been released, and additional studies announced. One highly regarded facial plastic surgeon, commenting anonymously, mentioned he would avoid using injectables in a client because of the risks they pose. “Many surgeons don’t want to talk about this, because the manufacturers who produce filler can be pretty aggressive.” He’s heard stories, he adds, of plastic surgeons being landed with court orders after raising their concerns.

Choice and Surgery

For Preisinger, after beginning injecting filler, she felt as if she had to keep replenishing it – particularly when it began moving to different areas of her face. She was just 28 when a nearby cosmetic doctor in the state suggested that a facial and neck surgery might be what she required to finally step off the injectable hamster wheel. After 24 months, she ended up selecting from a list of recommended hotels in the city, sent to her by the patient coordinator at her doctor’s clinic.

Initially, Preisinger had planned for an upper and lower blepharoplasty – better known as eyelid surgery – but her doctor recommended that a facial lift was the right solution for the laxity she was finding in her face. She arranged a forehead lift, a mid-facelift and a neck lift. The eve of her operation, one day after she’d arrived alone in the country, she decided to add a mouth enhancement. “Subsequently the surgeon stated, ‘We’re going to elevate the under-eye bags.’ He added, ‘I think if we remove some buccal fat, it will sculpt your face.’ So I ended up including additional procedures,” she recalls. She spent $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, plus a three-day|

Jamie Kelly MD
Jamie Kelly MD

Elara Vance is a UK-based journalist and cultural commentator with over a decade of experience writing about British society and current affairs.