Amanda Preisinger feels anxious about her child’s upcoming 13th birthday celebration. It’s not due to the typical reasons associated with a home packed of loud adolescent children, but because it’s the first time she will reveal her new face to acquaintances and extended family. “Clearly I’m going to inform all guests as they arrive, ‘Just so you know, this is not how I appear,’” says the thirty-year-old property agent from south Florida.
Her appearance is, well, a little startling – her face swollen and preternaturally lifted, as though secured by industrial-grade tape. Her altered – and she’s keen to stress, temporary – look is the outcome of half a dozen aesthetic surgeries, including an endoscopic mid-facelift, conducted by a surgeon in Istanbul, Turkey, the previous month. “My poor husband became emotional when he viewed me for the initial time because I wasn’t able to even open my eyes. That’s how swollen I was,” she explains to me via video call from her home. “I had to tell him: ‘Honey, I’m fine, I’m not in pain. I just look like someone jumped me.’”
Growing Trend of Youthful Facial Lifts
Based on plastic surgeons, Preisinger is among a rising count of people electing to undergo a rhytidectomy in their twenties and thirties – significantly before a ten years before typical surgeons’ usual candidate age of 40 to 60. (Though most surgeons are eager to highlight the professional guideline of: “We address genetics, not age.”) “I have 28-year-olds asking for facelifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the head and neck. “It’s a very significant procedure, and I’m a bit concerned when I see individuals opting for it as a personal preference.”
Explaining the Facelift Procedure
A facelift, also known as a facelift, elevates the ligaments in the face that begin to droop as we age. “Human faces are built a little like onion layers,” explains based in Kent facial plastic surgeon Marc Pacifico. “Dermis and adipose on the surface, then a stratum of supportive tissue called the SMAS. Consider the facial framework as the soft tissue skeleton of the face. And that is what causes aging; that is what becomes lax and drags the skin down with it.”
You endanger operating on individuals that have underlying problems. It’s not advisable for an conscientious 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 dermis – alongside the common adoption of weight-loss drugs, cut-price surgical travel, and the development of novel, famous-figure-promoted operative methods are attracting a new kind of customer towards this invasive surgery. Statistics show an eight percent rise in facial lifts over the past 12 months in the UK; while a survey revealed that the percentage of younger facelift patients is increasing, with one-third of procedures now performed on patients aged 35-55.
“Patients are asking now to appear as the optimal form of themselves and naturally the methods are evolving,” comments Orfaniotis. At present, the operation du jour is the deep plane facelift, a method promoted by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.
Advanced Lifting Method
Where a more traditional facelift involves elevating the SMAS, the deep plane facelift loosens the facial ligaments beneath it, allowing doctors to reshape the face by moving the underlying layers, and avoiding the tight, stretched appearance sometimes wrought by more traditional techniques. “We’re not putting tension on the skin because we’re targeting deeper, to the deeper tissue,” says prestigious London plastic surgeon Rajiv Grover, who focuses on the advanced method. “It is the underlying layers that is adjusted. The dermis follows along as a passenger.” Lifting the whole facial structure as a single unit allows for a more natural-looking and longer-lasting outcome. It additionally implies that the surgery is not just being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “enhancement” and facial restructuring, too. “We’re getting numerous requests from patients aged 28 to 35 for this purpose,” notes Grover.
Individual Experience
Preisinger had never planned on undergoing a facial lift – at minimum not at the thirty years old. But years of using injectable gels in an attempt at “symmetry correction” meant that by the time she entered her late twenties, she was “damaged”. “I didn’t do this because I wanted to look youthful,” she clarifies. “I did it because the filler harmed my face. I wish I had never using it. If I had avoided the filler, I don’t think I would be where I’m at currently.”
If injectable substances completely disappear has historically been a point of contention in the cosmetic field. “Studies have shown that they seldom fully dissipate,” states Grover, “but they migrate and can block lymphatic channels. One of the contributors to what we term ‘puffy appearance’ is also the reality that in a sense, the face becomes somewhat waterlogged because its ability to remove bodily fluid has been reduced.” Though research into the area is preliminary, warnings on injectables’ possible effects on the lymphatic system have been issued, and further research initiated. One highly regarded facial plastic surgeon, speaking on the condition of anonymity, mentioned he would never use fillers in a patient because of the risks they pose. “A lot of doctors don’t want to talk about this, because the manufacturers who make filler can be quite forceful.” He’s heard stories, he adds, of cosmetic doctors being landed with legal actions after raising their concerns.
Decision and Procedure
For Preisinger, after beginning injecting filler, she felt as if she had to keep adding more – especially as it started to migrate to other parts of her face. She was just 28 when a local plastic surgeon in the state suggested that a facial and neck surgery might be what she required to exit the cycle of treatments. Two years later, she found herself choosing between a selection of suggested accommodations in Istanbul, sent to her by the patient coordinator at her surgeon’s office.
Originally, Preisinger had scheduled an upper and lower blepharoplasty – better known as eyelid surgery – but her surgeon advised her that a facelift was the correct option for the looseness she was finding in her face. She booked a brow lift, a cheek lift and a neck lift. The day before her surgery, one day after she’d touched down solo in Turkey, she opted to include a lip lift. “Then he stated, ‘We will lift the lower eyelid puffiness.’ Then he said, ‘I believe if we extract some cheek fat, it will contour your face.’ Thus I ultimately including additional procedures,” she recalls. She spent $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, including a three-day|