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

Amanda Preisinger feels anxious about her daughter’s upcoming 13th birthday celebration. Not for the typical reasons associated with a house full of clamorous adolescent kids, but because it’s the first time she will reveal her recently altered face to acquaintances and relatives. “Obviously I’m going to tell all guests as they arrive, ‘Just so you know, this is not how I appear,’” states the thirty-year-old real estate agent from Southern Florida.

Her appearance is, well, a little startling – her face puffed up and preternaturally lifted, as though secured by industrial-grade tape. Her altered – and she’s eager to emphasize, short-term – look is the outcome of half a dozen aesthetic surgeries, including an minimally invasive facelift, performed by a surgeon in Turkey’s Istanbul, the previous month. “My poor husband teared up when he viewed me for the initial time because I wasn’t able to even open my eyes. That indicates swollen I was,” she explains to me via video call from her home. “I had to tell him: ‘Honey, I’m okay, I’m not in pain. I just look like someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

According to plastic surgeons, Preisinger is among a growing number of individuals choosing to have a rhytidectomy in their twenties and thirties – significantly before a decade before most doctors’ typical patient age range of 40 to 60. (Though most surgeons are eager to highlight the industry edict of: “We address genetics, not age.”) “I have individuals in their late twenties asking for facial lifts,” 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 bit concerned when I see individuals opting for it as a personal preference.”

Understanding the Rhytidectomy Surgery

A facelift, also known as a facelift, lifts the ligaments in the face that begin to droop as we grow older. “Our faces are structured a bit like layers of an onion,” says Kent-based face specialist Marc Pacifico. “Skin and fat on the top, then a layer of connective tissue called the SMAS. Consider the SMAS as the structural foundation of the face. And that’s what causes aging; that’s what loosens and sags and pulls the skin down with it.”

You endanger performing surgery on individuals that have deeper issues. It’s not a practice for an ethical plastic surgeon to pursue

Once the preserve of affluent seniors, overuse of injectables – when excessive use of dermal fillers stretches the face and causes looseness in the skin – alongside the widespread use of weight-loss drugs, cut-price medical tourism, and the advancement of new, famous-figure-promoted surgical techniques are attracting a new kind of customer towards this invasive surgery. Reports indicate an 8% increase in facial lifts over the past 12 months in the United Kingdom; while a survey found that the portion of youthful candidates is growing, with 32% of facelifts now conducted for patients aged thirty-five to fifty-five.

“People are asking now to look like the best version of themselves and naturally the techniques are evolving,” comments Orfaniotis. At present, the trending procedure is the comprehensive facial lift, a method promoted by everyone from reality TV star Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

Where a conventional rhytidectomy entails lifting the superficial layer, the comprehensive lift releases the facial ligaments underneath, enabling surgeons to reshape the face by repositioning the underlying layers, and preventing the tight, stretched look occasionally caused by more traditional techniques. “We’re not putting tension on the skin because we’re targeting deeper, to the underlying structures,” says prestigious London cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the underlying layers that is repositioned. The skin comes with it as a passenger.” Lifting the whole facial structure as a unified block results in a authentic-appearing and more durable result. It also means that the procedure is not just being used for the primary goal of anti-ageing – or rejuvenation, as the aesthetics industry describes it – but for “beautification” and contouring, too. “We’re getting many inquiries from clients aged 28 to 35 for this purpose,” says Grover.

Individual Experience

Preisinger had never planned on getting a facelift – at least not at the thirty years old. But years of using injectable gels in an attempt at “facial balancing” implied 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 did it because the filler harmed my face. I regret ever done 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 long been a point of contention in the aesthetics industry. “Research have shown that not only do they rarely completely dissolve,” says Grover, “but they migrate and can obstruct lymphatic channels. One of the contributors to what we term ‘pillow face’ is additionally the reality that to some extent, the face becomes slightly waterlogged because its ability to drain bodily fluid has been diminished.” Though research into the area is early-stage, cautionary statements on injectables’ possible effects on the body’s drainage have been released, and further research initiated. An esteemed face specialist, commenting on the condition of anonymity, mentioned he would never use injectables in a client because of the dangers they present. “Many surgeons avoid talk about this, because the companies who make injectables can be pretty aggressive.” He’s been told accounts, he says, of plastic surgeons being landed with legal actions after expressing worries.

Choice and Surgery

For Preisinger, once she started using injectables, she believed she had to keep replenishing it – especially as it began moving to other parts of her face. She was just 28 when a nearby cosmetic doctor in Florida suggested that a facial and neck surgery could be what she needed to finally step off the cycle of treatments. Two years later, she ended up choosing between a list of suggested accommodations in Istanbul, sent to her by the clinic assistant at her doctor’s clinic.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her doctor recommended that a facelift was the right solution for the looseness she was finding in her face. She booked a forehead lift, a cheek lift and a neck lift. The eve of her surgery, 24 hours post she’d touched down alone in Turkey, she decided to add a lip lift. “Then he stated, ‘We will lift the under-eye bags.’ He added, ‘I think if we extract some cheek fat, it will contour your face.’ So I ended up including additional surgeries,” she recalls. She spent $22,000 (£16,500) for the half-day surgery, plus a three-day|

Michael Herrera
Michael Herrera

Maya is a tech journalist and AI researcher with a passion for exploring how emerging technologies shape our digital future.