Amanda Preisinger is nervous about her child’s upcoming 13th birthday celebration. Not for the usual reasons associated with a house full of loud preteen children, but because it’s the initial occasion she will reveal her new face to friends and relatives. “Obviously 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 Southern Florida.
Her appearance is, admittedly, a little surprising – her face swollen and unnaturally tightened, as though held together by heavy-duty tape. Her new – and she’s eager to emphasize, temporary – look is the outcome of half a dozen aesthetic surgeries, including an minimally invasive facelift, conducted by a surgeon in Turkey’s Istanbul, the previous month. “My poor husband became emotional when he viewed me for the initial time because I couldn’t even unseal my eyes. That indicates puffy I was,” she tells me via video call from her house. “I had to tell him: ‘Babe, I’m okay, I’m not in pain. I just look like someone jumped me.’”
Based on cosmetic specialists, Preisinger is among a rising count of people electing to undergo a facelift in their 20s and 30s – well over a ten years prior to most doctors’ usual candidate age of forty to sixty. (Although most surgeons are keen to emphasise the professional guideline of: “We treat genetics, not years.”) “I have individuals in their late twenties asking for facial lifts,” states based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on 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.”
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 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 called the SMAS. Consider the SMAS as the soft tissue skeleton of the face. And that is what causes aging; that’s what becomes lax and drags the dermis down with it.”
You risk operating on people that have underlying problems. It’s not advisable for an ethical plastic surgeon to follow
Once the preserve of moneyed older people, overuse of injectables – when excessive use of dermal fillers expands the face and causes laxity in the skin – combined with the common adoption of weight-loss drugs, low-cost medical tourism, and the development of new, famous-figure-promoted surgical techniques are driving a new kind of patient towards this major operation. Reports indicate an eight percent rise in facial lifts over the last year in the United Kingdom; while a survey found that the portion of youthful candidates is growing, with one-third of procedures now conducted for patients aged thirty-five to fifty-five.
“People are now requesting to appear as the best version of themselves and naturally the techniques are following,” comments Orfaniotis. Currently, the trending procedure is the comprehensive facial lift, a technique promoted by everyone from reality TV star Kris Jenner, to fashion designer Marc Jacobs.
Where a conventional facelift involves elevating the superficial layer, the deep plane facelift loosens the underlying structures underneath, enabling doctors to restructure the face by moving the underlying layers, and avoiding the tight, stretched look sometimes wrought by older methods. “We’re not putting tension on the skin because we’re targeting deeper, to the deeper tissue,” says Harley Street plastic surgeon Rajiv Grover, who focuses on the deep plane technique. “It is the underlying layers that is repositioned. The dermis follows along as a passenger.” Lifting the whole facial structure as a unified block results in a more natural-looking and longer-lasting result. It additionally implies that the procedure is not just being used for the express purpose of youth preservation – or rejuvenation, as the cosmetic field describes it – but for “beautification” and contouring, too. “We receive numerous requests from patients aged 28 to 35 for this reason,” notes Grover.
Preisinger had not intended on undergoing a facelift – at minimum not at the age of 30. But years of using injectable gels in an effort at “symmetry correction” implied that by the time she entered her late twenties, she was “botched”. “I didn’t undergo this because I wanted to look youthful,” she clarifies. “I underwent 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 in this situation currently.”
If dermal fillers ever fully dissolve has historically been a point of contention in the aesthetics industry. “Research have indicated that not only do they rarely fully dissipate,” states Grover, “but they move and can block lymphatic channels. One of the contributors to what we term ‘puffy appearance’ is also the fact that to some extent, the face gets slightly fluid-filled because its ability to remove lymphatic fluid has been reduced.” Though research into the area is early-stage, cautionary statements on dermal fillers’ possible effects on the body’s drainage have been released, and additional studies announced. One highly regarded face specialist, speaking anonymously, says he would avoid using fillers in a client because of the dangers they present. “A lot of surgeons don’t want to discussing this, because the manufacturers who produce injectables can be pretty aggressive.” He’s been told accounts, he says, of cosmetic doctors being landed with legal actions after raising their concerns.
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 the state suggested that a face and neck lift might be what she required to exit the injectable hamster wheel. After 24 months, she ended up selecting from a list of recommended hotels in the city, texted to her by the patient coordinator at her doctor’s clinic.
Initially, Preisinger had scheduled an eyelid surgery – better known as blepharoplasty – but her doctor recommended that a facial lift was the right solution for the looseness she was finding in her face. She booked a forehead lift, a mid-facelift and a neck lift. The eve of her surgery, one day after she’d touched down alone in the country, she opted to include a lip lift. “Subsequently the surgeon said, ‘We’re going to elevate the under-eye bags.’ Then he said, ‘I think if we extract some cheek fat, it will sculpt your face.’ So I ended up adding two more surgeries,” she recalls. She paid $22,000 (sixteen thousand five hundred pounds) for the half-day surgery, including a three-day|
Elara Vance is a luxury travel expert with over a decade of experience exploring exclusive destinations worldwide.
Arthur Perry
Arthur Perry