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Tuesday, October 13, 2026
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‘My Eyes Were So Puffy I Was Unable to Even Open Them’

Onemanda Preisinger experiences worry about her child’s upcoming 13th birthday celebration. It’s not due to the typical causes related to a home packed of loud preteen children, but because it’s the initial occasion she will debut her recently altered face to friends and relatives. “Obviously I’m going to inform all guests as they come in, ‘For your information, this is not the way I look,’” says the 30-year-old property agent from Southern Florida.

How she looks is, admittedly, a somewhat startling – her face swollen and preternaturally lifted, as though secured by heavy-duty tape. Her altered – and she’s eager to emphasize, short-term – look is the outcome of six aesthetic surgeries, including an endoscopic mid-facelift, conducted by a doctor in Turkey’s Istanbul, the previous month. “My spouse teared up when he viewed me for the first time because I couldn’t even unseal my eyes. That’s how puffy I was,” she explains to me via online 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 plastic surgeons, Preisinger is one of a growing number of people electing to have 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 industry edict of: “We address genetics, not age.”) “I have individuals in their late twenties asking for facelifts,” says based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the facial area. “It’s a very significant procedure, and I’m a bit concerned when I observe individuals opting for it as a lifestyle choice.”

Understanding the Facelift Procedure

A rhytidectomy, alternatively called a facelift, lifts the tissues in the face that start to sag as we grow older. “Human faces are built a little like onion layers,” explains based in Kent facial plastic surgeon Marc Pacifico. “Skin and fat on the top, then a stratum of supportive tissue known as the SMAS. Consider the facial framework as the structural foundation of the face. And that is what ages us; that is what becomes lax and pulls the dermis downward with it.”

You endanger operating on people that have underlying problems. It’s not advisable for an ethical plastic surgeon to follow

Previously reserved of affluent seniors, “filler fatigue” – when excessive use of dermal fillers expands the face and causes laxity in the skin – combined with the common adoption of weight-loss drugs, cut-price surgical travel, and the advancement of new, celebrity-endorsed operative methods are attracting a new kind of patient towards this invasive surgery. Reports indicate an 8% increase in facial lifts over the past 12 months in the UK; while a study found that the portion of youthful candidates is growing, with 32% of facelifts now conducted for individuals aged thirty-five to fifty-five.

“Patients are now requesting to look like the optimal form of themselves and naturally the methods are following,” comments Orfaniotis. At present, the operation du jour is the deep plane facelift, a technique promoted by everyone from Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Deep Plane Technique

Where a conventional rhytidectomy entails lifting the SMAS, the comprehensive lift loosens the facial ligaments underneath, allowing surgeons to reshape the face by moving the deeper tissue, and avoiding the tight, stretched appearance occasionally caused by more traditional techniques. “We avoid placing tension on the skin because we’re targeting deeper, to the deeper tissue,” explains prestigious London cosmetic doctor Rajiv Grover, who specialises in the advanced method. “It is the underlying layers that is repositioned. The dermis comes with it as a passenger.” Lifting the whole facial structure as a unified block allows for a more natural-looking and longer-lasting result. It additionally implies that the procedure is no longer being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry terms it – but for “beautification” and contouring, too. “We’re getting numerous requests from patients aged 28 to 35 for this purpose,” says Grover.

Individual Experience

Preisinger had not intended on undergoing a facelift – at least not at the age of 30. But years of using injectable gels in an attempt at “facial balancing” meant that by the time she entered 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 harmed my face. I wish I had never done it. If I had avoided the injectable, I don’t think I would be in this situation right now.”

Whether injectable substances completely disappear has long been a point of contention in the aesthetics industry. “Research have indicated that not only do they rarely fully dissipate,” states Grover, “but they migrate and can obstruct drainage pathways. One of the contributors to what we call ‘puffy appearance’ is additionally the fact that in a sense, the face gets slightly waterlogged because its capacity to drain lymphatic fluid has been reduced.” Though studies into the topic is early-stage, cautionary statements on dermal fillers’ possible effects on the lymphatic system have been released, and additional studies announced. An esteemed face specialist, speaking anonymously, says he would never use fillers in a patient because of the risks they pose. “A lot of surgeons avoid talk about this, because the manufacturers who produce filler can be pretty aggressive.” He’s heard stories, he says, of cosmetic doctors being landed with legal actions after expressing worries.

Decision and Procedure

For Preisinger, after beginning using injectables, she felt as if she needed to continue 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 could be what she required to exit the injectable hamster wheel. Two years later, she ended up selecting from a list of recommended hotels in Istanbul, sent to her by the patient coordinator at her doctor’s clinic.

Originally, Preisinger had planned for an upper and lower blepharoplasty – commonly called eyelid surgery – but her surgeon recommended that a facelift was the correct option for the laxity she was experiencing in her face. She booked a brow lift, a mid-facelift and a neck lift. The eve of her surgery, one day after she’d arrived alone in the country, she decided to add a lip lift. “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 says. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour surgery, plus a three-day|

TA
About the author

Tamara Allen

A seasoned technology consultant with over 15 years of experience in digital transformation and business strategy across European markets.

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