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

Onemanda Preisinger feels anxious about her daughter’s impending 13th birthday celebration. It’s not due to the usual reasons associated with a home packed of clamorous adolescent children, but since it’s the first time she will debut her new face to acquaintances and relatives. “Obviously I’m going to tell all guests as they come in, ‘Just so you know, this is not the way I appear,’” states the thirty-year-old real estate agent from Southern Florida.

How she looks is, admittedly, a little surprising – her face swollen and preternaturally lifted, as though secured by heavy-duty tape. Her altered – and she’s keen to stress, short-term – look is the result of half a dozen cosmetic procedures, including an minimally invasive facelift, performed by a surgeon in Istanbul, Turkey, the previous month. “My spouse teared up when he viewed me for the first time because I couldn’t even open my eyes. That indicates puffy I was,” she explains to me via online call from her house. “I needed to inform him: ‘Babe, I’m fine, I’m not hurting. I just appear as if someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is one of a growing number of individuals electing to have a rhytidectomy in their 20s and 30s – well over a ten years prior to typical surgeons’ usual candidate age of 40 to 60. (Though most surgeons are keen to emphasise the professional guideline of: “We address genetics, not age.”) “I have individuals in their late twenties requesting facial lifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the head and neck. “It’s a major procedure, and I’m a somewhat worried when I observe people choosing it as a lifestyle choice.”

Explaining the Rhytidectomy Surgery

A facelift, alternatively called a rhytidectomy, lifts the ligaments in the face that begin to droop as we age. “Our faces are built a bit like onion layers,” says based in Kent face specialist Marc Pacifico. “Dermis and adipose on the top, then a layer of connective tissue called the SMAS. Think of the facial framework as the structural foundation of the face. And that’s what causes aging; that’s what becomes lax and drags the skin downward with it.”

You endanger operating on individuals that have underlying problems. It’s not a practice for an ethical plastic surgeon to pursue

Previously reserved of affluent seniors, overuse of injectables – when excessive use of dermal fillers expands the face and leads to laxity in the dermis – combined with the common adoption of slimming medications, cut-price surgical travel, and the advancement of new, celebrity-endorsed operative methods are attracting a different type of customer towards this major operation. Statistics show an 8% increase in facelifts over the last year in the UK; while a study revealed that the percentage of youthful candidates is growing, with 32% of facelifts now conducted for patients aged 35-55.

“People are asking now to appear as the optimal form of themselves and naturally the methods are following,” comments Orfaniotis. At present, the operation du jour is the comprehensive facial lift, a technique promoted by everyone from Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

Where a conventional rhytidectomy involves lifting the SMAS, the deep plane facelift releases the facial ligaments beneath it, allowing doctors to restructure the face by repositioning the deeper tissue, and preventing the tight, stretched appearance occasionally caused by more traditional techniques. “We’re not putting tension on the dermis because we’re targeting deeper, to the underlying structures,” says prestigious London 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.” Elevating the entire soft tissue layer as a unified block results in a more natural-looking and more durable result. It additionally implies that the procedure is not just being used for the express purpose of anti-ageing – or revitalization, as the cosmetic field describes it – but for “beautification” and facial restructuring, too. “We receive many inquiries from clients aged 28 to 35 for this reason,” notes Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at least not at the thirty years old. But long-term using injectable gels in an effort at “facial balancing” meant that by the time she reached her late 20s, she was “botched”. “I didn’t undergo this because I desired to appear youthful,” she says. “I underwent it because the injectable ruined my face. I regret ever done it. If I didn’t have the filler, I don’t believe I would be where I’m at right now.”

Whether dermal fillers completely disappear has historically been a debated topic in the cosmetic field. “Research have indicated that not only do they rarely completely dissolve,” states Grover, “but they move and can block lymphatic channels. One of the contributors to what we call ‘pillow face’ is also the reality that in a sense, the face becomes somewhat waterlogged because its ability to remove bodily fluid has been reduced.” Though studies into the topic is early-stage, cautionary statements on injectables’ possible effects on the lymphatic system have been issued, and additional studies initiated. An esteemed face specialist, speaking on the condition of anonymity, says he would avoid using injectables in a client because of the dangers they pose. “A lot of doctors don’t want to discussing this, because the manufacturers who produce filler can be quite forceful.” He’s been told accounts, he says, of cosmetic doctors facing legal actions after expressing worries.

Decision and Procedure

For Preisinger, once she started using injectables, she believed she had to keep replenishing it – particularly when it began moving to different areas of her face. She was just 28 when a local plastic surgeon in Florida suggested that a facial and neck surgery could be what she required to finally step off the injectable hamster wheel. Two years later, she found herself selecting from a selection 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 eyelid surgery – but her surgeon recommended that a facial lift was the right solution for the laxity she was finding in her face. She arranged a brow lift, a cheek lift and a neck lift. The eve of her surgery, 24 hours post she’d touched down alone in Turkey, she opted to include a mouth enhancement. “Then he stated, ‘We will lift 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 surgeries,” she says. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, including a three-day|

By

Samantha Moore MD

A tech journalist with over a decade of experience covering AI, startups, and digital transformation, passionate about demystifying complex innovations.

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