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Thursday, October 8, 2026
BrightReview

‘I Couldn’t Even Open My Eyes. That’s The Extent of the Swelling I Was’

Onemanda Preisinger is nervous about her daughter’s upcoming 13th birthday celebration. Not for the usual causes associated with a house full of clamorous preteen kids, but because it’s the initial occasion she will reveal her new face to acquaintances and extended family. “Clearly I’m going to inform everyone as they come in, ‘Just so you know, this is not how I look,’” says the 30-year-old property agent from Southern Florida.

How she looks is, well, a little startling – her face puffed up and preternaturally lifted, as though held together by heavy-duty tape. Her new – and she’s eager to emphasize, short-term – appearance is the outcome of six cosmetic procedures, including an minimally invasive facelift, conducted by a doctor in Turkey’s Istanbul, last month. “My spouse became emotional when he viewed me for the initial time because I wasn’t able to even open my eyes. That indicates puffy I was,” she tells me via video 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.’”

Growing Trend of Early Facelifts

According to plastic surgeons, Preisinger is among a rising count of individuals choosing to have a rhytidectomy in their 20s and 30s – well over a ten years before typical surgeons’ typical patient age range of 40 to 60. (Though many specialists are eager to highlight the industry edict of: “We treat heredity, not years.”) “I have 28-year-olds asking for facial lifts,” says London-based aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the head and neck. “It’s a very significant procedure, and I’m a somewhat worried when I observe people opting for it as a personal preference.”

Understanding the Facelift Procedure

A facelift, also known as a facelift, lifts the tissues in the face that begin to droop as we grow older. “Human faces are structured a bit like onion layers,” says Kent-based facial plastic surgeon Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue known as the SMAS. Think of the SMAS as the soft tissue skeleton of the face. And that is what ages us; that is what loosens and sags and drags the skin down with it.”

You endanger performing surgery on people that have deeper issues. It’s not advisable for an conscientious surgeon to follow

Previously reserved of moneyed older people, “filler fatigue” – when overuse of injectable gels expands the face and leads to looseness in the skin – combined with the common adoption of weight-loss drugs, cut-price medical tourism, and the development of new, famous-figure-promoted surgical techniques are attracting a new kind of customer towards this invasive surgery. Reports indicate an eight percent rise in facial lifts over the last year in the United Kingdom; while a study revealed that the percentage of younger facelift patients is growing, with one-third of procedures now conducted for individuals aged 35-55.

“People are now requesting to appear as the optimal form of themselves and naturally the techniques are evolving,” says Orfaniotis. Currently, the trending procedure is the deep plane facelift, a method evangelised by everyone from Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.

Deep Plane Technique

While a more traditional facelift entails lifting the SMAS, the comprehensive lift releases the facial ligaments beneath it, allowing surgeons to restructure the face by moving the underlying layers, and avoiding the tight, stretched look occasionally caused by older methods. “We avoid placing tension on the dermis because we’re targeting deeper, to the deeper tissue,” says Harley Street cosmetic doctor Rajiv Grover, who specialises in the advanced method. “It is the deeper tissue that is adjusted. The dermis follows along as a secondary element.” Elevating the entire soft tissue layer as a single unit allows for a authentic-appearing and more durable result. It additionally implies that the procedure is no longer being used for the express purpose of youth preservation – or rejuvenation, as the cosmetic field describes it – but for “enhancement” and contouring, too. “We receive numerous requests from patients aged 28 to 35 for this reason,” says Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at least not at the thirty years old. But years of using injectable gels in an attempt at “symmetry correction” 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 clarifies. “I underwent it because the injectable harmed my face. I wish I had never using it. If I didn’t have the filler, I don’t believe I would be in this situation right now.”

Whether injectable substances ever fully dissolve has long been a point of contention in the cosmetic field. “Research have shown that they seldom fully dissipate,” states Grover, “but they move and can obstruct drainage pathways. A contributing factor to what we term ‘puffy appearance’ is additionally the reality that to some extent, the face gets slightly fluid-filled because its ability to remove lymphatic fluid has been diminished.” Although studies into the area is preliminary, warnings on dermal fillers’ possible effects on the body’s drainage have been issued, and further research announced. An esteemed face specialist, commenting anonymously, mentioned he would never use fillers in a client because of the dangers they pose. “A lot of doctors avoid discussing this, because the companies who make injectables can be pretty aggressive.” He’s heard stories, he adds, of cosmetic doctors being landed with legal actions after expressing worries.

Choice and Surgery

For Preisinger, after beginning using injectables, she felt as if she needed to continue replenishing it – particularly when it began moving to other parts of her face. She was just 28 when a nearby cosmetic doctor in Florida proposed that a facial and neck surgery might be what she needed to finally step off the cycle of treatments. Two years later, she found herself choosing between a selection of recommended hotels in the city, sent to her by the clinic assistant at her surgeon’s office.

Originally, Preisinger had planned for an eyelid surgery – better known as eyelid surgery – 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 mid-facelift and a neck lift. The day before her surgery, 24 hours post she’d arrived solo in the country, she opted to include a mouth enhancement. “Subsequently the surgeon stated, ‘We will elevate the under-eye bags.’ He added, ‘I think if we extract some cheek 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 half-day surgery, plus a three-day|

About the author

Lori Clark

A tech enthusiast and product analyst with over a decade of experience testing and reviewing consumer electronics and lifestyle innovations.

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