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Wednesday, October 14, 2026
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‘I Wasn’t Able to Even Unseal My Eyes. That’s How Swollen I Was’

Onemanda Preisinger is nervous about her daughter’s impending 13th birthday party. Not for the usual causes associated with a home packed of loud preteen children, but since it’s the initial occasion she will showcase her new face to friends and relatives. “Obviously I’m going to tell everyone as they arrive, ‘For your information, this is not the way I appear,’” says the 30-year-old real estate agent from Southern Florida.

How she looks is, admittedly, a somewhat surprising – her face puffed up and unnaturally tightened, as though secured by heavy-duty tape. Her new – and she’s keen to stress, short-term – look is the result of half a dozen aesthetic surgeries, such as an minimally invasive facelift, performed by a doctor in Istanbul, Turkey, last month. “My spouse teared up when he viewed me for the initial time because I wasn’t able to even unseal my eyes. That indicates puffy I was,” she tells me via online call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not hurting. I just look like someone jumped me.’”

Growing Trend of Early Facelifts

According to cosmetic specialists, Preisinger is one of a growing number of people electing to undergo a rhytidectomy in their twenties and thirties – significantly before a ten years before most doctors’ typical patient age range of 40 to 60. (Although most surgeons are eager to highlight the industry edict of: “We address genetics, not age.”) “I have 28-year-olds requesting facelifts,” states London-based aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the head and neck. “It’s a major procedure, and I’m a bit concerned when I see individuals opting for it as a personal preference.”

Understanding the Facelift Procedure

A facelift, also known as a facelift, elevates the tissues in the face that begin to droop as we grow older. “Our faces are structured a little like onion layers,” says Kent-based face specialist Marc Pacifico. “Skin and fat on the top, then a layer of connective tissue known as the SMAS. Consider the SMAS as the structural foundation of the face. And that is what ages us; that is what loosens and sags and pulls the dermis downward with it.”

You endanger operating on individuals that have deeper issues. It’s not advisable for an ethical plastic surgeon to follow

Previously reserved of affluent seniors, overuse of injectables – when excessive use of dermal fillers stretches the face and leads to looseness in the skin – combined with the widespread use of slimming medications, low-cost surgical travel, and the advancement of novel, famous-figure-promoted operative methods are driving a new kind of patient towards this major operation. Reports show an 8% increase in facelifts over the last year in the UK; while a study found that the percentage of younger facelift patients is increasing, with 32% of facelifts now performed on patients aged thirty-five to fifty-five.

“People are now requesting to appear as the best version of themselves and obviously the techniques are following,” says Orfaniotis. Currently, the operation du jour is the deep plane facelift, a technique promoted by figures including Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

While a conventional rhytidectomy entails elevating the SMAS, the comprehensive lift loosens the facial ligaments beneath it, enabling surgeons to reshape the face by moving the underlying layers, and avoiding the tight, stretched appearance sometimes wrought 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 deeper tissue that is adjusted. The skin follows along as a secondary element.” Lifting the entire soft tissue layer as a unified block results in a more natural-looking and longer-lasting result. It also means that the procedure is not just being used for the express purpose of anti-ageing – or rejuvenation, as the aesthetics industry describes it – but for “enhancement” and facial restructuring, too. “We’re getting numerous requests from clients aged 28 to 35 for this reason,” says Grover.

Individual Experience

Preisinger had not intended on getting a facelift – at least not at the thirty years old. But long-term using hyaluronic acid dermal fillers in an effort at “symmetry correction” implied that by the time she reached her late twenties, she was “damaged”. “I didn’t do this because I desired to appear young,” she says. “I did it because the injectable harmed my face. I regret ever done it. If I had avoided the filler, I don’t believe I would be where I’m at currently.”

If dermal fillers ever fully dissolve has historically been a debated topic in the cosmetic field. “Research have shown that not only do they rarely fully dissipate,” says Grover, “but they migrate and can obstruct drainage pathways. One of the contributors to what we term ‘pillow face’ is also the reality that in a sense, the face gets somewhat fluid-filled because its capacity to remove bodily fluid has been diminished.” Although research into the area is preliminary, warnings on injectables’ possible effects on the body’s drainage have been issued, and additional studies announced. An esteemed facial plastic surgeon, commenting anonymously, says he would avoid using injectables in a patient because of the risks they present. “Many doctors avoid talk about this, because the manufacturers who make injectables can be quite forceful.” He’s heard stories, he says, of plastic surgeons being landed with legal actions after raising their concerns.

Choice and Surgery

For Preisinger, after beginning injecting filler, she felt as if she had to keep adding more – especially as it started to migrate to different areas of her face. She was just 28 when a nearby cosmetic doctor in Florida suggested that a facial and neck surgery might be what she required to finally step off the cycle of treatments. After 24 months, she ended up selecting from a selection of suggested accommodations in the city, sent to her by the patient coordinator at her doctor’s clinic.

Initially, Preisinger had scheduled an eyelid surgery – commonly called eyelid surgery – but her doctor advised her that a facelift was the correct option for the looseness she was finding in her face. She arranged a brow lift, a mid-facelift and a jawline surgery. The eve of her operation, 24 hours post she’d arrived alone in the country, she decided to add a lip lift. “Subsequently the surgeon said, ‘We will elevate the lower eyelid puffiness.’ He added, ‘I think if we remove some cheek fat, it will sculpt your face.’ So I ended up including additional surgeries,” she says. She paid $22,000 (£16,500) for the six-hour surgery, including a three-day|

MP
About the author

Melissa Perry

A seasoned business strategist with over 15 years of experience in scaling startups and advising Fortune 500 companies across Europe.

Stellar Ventures

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