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Friday, October 9, 2026
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‘My Eyes Were So Puffy I Couldn’t Even Unseal Them’

Onemanda Preisinger experiences worry about her child’s upcoming 13th birthday celebration. Not for the typical reasons associated with a house full of clamorous adolescent children, but since it’s the first time she will reveal her recently altered face to acquaintances and extended family. “Obviously I’m going to tell everyone as they come in, ‘Just so you know, this is not the way I look,’” states the thirty-year-old real estate agent from Southern Florida.

How she looks is, admittedly, a somewhat startling – her face puffed up and unnaturally tightened, as though held together by heavy-duty tape. Her new – and she’s eager to emphasize, short-term – look is the outcome of half a dozen aesthetic surgeries, such as an minimally invasive facelift, conducted by a surgeon in Turkey’s Istanbul, the previous month. “My poor husband teared up when he saw me for the first time because I wasn’t able to even open my eyes. That’s how puffy I was,” she tells me via online call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not in pain. I just look like someone attacked me.’”

Increasing Popularity of Youthful Facial Lifts

Based on cosmetic specialists, Preisinger is one of a growing number of people electing to have a facelift in their 20s and 30s – well over a decade prior to typical surgeons’ usual candidate age of 40 to 60. (Though most surgeons are eager to highlight the professional guideline of: “We address heredity, not age.”) “I have 28-year-olds asking for facial lifts,” states London-based cosmetic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the head and neck. “It’s a very significant procedure, and I’m a bit concerned when I see people choosing it as a personal preference.”

Explaining the Rhytidectomy Surgery

A facelift, also known as a rhytidectomy, lifts the tissues in the face that begin to droop as we grow older. “Human faces are built a bit like layers of an onion,” says based in Kent facial plastic surgeon Marc Pacifico. “Skin and fat on the top, then a stratum of supportive tissue called the superficial musculoaponeurotic system. Consider the facial framework as the soft tissue skeleton of the face. And that is what causes aging; that’s what becomes lax and pulls the skin down with it.”

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

Once the preserve of moneyed older people, overuse of injectables – when excessive use of injectable gels stretches the face and causes looseness in the skin – combined with the common adoption of weight-loss drugs, low-cost medical tourism, and the advancement of new, celebrity-endorsed operative methods are attracting a different type of customer towards this invasive surgery. Statistics show an eight percent rise in facial lifts over the past 12 months in the United Kingdom; while a study found that the portion of younger facelift patients is increasing, with 32% of facelifts now conducted for individuals aged thirty-five to fifty-five.

“Patients are now requesting to appear as the optimal form of themselves and naturally the techniques are following,” comments Orfaniotis. Currently, the operation du jour is the deep plane facelift, a method promoted by figures including reality TV star Kris Jenner, to style creator Marc Jacobs.

Deep Plane Technique

Where a conventional rhytidectomy involves elevating the superficial layer, the deep plane facelift loosens the facial ligaments beneath it, enabling doctors to restructure the face by repositioning the underlying layers, and preventing the taut, pulled appearance occasionally caused by more traditional techniques. “We avoid placing stress on the skin because we’re going below, to the underlying structures,” says prestigious London plastic surgeon Rajiv Grover, who specialises in the advanced method. “It is the deeper tissue that is adjusted. The skin comes with it as a secondary element.” Lifting the whole facial structure as a unified block results in a more natural-looking and longer-lasting outcome. It additionally implies that the procedure is not just being used for the express purpose of anti-ageing – or revitalization, as the aesthetics industry describes it – but for “beautification” and facial restructuring, too. “We receive numerous requests from patients aged 28 to 35 for this reason,” says Grover.

Individual Experience

Preisinger had not intended on getting a facial lift – at minimum 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 twenties, she was “botched”. “I didn’t undergo this because I desired to appear young,” she says. “I did 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 currently.”

If dermal fillers ever fully dissolve has long been a point of contention in the aesthetics industry. “Research have shown that they seldom fully dissipate,” states Grover, “but they move and can obstruct lymphatic channels. One of the contributors to what we term ‘pillow face’ is also the reality that in a sense, the face becomes somewhat fluid-filled because its ability to drain lymphatic fluid has been reduced.” Although studies into the area is preliminary, cautionary statements on injectables’ potential impact on the body’s drainage have been released, and further research announced. One highly regarded facial plastic surgeon, commenting on the condition of anonymity, says he would never use fillers in a client because of the dangers they pose. “Many surgeons avoid talk about this, because the manufacturers who produce filler can be quite forceful.” He’s heard stories, he says, of cosmetic doctors being landed with court orders after expressing worries.

Decision and Procedure

For Preisinger, once she started injecting filler, she believed she needed to continue replenishing it – especially as it began moving to other parts of her face. She was only twenty-eight when a local plastic surgeon in Florida suggested that a face and neck lift could be what she required to exit the cycle of treatments. Two years later, she ended up selecting from a selection of recommended hotels in the city, texted to her by the clinic assistant at her surgeon’s office.

Originally, Preisinger had planned for an eyelid surgery – commonly called eyelid surgery – but her doctor recommended that a facial lift was the right solution for the laxity she was finding in her face. She arranged a brow lift, a mid-facelift and a jawline surgery. The day before her operation, 24 hours post she’d arrived alone in the country, she decided to add a lip lift. “Then he said, ‘We will elevate the under-eye bags.’ Then he said, ‘I believe if we remove some buccal fat, it will sculpt your face.’ So I ended up adding two more surgeries,” she says. She paid $22,000 (£16,500) for the six-hour surgery, plus a three-day|

The writer

Nicholas Miller

A tech journalist and software developer with a passion for exploring how emerging technologies shape everyday life and business solutions.

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