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Friday, October 16, 2026
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‘My Eyes Were So Puffy I Couldn’t Even Open Them’

Onemanda Preisinger feels anxious about her daughter’s upcoming 13th birthday party. It’s not due to the usual reasons related to a home packed of clamorous preteen children, but since it’s the initial occasion she will debut her recently altered face to acquaintances and relatives. “Obviously I’m going to tell everyone as they come in, ‘Just so you know, this is not the way I look,’” says the thirty-year-old property agent from south Florida.

Her appearance is, admittedly, a little startling – her face swollen and preternaturally lifted, as though held together by heavy-duty tape. Her new – and she’s eager to emphasize, short-term – appearance is the result of half a dozen aesthetic surgeries, including an minimally invasive facelift, performed by a doctor in Istanbul, Turkey, the previous month. “My spouse teared up when he saw me for the initial time because I wasn’t able to even open my eyes. That indicates swollen I was,” she explains to me via video call from her home. “I needed to inform him: ‘Honey, I’m fine, I’m not hurting. I just appear as if someone jumped me.’”

Increasing Popularity of Youthful Facial Lifts

According to plastic surgeons, Preisinger is one of a growing number of people choosing to undergo a facelift in their 20s and 30s – significantly before a decade before most doctors’ usual candidate age of forty to sixty. (Although many specialists are eager to highlight the industry edict of: “We treat genetics, not age.”) “I have 28-year-olds asking for facelifts,” states based in London aesthetic plastic surgeon Georgios Orfaniotis, a former NHS consultant who focuses on the head and neck. “It’s a very significant procedure, and I’m a somewhat worried when I see people choosing it as a personal preference.”

Explaining the Rhytidectomy Surgery

A facelift, alternatively called a rhytidectomy, elevates the tissues in the face that begin to droop as we age. “Human faces are structured a bit like onion layers,” says based in Kent face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue known as the SMAS. Consider the facial framework as the structural foundation of the face. And that’s what causes aging; that’s what loosens and sags and pulls the skin down with it.”

You endanger operating on people that have deeper issues. It’s not advisable for an conscientious surgeon to pursue

Once the preserve of affluent seniors, overuse of injectables – when excessive use of injectable gels stretches the face and causes laxity in the dermis – combined with the widespread use of slimming medications, low-cost surgical travel, and the advancement of novel, celebrity-endorsed operative methods are driving a new kind of patient towards this invasive surgery. Reports indicate an 8% increase in facelifts over the past 12 months in the UK; while a survey revealed that the percentage of younger facelift patients is increasing, with 32% of facelifts now conducted for patients aged 35-55.

“Patients are asking now to appear as the optimal form of themselves and obviously the techniques are following,” says Orfaniotis. At present, the trending procedure is the deep plane facelift, a technique evangelised by everyone from Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

Where a more traditional facelift involves elevating the superficial layer, the deep plane facelift loosens the underlying structures beneath it, allowing doctors to reshape the face by repositioning the deeper tissue, and preventing the tight, stretched look sometimes wrought by older methods. “We’re not putting tension on the dermis because we’re targeting deeper, to the deeper tissue,” says Harley Street cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the deeper tissue that is repositioned. The skin comes with it as a passenger.” Lifting the whole facial structure as a unified block results in a more natural-looking and longer-lasting outcome. It also means that the surgery is not just being used for the primary goal of anti-ageing – or rejuvenation, as the aesthetics industry terms it – but for “enhancement” and contouring, too. “We receive numerous requests from patients aged 28 to 35 for this purpose,” says Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at least not at the age of 30. But long-term using hyaluronic acid dermal fillers in an effort at “symmetry correction” meant that by the time she entered her late twenties, she was “damaged”. “I didn’t undergo this because I wanted to look young,” she clarifies. “I underwent it because the injectable harmed my face. I regret ever using it. If I didn’t have the injectable, I don’t believe I would be where I’m at currently.”

Whether injectable substances ever fully dissolve has historically been a debated topic in the cosmetic field. “Research have indicated that they seldom fully dissipate,” states Grover, “but they move and can obstruct drainage pathways. One of the contributors to what we term ‘puffy appearance’ is also the fact that in a sense, the face becomes somewhat fluid-filled because its ability to remove lymphatic fluid has been diminished.” Although research into the area is early-stage, cautionary statements on dermal fillers’ possible effects on the lymphatic system have been issued, and additional studies initiated. One highly regarded face specialist, commenting anonymously, says he would never use injectables in a client because of the risks they present. “Many surgeons don’t want to talk about this, because the companies who produce filler can be pretty aggressive.” He’s been told accounts, he says, of cosmetic doctors being landed with legal actions after expressing worries.

Choice and Surgery

For Preisinger, after beginning injecting filler, she felt as if 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 proposed that a face and neck lift might be what she required to exit the injectable hamster wheel. Two years later, she ended up choosing between a list of recommended hotels in Istanbul, texted to her by the patient coordinator at her surgeon’s office.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her doctor advised her that a facial lift was the correct option for the looseness she was experiencing in her face. She arranged a brow lift, a cheek lift and a neck lift. The day before her surgery, one day after she’d touched down solo in Turkey, she opted to include a lip lift. “Subsequently the surgeon stated, ‘We will elevate the lower eyelid puffiness.’ He added, ‘I think if we remove some buccal fat, it will sculpt your face.’ Thus I ultimately including additional procedures,” she recalls. She spent $22,000 (£16,500) for the half-day operation, including a three-day|

About the author

Kristen Robinson

Elara is a seasoned luxury travel journalist with over a decade of experience exploring exclusive destinations and sharing insider tips for elite travelers.

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