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Wednesday, October 14, 2026
Explore British culture, history, and lifestyle through in-…

‘I Wasn’t Able to Even Unseal My Eyes. That’s The Extent of the Swelling I Was’

Onemanda Preisinger experiences worry about her child’s impending 13th birthday party. Not for the usual causes related to a house full of clamorous adolescent kids, but since it’s the first time she will reveal her new face to acquaintances and relatives. “Obviously I’m going to inform everyone as they come in, ‘Just so you know, this is not how I appear,’” states the 30-year-old real estate agent from Southern Florida.

How she looks is, well, a somewhat startling – her face swollen and preternaturally lifted, as though secured by heavy-duty tape. Her altered – and she’s eager to emphasize, short-term – appearance is the result of six aesthetic surgeries, including an minimally invasive facelift, conducted by a surgeon in Istanbul, Turkey, last month. “My poor husband became emotional when he viewed me for the first time because I wasn’t able to even open my eyes. That’s how puffy I was,” she explains to me via video call from her house. “I had to tell him: ‘Honey, I’m fine, I’m not hurting. I just appear as if someone jumped me.’”

Growing Trend of Youthful Facial Lifts

According to plastic surgeons, Preisinger is among a rising count of individuals choosing to have a facelift in their twenties and thirties – significantly before a ten years before most doctors’ typical patient age range of forty to sixty. (Although many specialists are keen to emphasise the professional guideline of: “We address genetics, not age.”) “I have individuals in their late twenties asking for facelifts,” states London-based aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who focuses on the head and neck. “It’s a major procedure, and I’m a somewhat worried when I see individuals choosing it as a lifestyle choice.”

Explaining the Facelift Procedure

A facelift, alternatively called a facelift, elevates the tissues in the face that begin to droop as we age. “Human faces are structured a bit like onion layers,” says Kent-based face specialist Marc Pacifico. “Skin and fat on the surface, then a stratum of supportive tissue known as the superficial musculoaponeurotic system. Think of the SMAS as the soft tissue skeleton of the face. And that’s what causes aging; that’s what becomes lax and drags the dermis down with it.”

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

Once the preserve of moneyed older people, overuse of injectables – when excessive use of injectable gels expands the face and leads to laxity in the dermis – combined with the widespread use of slimming medications, low-cost surgical travel, and the advancement of novel, famous-figure-promoted surgical techniques are driving a new kind of customer towards this major operation. Reports show an eight percent rise in facial lifts over the last year 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 thirty-five to fifty-five.

“Patients are asking now to appear as the best version of themselves and naturally the techniques are following,” says Orfaniotis. Currently, the trending procedure is the comprehensive facial lift, a method evangelised by figures including Kardashian matriarch Kris Jenner, to fashion designer Marc Jacobs.

Deep Plane Technique

Where a more traditional rhytidectomy entails lifting the superficial layer, the deep plane facelift releases the facial ligaments beneath it, enabling surgeons to restructure the face by moving the deeper tissue, and preventing the tight, stretched appearance occasionally caused by older methods. “We’re not putting stress on the skin because we’re targeting deeper, to the underlying structures,” says prestigious London cosmetic doctor Rajiv Grover, who specialises in the advanced method. “It is the underlying layers that is adjusted. The dermis comes with it as a passenger.” Lifting the entire soft tissue layer as a unified block results in a more natural-looking and longer-lasting result. It additionally implies that the procedure is not just being used for the primary goal of youth preservation – or revitalization, as the cosmetic field describes it – but for “enhancement” and contouring, too. “We receive numerous requests from clients aged 28 to 35 for this reason,” says Grover.

Personal Journey

Preisinger had never planned on getting a facelift – at least not at the thirty years old. But long-term using injectable gels in an effort at “symmetry correction” implied that by the time she entered her late twenties, she was “botched”. “I didn’t undergo this because I desired to appear youthful,” she clarifies. “I did it because the injectable ruined my face. I wish I had never done it. If I had avoided the injectable, I don’t believe I would be in this situation right now.”

Whether dermal fillers ever fully dissolve has long been a debated topic in the aesthetics industry. “Studies have shown that they seldom fully dissipate,” says Grover, “but they migrate and can obstruct lymphatic channels. One of the contributors to what we term ‘puffy appearance’ is additionally the fact that to some extent, the face becomes somewhat fluid-filled because its ability to drain bodily fluid has been reduced.” Although studies into the topic is early-stage, cautionary statements on injectables’ possible effects on the body’s drainage have been released, and additional studies initiated. One highly regarded facial plastic surgeon, speaking on the condition of anonymity, says he would avoid using injectables in a client because of the risks they pose. “Many surgeons don’t want to discussing this, because the companies who produce injectables can be pretty aggressive.” He’s heard stories, he adds, of plastic surgeons facing legal actions after expressing worries.

Decision and Procedure

For Preisinger, once she started injecting filler, she felt as if she had to keep adding more – especially as it began moving to different areas of her face. She was just 28 when a nearby cosmetic doctor in Florida suggested that a face and neck lift might be what she needed to finally step off the cycle of treatments. Two years later, she ended up choosing between a list of suggested accommodations in Istanbul, sent to her by the clinic assistant at her doctor’s clinic.

Initially, Preisinger had scheduled an eyelid surgery – commonly called blepharoplasty – but her surgeon recommended that a facial lift was the correct option for the looseness she was experiencing in her face. She booked a forehead lift, a cheek lift and a jawline surgery. The eve of her surgery, one day after she’d touched down alone in Turkey, she decided to add a lip lift. “Then he stated, ‘We’re going to elevate the lower eyelid puffiness.’ Then he said, ‘I believe if we extract some cheek fat, it will contour your face.’ So I ended up including additional surgeries,” she recalls. She paid $22,000 (sixteen thousand five hundred pounds) for the six-hour operation, plus a three-day|

About the author

Kevin Robles

A cultural historian and writer specializing in British traditions and contemporary society, with a passion for storytelling.

Royal British Magazine

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