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Thursday, October 15, 2026
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‘My Eyes Were So Puffy I Couldn’t Even Open Them’

Amanda Preisinger is nervous about her child’s impending 13th birthday party. Not for the typical reasons associated with a home packed of clamorous adolescent children, but since it’s the initial occasion she will reveal her new face to friends and extended family. “Clearly I’m going to inform everyone as they arrive, ‘Just so you know, this is not the way I appear,’” states the thirty-year-old real estate agent from Southern Florida.

How she looks is, admittedly, a little surprising – her face swollen and preternaturally lifted, as though held together by heavy-duty tape. Her altered – and she’s keen to stress, short-term – look is the result of six aesthetic surgeries, such as an minimally invasive facelift, conducted by a doctor in Istanbul, Turkey, last month. “My poor husband teared up when he viewed me for the first time because I couldn’t even open my eyes. That indicates puffy I was,” she explains to me via video call from her house. “I had to tell him: ‘Honey, I’m okay, I’m not hurting. I just look like someone jumped me.’”

Increasing Popularity of Early Facelifts

Based on cosmetic specialists, Preisinger is one of a growing number of individuals electing to undergo a facelift in their 20s and 30s – well over a ten years prior to most doctors’ typical patient age range of 40 to 60. (Although many specialists are eager to highlight the industry edict of: “We treat genetics, not age.”) “I have 28-year-olds requesting facelifts,” states based in London cosmetic surgeon Georgios Orfaniotis, a former NHS consultant who specialises in the facial area. “It’s a major surgery, and I’m a somewhat worried when I see individuals opting for it as a personal preference.”

Understanding the Rhytidectomy Surgery

A facelift, alternatively called a rhytidectomy, lifts the tissues in the face that begin to droop as we age. “Human faces are built a bit like onion layers,” explains based in Kent face specialist Marc Pacifico. “Skin and fat on the top, then a stratum of connective tissue known as the superficial musculoaponeurotic system. Consider the facial framework as the structural foundation of the face. And that’s what ages us; that’s what loosens and sags and drags the dermis downward with it.”

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

Previously reserved of moneyed older people, “filler fatigue” – when excessive use of dermal fillers expands the face and leads to laxity in the dermis – combined with the common adoption of slimming medications, cut-price surgical travel, and the advancement of new, famous-figure-promoted surgical techniques are attracting a different type of customer towards this major operation. Reports show an 8% increase in facelifts over the past 12 months in the UK; while a survey revealed that the percentage of youthful candidates is increasing, with 32% of facelifts now conducted for individuals aged 35-55.

“People are now requesting to appear as the optimal form of themselves and obviously the methods are following,” comments Orfaniotis. At present, the trending procedure is the comprehensive facial lift, a technique promoted by everyone from reality TV star Kris Jenner, to fashion designer Marc Jacobs.

Advanced Lifting Method

Where a more traditional rhytidectomy involves lifting the SMAS, the comprehensive lift releases the underlying structures beneath it, allowing surgeons to restructure the face by moving the deeper tissue, and preventing the taut, pulled look sometimes wrought by more traditional techniques. “We’re not putting tension on the dermis because we’re targeting deeper, to the deeper tissue,” says prestigious London cosmetic doctor Rajiv Grover, who focuses on the advanced method. “It is the underlying layers that is repositioned. The skin follows along as a passenger.” Lifting the entire soft tissue layer as a unified block allows for a authentic-appearing and more durable outcome. It additionally implies that the procedure is not just being used for the primary goal of youth preservation – or rejuvenation, as the cosmetic field describes it – but for “enhancement” and facial restructuring, too. “We receive numerous requests from clients aged 28 to 35 for this reason,” notes Grover.

Individual Experience

Preisinger had not intended on undergoing a facelift – at minimum not at the age of 30. But years of using hyaluronic acid dermal fillers in an attempt at “symmetry correction” implied that by the time she entered her late twenties, she was “botched”. “I didn’t undergo this because I wanted to look young,” she clarifies. “I underwent it because the injectable harmed my face. I wish I had never done it. If I didn’t have the filler, I don’t think I would be where I’m at right now.”

Whether dermal fillers completely disappear has long been a point of contention in the cosmetic field. “Studies have shown that they seldom completely dissolve,” states Grover, “but they move and can block lymphatic channels. One of the contributors to what we call ‘pillow face’ is additionally the fact that in a sense, the face gets slightly fluid-filled because its ability to remove bodily fluid has been reduced.” Although research into the area is preliminary, warnings on injectables’ potential impact on the lymphatic system have been issued, and additional studies announced. One highly regarded facial plastic surgeon, speaking anonymously, says he would never use injectables in a patient because of the dangers they pose. “A lot of doctors don’t want to discussing this, because the companies who make injectables can be pretty aggressive.” He’s been told accounts, he says, of cosmetic doctors facing court orders after expressing worries.

Decision and Procedure

For Preisinger, after beginning injecting filler, she believed she needed to continue adding more – especially as it started to migrate to different areas of her face. She was just 28 when a local plastic surgeon in Florida suggested that a face and neck lift could be what she required to finally step off the cycle of treatments. After 24 months, she ended up choosing between a selection of suggested accommodations in Istanbul, texted to her by the clinic assistant at her doctor’s clinic.

Initially, Preisinger had scheduled an upper and lower blepharoplasty – commonly called eyelid surgery – but her surgeon advised her that a facial lift was the right solution for the looseness she was experiencing in her face. She booked a brow lift, a cheek lift and a neck lift. The day before her surgery, 24 hours post she’d touched down solo in the country, she opted to include a lip lift. “Then he said, ‘We will elevate the lower eyelid puffiness.’ He added, ‘I think if we extract some buccal fat, it will contour your face.’ Thus I ultimately including additional procedures,” she recalls. She paid $22,000 (£16,500) for the half-day surgery, including a three-day|

About the author

Shawn Ruiz

A seasoned travel writer and luxury lifestyle expert with over a decade of experience exploring exclusive destinations worldwide.

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