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Friday, October 9, 2026
London Reel Choice

‘My Eyes Were So Swollen I Was Unable to Even Open Them’

Amanda Preisinger feels anxious about her daughter’s impending 13th birthday celebration. It’s not due to the typical reasons related to a house full of clamorous adolescent kids, but since it’s the first time she will reveal her new face to friends and extended family. “Clearly I’m going to inform everyone as they come in, ‘For your information, this is not how I appear,’” says the 30-year-old property agent from Southern Florida.

How she looks is, well, a somewhat startling – her face swollen and preternaturally lifted, as though held together by industrial-grade tape. Her new – and she’s keen to stress, temporary – appearance is the result of six cosmetic procedures, such as an minimally invasive facelift, conducted by a doctor in Turkey’s Istanbul, the previous month. “My spouse teared up when he saw me for the initial time because I couldn’t even unseal my eyes. That indicates swollen I was,” she explains to me via video call from her house. “I needed to inform him: ‘Babe, I’m fine, I’m not in pain. I just look like someone jumped me.’”

Growing Trend of Early Facelifts

According to plastic surgeons, Preisinger is one of a growing number of people electing to undergo a facelift in their 20s and 30s – well over a decade prior to most doctors’ typical patient age range of forty to sixty. (Although many specialists are keen to emphasise the industry edict of: “We treat genetics, not age.”) “I have 28-year-olds requesting facial lifts,” says based in London aesthetic plastic surgeon Georgios Orfaniotis, a ex-NHS doctor who specialises in the head and neck. “It’s a major surgery, and I’m a somewhat worried when I observe individuals choosing it as a personal preference.”

Explaining the Facelift Procedure

A facelift, also known as a facelift, elevates the ligaments in the face that begin to droop as we age. “Our faces are built a little like layers of an onion,” explains Kent-based face specialist Marc Pacifico. “Skin and fat on the surface, then a layer of supportive tissue called the superficial musculoaponeurotic system. Consider the facial framework as the soft tissue skeleton of the face. And that is what ages us; that is what becomes lax and drags the skin downward with it.”

You endanger performing surgery on people that have deeper issues. It’s not a practice for an conscientious surgeon to pursue

Once the preserve of moneyed older people, overuse of injectables – when excessive use of injectable gels stretches the face and leads to laxity in the dermis – combined with the common adoption of slimming medications, low-cost surgical travel, and the development of new, celebrity-endorsed surgical techniques are attracting a new kind of customer towards this invasive surgery. Statistics show an 8% increase in facelifts over the last year in the UK; while a study found that the portion of younger facelift patients is growing, with one-third of procedures now conducted for individuals aged thirty-five to fifty-five.

“People are asking now to look like the optimal form of themselves and naturally the techniques are following,” comments Orfaniotis. At present, the trending procedure is the comprehensive facial lift, a technique evangelised by everyone from Kardashian matriarch Kris Jenner, to style creator Marc Jacobs.

Advanced Lifting Method

While a more traditional rhytidectomy entails lifting the superficial layer, the comprehensive lift releases the facial ligaments beneath it, allowing doctors to restructure the face by moving the deeper tissue, and preventing the taut, pulled appearance sometimes wrought by older methods. “We’re not putting stress on the dermis because we’re targeting deeper, to the deeper tissue,” explains 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 secondary element.” Lifting the whole facial structure as a single unit results in a more natural-looking and more durable result. It additionally implies that the surgery 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 many inquiries from clients aged late twenties to mid-thirties for this purpose,” says Grover.

Individual Experience

Preisinger had never planned on undergoing a facial lift – at least not at the thirty years old. But years of using injectable gels in an effort at “facial balancing” meant that by the time she entered her late 20s, she was “damaged”. “I didn’t do this because I desired to appear youthful,” she says. “I did it because the injectable harmed my face. I wish I had never using it. If I had avoided the filler, I don’t think I would be where I’m at right now.”

If dermal fillers completely disappear has long been a debated topic in the cosmetic field. “Studies have indicated that not only do they rarely completely dissolve,” says Grover, “but they move and can block drainage pathways. One of the contributors to what we call ‘puffy appearance’ is also the reality that in a sense, the face becomes slightly fluid-filled because its ability to drain bodily fluid has been reduced.” Though studies into the topic is preliminary, cautionary statements on dermal fillers’ possible effects on the body’s drainage have been released, and further research initiated. An esteemed face specialist, speaking anonymously, says he would avoid using fillers in a patient because of the dangers they pose. “Many surgeons don’t want to discussing this, because the manufacturers who make filler can be quite forceful.” He’s been told accounts, he says, of plastic surgeons facing court orders after expressing worries.

Decision and Procedure

For Preisinger, once she started injecting filler, she felt as if she had to keep replenishing it – particularly when it began moving to other parts of her face. She was just 28 when a local plastic surgeon in Florida suggested that a facial and neck surgery might be what she needed to finally step off the injectable hamster wheel. Two years later, she found herself selecting from a selection of recommended hotels in Istanbul, sent to her by the clinic assistant at her doctor’s clinic.

Initially, Preisinger had planned for an upper and lower blepharoplasty – commonly called eyelid surgery – but her doctor recommended that a facelift was the correct option for the looseness she was finding in her face. She arranged a forehead lift, a mid-facelift and a neck lift. The day before her operation, one day after she’d touched down alone in the country, she opted to include a mouth enhancement. “Subsequently the surgeon stated, ‘We’re going to lift the under-eye bags.’ He added, ‘I think if we extract some buccal fat, it will contour your face.’ Thus I ultimately adding two more surgeries,” she recalls. She spent $22,000 (£16,500) for the half-day surgery, plus a three-day|

LH
Written by

Laura Howard

A London-based film critic with a passion for uncovering cinematic treasures across the capital.

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