When 49-year-old Mel Byrd booked a £ 13,000 outing earlier this year, her friends and family were shocked. Roger's husband said he was crazy to think about surgery before he turned 50. But now, six months after the procedure, she says she wishes she had had it sooner.
"I've been thinking about it and saving since I was 44," says a West Sussex civil servant. In I was a sun worshiper in my youth and I never realized that it could cause wrinkles and skin sensations. Then I lost weight and started perimenopause and the loose skin on my neck and face deteriorated. I no longer recognized myself in the mirror. “
Its results are amazingly surprising. Its gentle, slightly cast but perfectly natural appearance, her face is far from the obvious deformities usually associated with the procedure.
West Sussex civil servant Mel Berd, 49, is pictured left in front of his face and immediately following the procedure he said he thought he was under a knife five years earlier. Six months ago, she spent £ 13,000 on surgery and claims she wished to do so sooner
But modern fashions have come a long way since the Hollywood Grand Dams as a Rivers Ranger.
Thanks to the new techniques, you could barely notice that most patients did something.
For this reason, demand for cartridges increased by almost 10 percent last year, according to the British Association of Aesthetic Plastic Surgeons (BAAPS) – despite a total dip in cosmetic surgery requirements.
It is one procedure that continues to increase in popularity when the desire for other types of nipple and dunk is either stable or declining. And according to some top surgeons, getting stronger as quickly as possible can produce better results.
The results last longer when the skin is younger
Dr Dirk Kramer, of London's Charlie Street, who carried out Mel's procedure, says his patient group has transformed over the past decade. "They used to be women in the 60's and 70's," he says.
'Now three quarters of my face-changing patients are in their late 40s or early 50s. I call this period of life "facelift forty".
Charles Nduka, a plastic surgeon at Brighton Napfield Hospital, says it's not a sign that younger women are becoming more fruitless, but rather a "pragmatic career move". "They feel they have a lot to give and they don't want to become victims of agenism in the workplace," he says.
These women may be sitting across the desk from you – not that you ever knew.
Women who are subjected to elevators become younger. According to a consultant Charlie Street, they used to be women in their 60s, now women in their 40s are looking for work to be done
I'm one of them. Last January, at the age of 55, I had surgery to rejuvenate my face. Technically, this was not a complete post, which addresses the lower part of the face, but still a facelift procedure. I had a "T-lift" – where the skin rises from the temples and repositioned – combined with an eyelid lift and an eyebrow lift.
I was on the older side of the patient group – my surgeon told me it was for women in their 40s. I didn't want to turn the clock, but to keep what I had for as long as possible.
I had a quick two-week recovery time, no visible scars, and no general anesthetic – the procedure was painless and performed under local anesthetic. I don't look "done" – just a smooth and lighter version of myself.
It may sound shocking that they have taken drastic actions. But I was so confident in knowing that the results would last far beyond the catalog of non-surgical procedures – an option popular with many women my age.
Dr Kremer says: 'If you change your face when the patient's skin is still supple, the results will last longer.
'I'm ready to make a statement when I think the patient will benefit, not because of the date of birth statement. & # 39;
Surgery is safer than fillers
But why opt for full cut and stitch work when there are millions of new, minimally invasive alternatives? Thanks to the cheaper "changes", there is no need to go under the knife.
The so-called "winding-up lifts" – achieved by a series of carefully positioned injections of botox and face fillers – have grown in popularity over the past decade, as have laser treatments or laser-assisted skin tightening treatments, rather than surgical incisions. Then there are the more expensive screw lifts, in which small acid-soluble fibers are inserted under the skin and stitched together, resulting in a tensile effect.
Nonsurgical treatments represent nine out of ten of all cosmetic surgery interventions and many report positive results. But experts say they are unlikely to fix the most severe signs of aging – loose skin and bumps around the neck – a common complaint for many middle-aged women.
The so-called "fluid lifts" – achieved by a series of carefully positioned injections of botox and facial fillers – have grown in popularity over the past decade.
As plastic surgeon Dominique Bray explains: 'The conventional idea is that only the elderly have facials. Going "under the knife" is considered a last resort. But this excludes younger patients who have premature skin aging. If you have significant excess skin or soft tissue on your face or neck, the skin should be removed, and only surgery will do.
If women with excessively loose skin – usually as a result of weight loss, sun exposure and smoking – turn to many injectable fillers instead, they often end up looking unnatural. In the United States, the phenomenon has been described by plastic surgeon Dr. Andrew Jacqueno as "filling fatigue".
He said it makes more women looking for more trace solutions.
Mr Hagg Hannah, a cosmetic surgeon at Spire Bush Hospital in Hertfordshire, whose clientele is mainly women in their 40s and 50s, agrees. 'The get-ups are upset by coming back to the top and increasingly looking to look artificial. And, there is a limit to what they can do. “
Mel was one of these disappointed patients. Five years ago, she opted for a "liquid lift", which cost £ 3,000. She says: 'It looked great while I was still swollen because my face was full and soft.
'But when the swelling went down, the effect was marginal and lasted for three months. I was very disappointed. "
Much more worrying are the health risks. The joints are injected deep beneath the skin, on top of the bones. If injected improperly, they can block the blood vessels, causing the skin to die or, in very rare cases, to result in blindness.
The aesthetics industry is unregulated, with little protection from cowboy doctors – you don't need any qualifications to inject fillers. In 2018, nearly 1,000 complaints of continuous non-surgical procedures were filed – more than double 2016.
The joints are injected deep beneath the skin, on top of the bones. If injected improperly, they can block the blood vessels, causing the skin to die or, in very rare cases, resulting in blindness.
Dominique Bray, who is a medical adviser at the Palsy Charity Paralysis charity in the UK, often has to deal with repercussions. "I once operated on a woman who had previous screw lifts," he says. "I found 53 reels wrapped around the facial nerves."
A complication like this can lead to prolonged facial paralysis.
I too have become a victim of attractive non-surgical treatments.
In 2016, at the age of 53, I had a procedure that used heat to reduce excess skin, in the hope of repairing my eyelids. The painful procedure left me scorched, scarred and swollen, with red eyelids for weeks. After treatment, my eyes looked more sober and hollow than before.
But unlike new procedures with little scientific evidence in place, surgeons have been using tape for decades.
Former BAAPS president and plastic surgeon Rajiv Grover says: "The monitor facts have a proven solution and deliver reliable, long lasting and natural results."
New techniques for that natural look
Mel and I are developing surgical techniques to thank our natural faces.
Patients are no longer robbed of the ability to express emotions due to excessive skin. Nor are they forced to hide six months later. As Dr. Kremer says: 'Torches are not as invasive as some might think. It may take you a week or two at home, but patients often take nothing more than paracetamol to relieve the pain.
Mel's procedure is now being offered by increasing the number of surgeons, regurgitated fats and muscles who cannot pull the skin tight.
Known as facasift SMAS, it is performed under general anesthesia and begins with a cut in the hairstyle and encircles the ears.
If women with excessive loose skin – usually as a result of weight loss, sun exposure and smoking – turn to many injectable fillers instead, they often end up looking unnatural
The hibernating layer of skin on which the muscles are attached – called SMAS – rises. Then, the fat and the tissues beneath it are distributed upwards, in a younger position.
Mel also decided to strengthen the neck muscle at the same time, using a similar method.
"The face and neck grow old together, it makes sense to lift them together," said Dr. Kremer, who then stretches the excess skin before sewing it back together with discrete stitches, hidden under the hairstyle.
I redistribute volume to cheekbones, creating youthful curves and a heart-shaped face. The mouth, previously lowered and sad in appearance, becomes level and the shooters disappear. & # 39;
This method changes the effects of aging without changing the face. My surgeon used a similar method of reshaping, doing my bones and jaw instead of stretching the skin.
But whatever the surgeon tells you, it's still a great operation. Serious risks include severe bleeding, damage to nerves, muscles and blood vessels and, occasionally, the shape of a person may change over time.
And there is the added risk of early surgery: it may tempt you to have more.
Twitch or treatment … and how much it can cost
Which anti-aging face treatments are worth the huge price and which, if any, will last forever?
TOTAL WORK (10,000-15,000)
Most invasive – include slits extending from the hairline to the back of the ears. The neck lift was often performed at the same time, including another incision under the chin.
BENEFITS: Long-term results, approximately three-quarters of patients who look younger than they were five years after surgery, according to the study.
RISKS: Nerve damage to the face, visible scars.
MINI FACELIFT (£ 2,000-5000)
It focuses mainly on the lower part of the face, the jaw, and sometimes the neck.
BENEFITS: Less cuts, a smaller scar hidden by the hairstyle.
RISKS: Effects not as long lasting as full lift.
LIQUID SASELLITE (800-900)
A combination of botox injections and dermal fillers to lower the cheeks and lift the elves.
BENEFITS: It takes 30 minutes. Almost 10,000 pounds cheaper than surgery.
RISKS: An allergic reaction, the filler may enter the blood vessels or arteries, causing disfigurement.
ENERGY TREATMENT (from £ 450 per session)
Energy heat is used to tighten the face and neck through a handheld device located above the skin. It stimulates the production of collagen and elastin.
BENEFITS: Quick, it works for younger patients.
RISKS: More sessions are needed to see results, some experiences with swelling or redness of the skin within 24 hours after treatment.
THIRD LIFE (from £ 1,500)
Small, soluble seams are inserted under the skin and used to pull the face back, lifting it.
BENEFITS: It takes under an hour.
RISKS: Nerve injury, scars, shooting. The effects usually last only a few months.