Abstract
Facial aging is the union of multiple effects such as exposure to the sun, ambiental stress, smog, tobacco. It reflects the dynamic, cumulative effects of time on the skin, soft tissues, and deep structural components of the face showing skin textural changes and loss of facial volume. There are a multitude of techniques currently used to perform face lifts, but the unique objective is to achieve a good and safe result. This paper describes a new safe approach to midfacial rejuvenation that combines the elements of superficial musculoaponeurotic system (SMAS) plication, about four vectors, with a blepharoplasty to achieve long-lasting improvement of the aging midface and a more natural effect. Plication of the SMAS over the suture, provides three vectors of elevation beneath the skin in midface rhytidectomy linked to the Lorè's fascia and the third vector of elevation of platysma behind the ear. This new technique, called KOr.U technique, was used in 31 patients between October 2010 and October 2012, producing effective long-lasting results, returning a volume of midface with no injury. This simplified approach is safe and can be easily performed under local anesthesia as an isolated midface procedure, avoiding the facial nerve.
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