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Colombo et al. Plast Aesthet Res 2018;5:25 Plastic and
DOI: 10.20517/2347-9264.2018.29 Aesthetic Research

Technical Note Open Access

Global facial rejuvenation, new technique

Giuseppe Colombo, Vittorio Ruvolo

Koru Day Clinic Center, Via Paleocopa 5/3, Savona 17100, Italy
Correspondence to: Dr. Giuseppe Colombo, Koru Day Clinic Center, Via Paleocopa 5/3, Savona 17100, Italy.
E-mail: info@aesthetic-koru.it

How to cite this article: Colombo G, Ruvolo V. Global facial rejuvenation, new technique. Plast Aesthet Res 2018;5:25.
http://dx.doi.org/10.20517/2347-9264.2018.29

Received: 20 Apr 2018 First Decision: 19 Jun 2018 Revised: 9 Jul 2018 Accepted: 12 Jul 2018 Published: 30 Jul 2018

Science Editor: Raffaele Rauso Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract
Facial aging is the combination of multiple effects such as sun exposure, tobacco, environmental stress and smog,
reflecting the cumulative and dynamic effects of time on the skin, soft tissues and the deep structural components of
the face that show an important change structural features of the skin and loss of facial volume. There are many different
techniques currently used to perform face lifting, the ultimate goal is to get good results with respect for patient safety.
This article describes a new approach to facial rejuvenation combining superficial musculoaponeurotic system (SMAS)
plication elements on four vectors, with a blepharoplasty to achieve a lasting improvement in facial aging. The plication
of the SMAS on the suture provides three vectors of elevation under the skin in the middle rhytidectomy, linked to the
Lorè fascia and to the third platys elevation vector behind the ear. The blepharoplasty technique is often unavoidable in
the execution of the global facial rejuvenation. This allows obtaining excellent results both in terms of aesthetic and of
a good patient empowerment. This new surgical technique, called “KORU technique”, was used on 31 patients between
October 2010 and October 2012, producing lasting results, reducing injuries and respecting anatomical planes. This
approach can be safely and easily performed under local anesthesia as an isolated midface procedure, respecting and
safeguarding the facial nerve. This type of chiropractic technique can be used by young surgeons.

Keywords: Facial aging, rejuvenation, smas, surgical technique, anatomical planes, midface, blepharoplastry

INTRODUCTION
The aging of the face can produce the following effects: elongation of the lower eyelid, flattery of the malig-
nant eminences, volumetric loss in the undersea area of the cheek, prominence of the cheeks and deepen-
ing of the nasolabial fold. The facial support ligaments support the soft tissue of the face in a normal ana-

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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