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Colombo et al. Plast Aesthet Res 2018;5:25 I http://dx.doi.org/10.20517/2347-9264.2018.29 Page 5 of 6

During the execution of this new technique there were no errors with important post-operative aesthetic
consequences.

There were initial difficulties in finding the plans despite the reference points mentioned above.

DISCUSSION
[1]
After the description of SMAS in 1976 , surgical attempts to correct aging were directed towards stiffening
[19]
techniques of SMAS. The introduction of Hamra of deep-plane rhytidectomy in 1990 focused attention on
a completely new concept of rejuvenation through the composite repositioning of facial tissues. The periph-
eral anatomy of the facial nerve has been intensively studied by various authors; they analyzed the anatomi-
cal distribution of the branches and the different types of nerve connections that exist between them. This
document describes a new safe lifting technique that preserves the facial nerve and may be easier. This pro-
cedure has opened up the chances of further morbidity in lifting the median face. The dissection of the skin
flap initiated with temporal region incision, the SMAS placation was performed by three sutures describing
three vectors. The superior suture that goes from the external cantus to the tragus is made to produce an
even more sickly increase. While the platysma suture on the mastioid minimizes tension on the suture line.
The authors, Colombo and Ruvolo, always associate SMAS plication with Adamson blepharoplasty and a fat
sliding on Mendelson. An additional technique is performed for blepharoplasty with a lower lid. This opera-
tive procedure uses the principle of anchoring the upper edge of the lower lid by suturing a triangular flap
of the muscle from it to the upper lateral part of the orbital rim. This more effective support for the lower
[20]
edge of the lid allows the redundant fabric to be removed without obtaining an ectropion . The concept
of replacing the protruding fat of the lower lid in the orbit and keeping it there by strengthening the orbital
septum is tempting because it embodies the goal of cosmetic surgery to restore the juvenile ideal by revers-
ing the structural changes of aging. This concept is in contrast to that of standard blepharoplasty procedures
that use a simple excision and narrowing approach to obtain a superfcial improvement. Based on their expe-
rience, the authors believe that SMAS plication and SMAS staining provide similar results 5-10, so they only
choose the blepharoplasty plication procedure, obtaining the important result as an excellent aesthetic result
with a high level of patient satisfaction. The KORU face lifting technique that affects the central area, the or-
bital area and the neck gives a global refreshing appearance to the face, giving a natural look.

This new technique is a possibility to replace the face-lift.

DECLARATIONS
Authors’ contributions
Concept and design: Colombo G, Ruvolo V
Manuscript preparation: Colombo G, Ruvolo V
Critical revision and finalizing of the manuscript: Colombo G, Ruvolo V

Availability of data and materials
The data were strictly obtained from medical records according to the privacy policy and ethics code of our
institute.

Financial support and sponsorship
None.

Conflicts of interest
Both authors declared that there are no conflicts of interest.