KOr.U Face Lift: Personal Technique

Abstract

Aim: 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.

Methods: 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.

Results: 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.

Discussion: This simplified approach is safe and can be easily performed under local anesthesia as an isolated midface procedure, avoiding the facial nerve.

Keywords: Blepharoplasty; Face lift; KOr.U; Vector.

Fig. 1

The plications of the SMAS are performed about four vectors: 1st vector green line; 3rd vector blue line; 2nd vector red straight line; 4th vector red U line (see text)

Fig. 2

The suture takes less tissue on marginal zone in direction of cantus and tragus and takes more tissue in the central zone of placation, to restore the loss of volume in a point of major projection

Fig. 3

Intraoperatorial view

Fig. 4

A case: pre and post op. Follow up at 3 months

Fig. 5

A transposition of cutaneous vectors in preoperative view. The continuous line indicates the limit of limit of skin lifting by layer below

Fig. 6

Plication of smas in cadaveric dissection. The range between two instruments shows the plication suture and the lifting of smas