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Serdev Clinic - MC "Aesthetic Surgery, Aesthetic Medicine". Rejuvenation and Beautification Without Scars.

What are Serdev Suture® Lifts?

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serdev suture lifts

Serdev Suture Lifts - Concept

When speaking of cosmetic surgery, patients have mostly heard of read about open surgery liftings. In 1993 Dr. Nikolay Serdev introduced his method of transcutaneously sewing (suturing) SMAS to periosteum. Simply put - Serdev Sutures Lifts are methods for lifting and/or volumizing of different face and body areas, without scars. We achieve beautification / rejuvenation and longevity of the aesthetic result by lifting the mobile (hanging) tissues and stably attaching them to immobile structures. This is done through skin punctures only, without cutting and detachment of the skin from its support - the superficial muscular aponeurotic system (SMAS).



Dr. Nikolay Serdev performs the procedures only through skin punctures, with the help of specially designed instruments. There are no incisions and excisions of skin. Therefore, there are no scars! The marks from the needle punctures disappear and are no longer visible after a few days.


Atraumatic. No downtime.

Serdev Sutures Lifts are mini-invasive and do not cause trauma, bruising or bloodloss. Subsequently, swelling is minimal to non-existant. Patients can resume their social and working activities on the day after surgery.


Fio Bùlgaro. Fio Elastico...

Serdev Sutures Lifts have gained huge popularity, epecially in Latin America. During courses and congresses, Dr. Serdev introduced his methods and trained cosmetic surgeons in Argentina, Colombia, Venezuela, Ecuador, and especially in Brazil. There, Serdev Sutures have become known as Fio Bulgaro or Fio Elastico Bulgaro. One of the many TV episoses with Dr. Serdev on the topic of beautification and rejuvenation with his mentods can be seen here - Brazilian TV about Fio Bulgaro.



Dr. Serdev has developed over 20 techniques and their variations for the face and body.

For example, Serdev Suture techniques in the face include: lifting of eyebrows and corners of eyes, cheekbone lift, upper, mid-face, lower face and neck lift, chin enhancement, narrowing of the tip of the nose or the nostrils, and more.

Without a doubt, the most popular lifting is the scarless buttock lift, widely used accross the world, especially in the Americas. Other Serdev Suture body lifts are breast lift, inner thigh lift, abdominal flaccidity tightening.

Combining these cosmetic procedures ensures a beautiful and harmonious face, aesthetic volumes, angles, and proportions. Most importantly, surgeons can achieve these immediate results without scarring, with extremely short postoperative period and no "operated on" appearance.

Serdev Suture Lifts vs Thread Lifts

The word "suture" in Serdev Suture Lifts comes from the Latin Sutura and means "to bring tissues together". Surgeons and patients sometimes confuse our techniques to be "Thread lifts", due to the use of threads. However, the two methods have distinctive differences in their concepts and the used materials.

Threads in Thread lifts are mostly non-absorbable. They are inserted in the subdermal fat, where they hang freely, without stable fixation. Therefore, they rely on "barbs" or "hooks" to keep them in place. The lack of stable fixation leads to short-lasting effects.

In contrast, Serdev Suture Lifts use semi-elastic surgical threads and specially designed instruments. They aim to capture and lift the mobile tissues, then stably fix them (by suturing) to non-mobile structures. This fixation guarantees a durable aesthetic result. The human body absorbs the threads within 2 years, after the final fibrosis formation. Their limited elasticity is cruicial, because it permits the sutured tissues to move naturally, without cutting them (rigid threads act like scalpels).

"Liftings of The Third Millennium"

Prof. Dr. Nikolay Serdev, MD, PhD is a recognized master of face beautification not only in Caucasians, but also in Asians, African Americans, etc. Hence, he is frequently invited to lecture and demonstrate the beautification of the face on the base of the aesthetics philosophy in almost all continents and countries. Notably, during the International cosmetic surgery congress in Spain 2001, these lifting methods were called "Liftings of The Third Millennium". 

Watch the Travel TV Documentary about Serdev Suture Lifts below:

Scarless Buttock Lift via Serdev Suture

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What is the so called Serdev Suture buttock lift without implants or transplans? Thanks to Serdev Sutures Lifting method, we collect buttock’s tissues, lift them and fixate them to a stable, higher position. This means that we achieve the lifting without the use of implants, but by patient’s own tissues projection, using only skin punctures. The procedure does not leave scars, because there is no cutting and excision of skin.

Lifing of the buttocks has the additional effect of legs elongation and achieves a better proportion for the entire body. As our patients evaluate the procedure – we lift the flattened and loose form “into the pockets of the jeans”, and even further – over the pockets.


Serdev Suture Buttock Lift

Butt lift without implants and without scars, using “sutures” (briging tissues closer togheter by sewing), is by far the most popular method of Dr. Nikolay Serdev worldwide. He performs the procedure through a few skin puncture points to stably lift the gluteal fibrosis layers to the Serdev sacro-cutaneous fascia (discovered by Dr. Serdev, and therefore bearing his name). This suture fixation maximally guaranties the longevity of the aesthetic effect. The buttock is lifted, rounded and projected.

We use semi-elastic surgical threads, which do not cause tissue trauma. The result is immediate, with short post-operative recovery. Surgery is done under local anesthesia with intravenous sedation. There is no necessity of hospitalisation or nursing care. Patients could even be able to travel by car to the clinic for follow-up and care on the day after surgery.


Fio Bulgaro. Fio Elastico…

Serdev Sutures Lifting methods have gained great popularity, especially in Latin America. Dr. Serdev demostrated them and trained a large number of plastic and cosmetic surgoens during courses and congresses in Argentina, Colombia, Venezuela, Ecuador, and especially – in Brazil. There, his methods became known as Fio Bulgaro and Fio Elastico Bulgaro. One of the many TV episodes with Dr. Serdev on the topic of beautification and rejuvenation with his mentods can be seen here – Brazilian TV series about Fio Bulgaro.


Butt Lift Without Implants and Without Scars

This technique gained worldwide popularity, due to the results of projecting patient’s own tissues and visual legs elongation – all without the need to use implants or transplants and without leaving scars. Back in 1994, this was the only butt lifting technique and it became a hit in Brazil, where the buttocks hold an aesthetic, sensual and sexual meaning. Due to the specific angle position of the tailbone (coccyx) in Afro-Americans, the buttock lifting procedure and the acquired form were called „Brazilian Buttock lift“. However, due to incorrect understanding, surgeons and patients use this term when they opt for augmentation of the buttocks using fat transplants, fillers and implants.

Unfortunately, on its own, augmentation is not a lifting. On the opposite, it leads to unnatural proportions and look of the buttocks, which droops (sags) because of the additional heaviness. Furthermore, drastic augmentations beyond the correct volumes and proportions are not aesthetic.

There are some complications after mass fat injections (which cannot be vascularised to survive) or other implants in big volumes. They are mostly fistulas, leaking and infections in a high percentage. This is why we do not recommend such injections to our patients after lifting their buttocks via Serdev Suture.

Read more – Body LiftingsScarless Breast Lift


Fat Depots in the Buttocks

In the cases where there is an accumulated fat depot in the buttocks area, we might need to remove it. In our clinic we use VASER for ultrasound liposculpturing.

With quick alteration in pressure, ultrasound selectively targets fat cells, causing them to “implode” and liquefy. This allows us to suck the fatty liquid out, under low pressure. Thus, blood loss and tissue trauma are minimal. Hence, patients can return to work and social life almost immediately. We can remove the fat depots as a standalone procedure or in combination with Serdev Suture buttock lift.

After lifting of the buttocks (and/or in combination with VASER ultrasonic liposculpture), the patient wears elastic garments for a month during hot months, a month and a half in the cold ones.


Patient Testimonial

Tanya B.

“[The day after Serdev Suture buttock lift] With bigger self esteem, I am trying to recuperate faster. I have little pain, but hope it will go away very soon. I did not take painkillers, the pain is much less than I expected and is tolerable. Today I managed to see myself from the back and side for the first time, using a mirror, and to me the effect is breathtaking. My butt is lifted and has entered my jeans’ back pockets.”



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scarless body lift

Beautification and rejuvenation are achieved by restoring correct proportions, volumes and angles. We do this by lifting and creating volume where needed, using patient's own tissue. More specificly, via a scarless body lift.

We perform Serdev Suture® Lifts - the most modern, mini-invasive and atraumatic methods, which in the same time give great results and very high patient satisfaction. The surgeon carries out the procedures through skin puncture points, which heal in 1-3 days. There is no skin excision and subsequently - no scars. Also, due to minimized trauma, patients can quickly resume their social life.

The Serdev Suture® methods for scarless body lifts are:

Other body procedures:

Scarless Breast Lift via Serdev Suture

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Scarless Breast Lift

The scarless suture breast lift procedure using Serdev Suture method can achieve a lifting the breasts (more specificly – the nipples) of up to and over 14 cm.  We perform the lifting wihtout cutting and excising skin and therefore we leave no scars. This method has changed the cosmetic surgery world and its application on young patients since 1994. It is also especially important in Asia and Latin America, for Asians, African-Americans, Indians, and others. This is becayuse they form keloids and lumpy scars after operations. Dr. Serdev uses only skin puncture points to perform the procedure, and thus achieves lifting of the breast without scars.


Serdev Sutures Lifting method

The Serdev Suture scarless breast lifting procedure is most suitable in the following cases:

  • not very heavy and full breasts;
  • presence of subpectoral implants with subsequent drooping of the breasts (after childbirth and breastfeeding);
  • empty and loose breasts (after childbirth and breastfeeding) – we lift the breasts and fixate them by stable suture at the level of the pectoral muscle (the normal position in young women), without leaving scars. Then, we place appropriate implats under the muscle to hold them in the desired position. In sagging breasts, surgeons should not place the implants in the skin over the pectoral muscles. Doing so will lead to even more drooping, because of the implants’ heaviness;
  • in drooping (ptotic) breasts, after subglandular augmentation (over the muscle) – in such cases, patients should not wait until the skin elongation becomes visible. The surgeon should remove the implants, along with the capsule with minimal trauma. This ia a difficult, but necessary operation for prevention of post-op seromas and infection. Then we must create a new pocket under the muscle to hold the implants. Lifiting and fixation of the breasts to a higher, suitable level follows. The patient must inform us at what level they want their nipples – in the middle of the implant, higher or lower.

NB!! When replacing breast implants, they must be placed below the muscle. Implants should be smooth and able to move naturally, without irritating or hurting the muscle. Textured implants get blocked under the mucle.


Social Life

Modern anaesthetics and this new atraumatic method lead to minimised postoprative pain and swelling. They are localised at the points of fixation and disappear within 3-4 days. Patients can resume their normal work and social activities even on the day after surgery, in necessary. However, it is preferable to rest for 2-3 days, depending on heaviness. A sports bra is necessary for a month or more, to reduce heaviness and pain at the fixation points, and relieve the healing process.

The Serdev Suture breast lift procedure can be repeated to maintain the aesthetic appearance of the breasts with ageing or for additional higher lift (in cases of significant ptosis). We cannot operate cases of gigantomastia (i.e. very large, very heavy and drooping breasts) in this manner, because of gravity and overskin.

NB!! We warn patients against heavy exercises with the arms and weight lifting for a month and a half after surgery!

Serdev Sutures lifting method is also used for Poland Syndrome and repositioning of breast implants in cases of symmastia and false position. Symmastia is a condition where the breasts or implants appear to merge, leaving no space between them. It can be congenital or as a consequence of breast augmentation.

Read more – Scarless Suture Buttock Lift Without ImplantsBody area liftingsLiftings of the faceVASER Ultrasonic Liposculpturing (Body Contouring)


Other Surgical Methods

Existing excision methods

Previously existing methods are characterized by unpleasant scars that, despite surgeons promises, remain for life.

Surgeons can use different techniques, which involve different incisions. The choice depends on the amount of breast lifting they need to accomplish:

  • Round block - leading to a flat areola, often unpleasant hypertophic skars, skin rippling;
  • Inverted T (around the areola, vertically down and in the fold under the breast); 
  • Vertical (around the areola and vertically down) - due to the excess skin, incisions often turn into L or inverted T. Rearrangement of sking and glandular tissue, changes the shape of the breasts and results may be different from the expectations. Scars can worry patients and partners.
Breast Lift Vertical Incision

The vertical incision achieves a greater amount of breast lifting, however, it involves an incision that not only surrounds the aereola but also extends vertically onto the lower portion of the breast. Patients who choose this procedure must have good understanding and realistic expectations. They myst be emotionally stable and understand that the effects are not permanent and can differ from expectations.

Breast Lift T-Incision

The T-incision, unfortunately, involves a lot of incisions, which can sometimes be visible outside of the breast. The incisions (and scars) go around the aereola, down the breast and under the breast. The surgeon removes the necessary amount of skin and breast tissue

Healing time may take several weeks. Usually, patients wear a special bra to support the breast for up to three months. The compression bra is an important part of the recovery process. It provides support, comfort and helps minimize the swelling.

Patients who choose this procedure must have good understanding and realistic expectations. They myst be emotionally stable and understand that the effects are not permanent and can differ from expectations.

Excision Mastopexy

This surgery tha involves uplifting of sagging breasts and, in certain cases, repositioning of the nipple and areola in order to restore normality and beauty. The surgeon removes excess skin and provides firmness to the breasts. Though mastopexy can be a stand alone surgery, many people combine it with breast augmentation. Unfortunately though, the effects of mastopexy are not permanent. As a person ages and due to effects of gravity there are chances of further breast drooping.

This breast procedure is best recommended for women who have given birth and are not considering further pregnancies. Patients who do not smoke and have normal body weight are the best candidates for surgery, without many side effects. Patients who choose this procedure must have good understanding and realistic expectations. They myst be emotionally stable and understand that the effects are not permanent and can differ from expectations.

Breast Augmentation

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Breast augmentation is one of the most popular and requested procedures in cosmetic surgery. This is why patients must be well informed about the various approaches for implants placement. They influence the durability of the aesthetic result, scarring and the necessity of replacing the implants.


Jessica C. – Patient Testimonial regarding breast augmentation in Serdev Clinic [e-mail from October 2018]

“I am a past patient of yours, having undergone breast augmentation surgery in 2012. I must say, the procedure itself was fantastic, and I have not had any trouble since.” 


Placement Location of Implants

1. Under the pectoral muscle, without weighing on the skin (subpectoral implants)

We place the implants under the muscle and they do not drop, because the muscle holds them in place. Due to the larger “pocket”, the result is natural. The bust is soft to touch and takes the natural body movement. Regular movement of the implants maintains the free space (pocket) and when touched, they will feel and move as natural breast tissue.

NB!! Only the pectoral muscle can hold the heaviness of the implants! Implants should be smooth and able to move naturally, without irritating or hurting the muscle. Textured implants get blocked under the muscle.


2. Over the pectoral muscle and below the gland, adding heaviness on the skin (subglandular implants)

Many surgeons prefer placing the implants above the pectoral muscle (under the gland and skin). However, this approach has a major disadvantage – the implants are too heavy and the skin alone cannot support them. Thus, in a few years the skin loosens and lengthens, breasts sag. What could be done then? In most cases, surgeons propose replacement with bigger implants, scarring mastopexy, or both.

Mastopexy is a method for reduction (lifting) of the ptotic breasts by excising the excess skin. Patients, especially young women, should gather information about the disadvantages of subglandular breast augmentation and the subsequent, sometimes multiple surgeries!


3. Under the fascia of the pectoral muscle

This method was not able to achieve wide acceptance. It consists of placing the implants above the muscle, but under its facsia, which has to support the impltans’ weight. It is suitable when surgeon is introducing the implats via incision in the armpits.


4. Half under the muscle and half under the gland

There is also an approach for placing the implants from under the breast, half between the muscle and half between the gland (or even the skin, because the gland is often small). In these cases, when the muscle contracts, it squeezes the upper half of the implant while the gland and skin in the lower part do not offer stable support. Thus, the implants can move downward in another position. In some cases implants can prolapse though the infraglandular incision.


Composition of the implants

In our opinion, saline implants are the best choice – they consist of an absolutely harmless sterile salt water solution. This is the same solution, which is transfused to all patients. It is unclear why they are not always presented to patients, which is mandatory in the USA and saline implants are used in 52% of all cases.

According to a publication from the Amrican Society of Pastic Surgeons, FDA allows the use of saline implants for breast augmentation to all women over the age of 18, as opposed to silicone implants, where the minimum age is 22. Anatomycal (teardrop shape) implants are heavy in their wide lower part. They may rotate after a sudden push, which requires surgery for their repositioning. In addition, when lifted with a bra, their upper and narrower part may protrude unnaturally, unlike round implants.

Smooth saline implants placed in a wide pocket under the pectoral muscle are softer than silicone implants with cohesive matrix. As our patients say – they move quite naturally, as thout they are “alive”.

Breast augmentation surgery lasts about 40 minutes. The shape of the breasts remains permanent. Saline implants do not require replacement. In contrast, silicone implants may need to be removed or replaced periodically. Patients can safely travel by airplane, but should protect the breasts from injury, unnatural pressure etc.

It is not necessary to wear a bra when the breast implants are placed under the mucle. If the patient chooses to do so, she must remove the busks to avoid hurting the breast tissue and changing the form of the new infra-mammary fold.


Implant Placement Approaches

There are several approaches for breast augmentation. The incisions for placing the implants can be under the breast, in the armpit, around the lower half of the areola, or the navel.


Periareolar Approach

Most harmless and with least noticeable scars is the periareolar approach – incision on the border between the brown areola and skin. This is the most atraumatic access, going through the avascular plane (no blood vessels), without damaging any structures. The surgeon opens the muscle in its upper part, by separating its fibers without cutting. Therefore, there is no risk of postoperative prolapse (implant slipping out of position). The implants are placed in the free space under the muscle.

Surgery is bloodless and relatively fast. Due to the lack of trauma, pain is minimal and patients do not have social limitations. They can resume their regular daily activities on the day after surgery or within the following few days. Patients wear a tape in the wound between the areola and the skin for some days. Patients come for follow-up and post-op care, changing tapes and so on for 3-5 days. We recommend that patients do not wear bras, but rather elastic garments. in order the implants heaviness to keep and preserve the new lower folds of the pocket.


Incision under the breast

The approach with incision under the breast is most frequently used by the majority of surgeons. This is because the use of not sufficiently elastic, textured silicone implants requires a bigger excision. If the surgeon has to place the implants under the muscle with this approach, he must also cut the muscle. This makes healing more difficult, because the implant weighs on the stitches.

Incisions under the breasts and in the armpits are visible when the woman is in a laying position!


Possible complications

Rare complications, which you should be aware of, are the following:
– Early complications: bleeding around the area of the implant, infection, implant slipping under the incision or prolapse;
– Late complications: disturbances of touching sensation around the nipples, capsule contracture and dislocation of the implant (one-sided in most cases), implant rupture (in rare cases).


Breast Augmentation and Ptosis

In some cases of breasts ptosis after breast augmentation with implants, we can use scarless Serdev Suture method for Breast Lifting to elevate the breasts to a suitable level. The ptosis may be a result of giving birth and lactation, ageing etc. Dr. Serdev uses only a couple of skin puncture points to perform the procedure. There are no incisions and excisions of skin and therefore – no scars! In cases of more expressed ptosis, we may perform the procedure in stages.

The suture lift cannot be used however in patients with implants placed over the muscle (because of the implant heaviness), as well as in very large breasts.

Dr. Serdev’s method is also useful in corrections for treatment of Poland Syndrome, for lifting the developed breast and augmenting the underdeveloped breast.


Repositioning of Breast Implants in Symmastia and False Position

The Serdev Sutures method presents a new possibility for repositioning breast implants in cases of false position and symmastia. Symmastia is a condition defined as a joining of the breast tissue of both breasts across the midline anterior to the breastbone. It can be congenital or as a consequence of breast augmentation.

The surgeon performs this procedure through skin punctures only, in order to suture and fixate the stable fascias above and below the implant. Thus, we create a new, proper lower and medial line of the augmented breasts and also correct the implants’ position.

Wearing of elastic garments or a bra could be necessary for some weeks after surgery, in order to reduce the weight on the implants on the sutures.


Breast augmentation using fat transfer

This technique exists, but is not widely accepted.


Read more – Serdev Sutures Buttock LiftLiftings of the bodyLiftings of the faceVASER Ultrasonic Liposculpturing


Poland Syndrome. Unilateral Underdevelopment or Absence of Breast Tissue.

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Poland Syndrome. Unilateral Breast Lifting and Augmentation of The Other Breast.

Poland syndrome (also Poland’s syndrome, Poland’s syndactyly, Poland sequence, and Poland’s anomaly) is a rare birth defect. It is characterised by absence of breast tissue in one breast, absence or underdevelopment of the chest muscle (pectoralis). Sometimes, but not always, webbing of the fingers (cutaneous syndactyly) of the hand on the same side can be present. The syndrome is mostly common on the right side of body and found more in males than females. It is usually considered a unilateral condition.

The adjustment in cases of Poland Syndrome is difficult, but the suture lifts created by Dr. Nikolay Serdev allow us to perform it without incisions and without scars. We lift the ptotic breast to the level of pectoral muscle and place an appropriate implant under the muscle of the underdeveloped breast. Thus we balance the volume and level of both breasts, as well as the level of both areolas.

The lifting of the developed breast is a mini-invasive and atraumatic procedure, done under local anaesthesia. Postoperative recovery is fast. The few skin punctures on the breast heal within 1-3 days. When the developed breast is large, we may remove skin and tissue from it.


Abdominal Flaccidity Tightening via Serdev Suture

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Flaccidity of the abdominal skin may occur as a consequence of weight-loss, as well as after pregnancy. Cases of mild flaccidity can be treated using Serdev Sutures lifting method.


Abdominal Flaccidity Tightening

Thanks to Dr. Serdev’s method, we can correct mild flaccidity of the abdomen and around the navel. There are no incisions or excisions of skin and therefore – no scars! In contrast to classic abdominoplasty, we only need a few skin puncture points to carry out the procedure.

The technique is mini-invasive, with minimal trauma, done under local anaesthesia. The postoperative recovery is short and patients can perform their daily duties without interruption.

Abdominal wall tissue lifting leads to aesthetic changes and results. This means that we turn the “sad navel” into a normal looking, “happy navel”. With a few manipulations, wrinkled and loose skin can become so acceptable that patients can wear their belly open over the summer. Thinner women, with less subdermal tissue, are more suitable for this method. The presence of larger amount of subdermal tissue with bigger flaccidity, including sagging in the lower part of the abdomen, requires surgical abdominoplasty.

In case that fatty deposits are present in the area and weigh in the skin, ultrasonic liposculpture of the belly is performed first. This gives an additional skin tightening effect.

Read more – Stretch Marks TreatmentMicrodermabrasionLiftings of the body


Aesthetic Correction of Labia Minora. Labiaplasty.

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Labiaplasty, also known as reduction or rejuvenation of labia minora, is a procedure for improving the appearance of the vulva. The aim is to obtain an aesthetic appearance of the genitalia, without adding unsightly scars or distorting normal anatomy. This procedure is necessary in cases of labial hypertrophy – disproportionate enlargement of the labia minora in relation to labia majora.



Which cases are indicative for labiaplasty?

There is no universally accepted definition or classification system for hypertrophy of the labia minora. However, an enlargement of 3-5 cm is generally considered as such. In these cases women have multiple complaints, such as difficult hygene (because of secretion that makes underwear dirty); discomfort in tight clothing; pain in cycling and other sports; capturing the labia in zippers; or painful intercourse.

Perhaps the most common reason is the notion that the labia minora are too visible. Another indication for surgery is disturbing asymmetry.

The operation

Labiaplasty is easily bearable and does not affect patient's daily life. Sex life can be resumed two weeks after surgery.

The procedure can be performed after puberty, but the preferable minimum age is 18 years. It can be also done before or after pregnancy. The patient must not be in a cycle, in order to reduce the possibility of hormonal effects and the risk of postoperative infection.

Relative contraindications

Reduction of the labia minora is relatively contraindicated in patients with active gynecological and venerological diseases, such as infection or malignancy. Patients who are current smokers and do not want to temporarily or permanently quit (to optimize wound healing), can be excluded. Perhaps most importantly - patients with unrealistic goals or expectations should be appropriately counseled or excluded from the operation.

In Bulgaria and in the practice of Dr. Serdev  the minimum age requirement for operation is 18 years. Minors could be accepted in very rare exceptions, only with the requirement of the consent and signatures of both parents.


Read more Liftings of the faceLiftings of the bodyVASER Ultrasonic Liposculpturing

Inner Thigh Lift via Serdev Suture

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Lifting of the thighs, more specifically inner thigh lifting, is necessary in cases where there is sagging of skin. In our clinic, we use the Serdev Suture Lifting method to perform this procedure without leaving scars.


Inner thigh lift without scars

This lifting method is important for young women, due to the lack of scars. However, it is mostly done in elderly patients, due to changes in weight, elongation of skin, etc. The procedure gives a great result not only in the first and second youth, but also in the third age in non-obese women. Serdev Sutures method for inner thigh lifting is atraumatic and mini-invasive, with short post-op recovery. There is no skin cutting, only punctures and therefore, there are no scars.

We perform the thigh lifting procedure under local anaesthesia, combined with IV sedation. Trauma is minimal and there is no downtime, hospitalization is not necessary. The skin punctures heal within 1-3 days.

When fatty deposits are present in the thigh area, we first perform VASER ultrasonic liposculpturing, prior to the lifting.


inner thigh lift

Inner thigh lift without scars using Serdev Suture Lifting method.

VASER Lipo – General Information

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Liposuction is a method for removing the accumulated fat depots in various face and body areas. To conduct this procedure without trauma, we use the so called ultrasound assisted liposculpture (UAL) using VASER. This is the best liposuction and body contouring method available today. There is almost no blood loss and recovery is fast. Patients can immediately resume their regular activities. Additional benefits are the skin tightening and weight loss. This is why we don not recommend losing weight with skin sagging prior to the procedure.


Application of VASER Ultrasound Liposculpturing

In the past, traditional tumescent liposuction has been effective in young patients with tight skin and mild to moderate amounts of fat. Post-op recovery with this method is slow, because of the trauma, irregularities and loss of blood.

Ultrasound assisted liposculpture however has expanded the scope of patients suitable for face and body sculpting. We can now include patients with larger amounts of fat and less elastic skin tone. We are also able to treat areas, which were not easily or effectively treated earlier with classic methods. These include fibrous areas such as the back, male breast and upper abdomen, as well as the buttock.

Ultrasonic liposculpture is a more advanced form of both regular lipoplasty and tumescent liposuction, and is used to get precise body contouring resultsVASER lipo has the effect of skin tightening and slimming in the first six months after the operation. Therefore, if you consider liposculpturing via VASER technique, you do not need to try dieting with skin flaccidity as a result.

Like every other intervention in cosmetic surgery, ultrasound liposculpture also carries certain risks. In most cases, in the first few days we have to prevent the possibility of seroma retention in the treated areas. For this reason we conduct patient follow up in the first 5-7 days, when complications are most likely to appear. In this way we can be sure that patients from abroad can travel safely back home and have no complications after that.

Please refer to the table below for comparison between VASER lipo and other liposuction methods.

Due to the lack of trauma, liposuction in our clinic can be combined with liftings of the face and body (buttock lift, inner thigh lift, etc.) using Serdev Sutures Lifting technique, rhinoplasty or other beautification procedures.


UAL Procedures

We perform ultrasound liposculpture in one or more face and body areas. Due to the lack of bloodloss, they can be done as standalone procedures or in multiple combinations, depending on the case. The procedures are:

VASER Lipo - How does it work?

In our clinic we use VASER lipo - the best UAL technology on the market.

Selected lenghts of ultrasonic waves, delivered through a cannula, emulsify or liquefy the fat. In contrast, traditional liposuction requires manual effort to cut and aspirate fat tissue, producing tunnels in the fat depots.

In fact, ultrasonic waves specifically target only the unstable giant fat cells, causing them to “implode” and liquefy for suction removal under low pressure. These are the cells which deposit and store calories as fat. Because the waves only target fat cells without impacting other tissues and vessels, blood and tissue loss is minimal. Fat is emulsified with no damage to adjacent tissue. The stable microscopic cells of the superficial subdermal layer of fat tissue (which makes the skin smooth) do not react to these waves. Therefore, there are no surface irregularities after the procudure.

In comparison, traditional liposuction causes much more tissue trauma, blood loss and bruising than ultrasonic techniques. This is due to the tissue destruction necessary to manually break up the fat. Ultrasound emulsifies fat. 

Comparison Table - VASER vs Other Liposuction Methods

VASER Ultrasonic Assisted Liposculpturing

It only targets fat cells without trauma to adjacent tissues.

Reduces blood loss and post-operative pain. Has a skin tightening effect.

Male breast, upper abdomen, back and buttock areas are treated more easily.

It minimizes the "wavy areas" side effect and makes contouring more precise.

Traditional (Suction Assisted) Liposuction

Most common form of liposuction because it does not require expensive apparatus.

Performed by manually breaking up the fat (pushing and pulling a probe blindly through the fat area, using negative vacuum pressure). Causes greater blood loss, trauma and bruising, and has the longest recovery period.

Fibrous areas, such as the male breast, upper abdomen, backa nd buttocks are hard to treat.

Higher chance of irregularities as a side effect of the so called "surperficial liposuction".

Laser-Assisted Liposuction/Laser Lipolysis

Uses the thermal energy of the thin laser beam to destroy fat cells and seal off surrounding vessels.

It can cause thermal damage to important tissues if not carefully applied.

The extracted fat cannot be used for lipo transfer.

Usually can treat only small fat deposits as the laser beam makes random tiny "tunnels" in the fat tissue, similarly to traditional liposuction.

Power-Assisted Liposuction

Surgeon's arm movement is used in combination with a vibrating cannula.

Similar to traditional liposuction, with added vibration aiming to help break up the fat tissue.

Surgeons can have difficulties controlling the device.

Can result in contour irregularities.

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