E-mail: info@serdevclinic.com           Tel: +359 885 71 9696 +359 888 802 004
Serdev Clinic - MC "Aesthetic Surgery, Aesthetic Medicine". Rejuvenation and Beautification Without Scars.

What are Serdev Suture® Lifts?


serdev suture lifts

Concept

Simply put - Serdev Suture Lifts are methods for scarless lifting and/or volumizing of different face and body areas by lifting the mobile (hanging) tissues and attaching them in a stable and durable way to immobile structures, thus achieving beautification/rejuvenation. 

For example - in mid-face lifting, this scarless suture method lifts and sutures the loose zygomatic SMAS extension to the firm temporoparietal tendon insertion (and underlying temporal periosteum), which results in middle and lower face SMAS lifting, cheekbone lifting to a higher position, resolving tear trough, nasolabial and marionette folds. 

 

Scarless

Procedures done only through skin punctures, with the help of specially designed instruments, so that there are no incisions and excisions of skin. We this achieve the desired effect and longevity of the aesthetic result. There are no scars! The marks from the needle punctures disappear and are no longer visible after a few days.

 

Atraumatic. No downtime.

Serdev Suture Lifts are mini-invasive and do not cause trauma. There is no bruising and no bloodloss. Swelling is minimal to non-existant. Patients can resume their social and working activities on the day after surgery.

Serdev Suture Lifts vs Thread Lifts

The word "suture" in Serdev Suture® Lifts comes from the Latin Sutura and means "to bring tissues together". Our lifting techniqhes are often mistaken 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 non-absorbable. They are inserted in the subdermal fat, where they hang freely, without stable fixation. This is why 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 curved, semi-elastic needles, in order to lift the mobile tissues (such as SMAS) and stably fix them (by sutuing) to non-mobile structures (such as periosteum). This fixation guarantees the longevity of the aesthetic result. The threads are absorbed in the human body within 2 years (after the final fibrosis formation). Their limited elasticity is cruicial, because it permits the sutured tissues to move, without cutting them (rigid threads perform like scalpels).

"Liftings of The Third Millennium"

There are more than 20 different Serdev Suture techniques in face area: lifting of eyebrows; corners of eyes; cheeks; upper, middle and lower part of the face; neck; narrowing of the tip of the nose or the nostrils; and more. During the International cosmetic surgery congress in Spain 2001, these lifting methods were called "Liftings of The Third Millennium". The combination of these cosmetic procedures ensure a beautiful and harmonious face, proper volumes, angles, and proportions. 

Honorary Professor of the New Bulgarian University, Dr. Nikolay Serdev, MD, PhD is a recognized master of face beautification not only in Caucasians, but also in Asians, African Americans, etc. 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. Мost interesting are the changes using his methods without scarring, with immediate result, extremely short postoperative period, without "operated on" appearence.

Many TV programs have taken advantage of the opportunity to display the live demonstrations and immediate results. 

Watch the Travel TV Documentary about Serdev Suture® lifts below:

Overall Face Beautification Without Scars


Many of us dream of changing something in our face - some do not like the nose, others the lips, or want and need to completely transform it. There is nothing wrong with striving for beauty and perfection, if a change would make us happier and complete, and would raise our confidence.

Nonetheless, realistic assessment is needed and patients must have motivation to undergo the procedures. 

What defines the beauty of the face?

Face beautification means arrangement in order to bring the face in aesthetic proportions, angles, and volumes while in the same time maintaining individuality. Imagine your room tidy and then imagine it disorderly. It is surely more beautiful when it is structured and has an individual character. 

The complex face is properly divided into three equal parts: forehead, nose, and lower part (where the upper lip forms a ratio 1:2 to the lower lip and chin). The profile forms a straight line. The size and shape of the nose are also very important - it must be straight, with an angle of 90 degrees at the tip and 110 degrees to the upper lip.

The volume of the lips must conform to the volume of the eye and eyebrows. Both eyes and eyebrows must have a higher angle laterally. Eyebrows usually end a little away from the lateral canthus of the eye, at 1 cm above the orbital rim. Beautiful cheekbones are slightly higher than the average person, forming a hollowing of the cheeks (hungry cheeks). The cheeks and chin shape an expressed "triangle of beauty". We emphasize it when smiling for a photograph.

Ears are properly situated with an angle of 30 degrees to the face oval.

Serdev Suture Lifts

The Scarless Serdev Suture Lifts create such perfect proportions, volumes and angles. These methods are particularly important in young people, where beauty is important but should be achieved without scars. Therefore classic excision lifts are not suitable and not allowed. Serdev Sutures methods are used for lifting, as well as to create the correct volume, proportions, and angles. These the only methods in cosmetic surgery that create a complete beautification only by skin punctures, which leave no scars.

The results are stable because mobile fascias are stably fixed (sutured) to immobile periosteum or fascia. Of course, the ageing process cannot be stopped. However, after surgery it will continue from the new, rejuvenated and beautified position.

More

Fillers, botulinum toxin, chemical peels, blepharoplasty, laser rejuvenation, hair implantation, photoepilation, mesotherapy, antiaging procedures and other techniques are applied to complete and maintain beauty.

Brow Lift via Scarless Serdev Suture


Aesthetics

Why is a scarless brow lift important? When communicating, we look each other in the eyes. A beautiful, youthful expression is one, where the angles of the face are pointing up. They express a joyful, fresh radiation - "mask of comedy". When the angles are pointing down the face looks tired and sad - "mask of tragedy".

With age, brows drop below the eye line and wrinkles appear on the forehead. These make a person look angry, sad and constantly tired. Brow lift is most popular among ages of 40-60, and you can combine it with a facelift or an eyelid surgery. The science of aesthetics remains eternal. It is fashionable eyebrows to rise upward and sideways to reach a height of at least 1 cm above the upper edge of the orbit. Many young people also seem serious and tired. This is due to the low lateral position of their eyebrows. Such position may be congenital or acquired. 

Serdev Suture® Scarless Brow Lift

In order to create the aesthetic proportions, described above, we use the Serdev Suture® method for eyebrow lift, which lifts the brow and also raises the angle of the eyes (the effect is doubled).

The higher fixation is made with only 2 skin punctures, allowing for the specially designed instruments to enter and exit the skin. There are no incisions and threfore no scars. The skin puncture points disappear within 1-3 days. There is no downtime, return to social life is immediate or within 2-3 days, depending on the person.

The stable fixation of the brow tissue to the periosteum assures the longevity of the result. The ageing process continues, but from the new, higher, more youthful position.

Information on classic and endoscopic brow lift.

These methods are not practiced in our clinic.

Using the classic technique, the surgeon cuts ear-to-ear through the scalp behind the hairline. This allows access to the forehead while releasing the muscles, to remove extra skin and lift the eyebrows to a higher position. The method is modified for patients with high forehead and retreat in their hairline. Then, a cut is made in the front of the hairline, so that brow lift does not cause additional retreat.

Under the endoscopic approach, 3-5 small incisions are made on the scalp, from ear to ear behind the hairline. Then, using special tools, the excessive skin and tissue are removed from the forehead and sometimes attached to the scalp from the inside. With time the wrinkles disappear. In some case the surgeon inserts a special hook through the endoscop, to attach the tissue onto the desired location. The hooks melt over time and the forehead reshapes. With another technique, a smaller cut is made through the temple areas, and the excessive skin is removed as described. This approach is used when the outer portion of the brows needs to be lifted. The operation can be performed using local anesthetics with deep sedation.

Complications and results

Every operation has its complications. Excision techniques may include:

Damage to the forehead nerves, which results in inability to move the forehead or brows; loss of sensation, usually temporarily, around the scar; hair loss in the scar margins and wider scar; infection and bleeding. Endoscopic complications may force the surgeon to perform an open surgery, which has longer recovery duration.

After the surgery (of the classic approach) has been performed, there might be an uncomfortable feeling of ant crawling and pain around the scar. These usually disappear over time, while the pain can be managed with painkillers. It may be difficult to open the eyes due to eyelid swelling. The endoscopic approach has less pain and alter sensation.

You can return to work 10-14 days after surgery, however, the final results can be seen only after a few weeks. For several weeks you must avoid vigorous activities that can elevate your blood pressure. Also avoid prolonged heat or sun exposure. Most marks of the surgery resolve after 3 weeks, minimal swelling and small hemorrhages can be covered with make up.

Cheekbone Lift and Volume Creation via Serdev Suture®


Cheekbones and the "Beauty Triangle"

Pronounced, high, and youthfull cheekbones are rare. Cheekbones are relevant to nearly all aesthetic norms. The chin and cheekbones create the so called "beauty triangle". Asian cheekbones are pronounced lateraly but flat in front. Vice versa - in Caucasians cheekbones are often more pronounced at the front, but quickly drop, and are almost absent in elderly. The Bichat's fat pad (Corpus adiposum buccae) is of great significance in facial contouring. After our 30s, the fat pads loose connection to the zygomatic bone and droop in, the skin forming deep nasolabial folds. The Serdev Suture cheekbone lift without scars and without implants can easily restore the "Beauty Triangle".

Cheekbone Lift and Volume Creation

Many physicians try to fill the nasolabial folds in order to create colume, thus creating a total projection of the lower part of the face (the so called "primate face").

The correct approach is to lift the soft tissue back to the zygomatic bone, restore cheekbone fullness, create the necessary volumize and elevate the cheekbone. We thus eliminate the tear through fold, improve the facial expression and achieve a youthful elongation of the so called "beauty triangle", which is responsible for the beauty of the lower face.

Dr. Serdev's author lifting method (Serdev Suture®) raise and fix the fascias surrounding the Bichat fat pads to the zygomatic bone, in order to create volume in the cheekbones where needed - medially or laterally. The cheerful facial expression is restored. No scars remain as the specially developed instruments leave only punctures on the skin, which disappear within 2-3 days. TV stars use such rejuvenation to appear on screen next day.

Chin Lift Without Implants. Enhancement and Form Correction via Serdev Suture®.


Disharmony and Proportions

Profile deficiencies are due to congenital, traumatic and ageing factors, with different degree of deformity. Loss of volume or a genetically small mandible affect the aesthetics and expression of the mouth, chin, and neck. Disharmony between the skeletal support and the soft tissue envelope is a common cause of aesthetic concerns.

The chin is an important feature of the face. It is part of the noble profile (which is a straight line), as well as the "beauty triangle" - expressed chin and cheekbones. When smiling the triangle is more visible, and the face looks more beautiful. The chin plays an important role for defining facial aesthetic proportions. The lower part of the face should be divided into 3 parts - one part for the upper lip and two parts for the lower lip and chin (1:2 proportion).

With the help of the suture technique the chin can be positioned on the line of the profile, up or down, left or right, face deformities can be corrected and chin dimple can be created.

Chin Lift Without Implant. Enhancement and Position Correction via Serdev Suture® method.

This is one of the most popular and preferred suture methods, created by Prof. DR. Nikolay Serdev, MD, PhD. 

The aim of Serdev Suture® method for chin lift without impant is to position the chin in the central axis and establish correct proportions. It can be used in aging or sagging chin (the so colled "witch chin"), small chin (micro- and retrogenia), and other deformities. 

For this ambulatory procedure Dr. Serdev uses only two skin punctures in the supra- and sub-mental folds to insert the needle and thread, after which the whole available chin soft tissue is tightened into the roundness of the suture circle. The entire procedure takes a few minutes. No dermal closure and no bandages are used. Facial washing should be done on the following day. The skin puncture in the supra-mental fold may be visible for 2-3 days and patients may use make up. The early post-op period swelling is almost invisible and patients can return to their social life as soon as they wish. 

Chin dimple can also be created with this procedure.

The results are durable and patients prefer it to the alternative method of using foreign bodies (implants), which requires incisions, wearing bandages and involves swellings. For comparison, read about chin implants below.

 

Information about use of chin implants

There are many types of implants made of different material. They can emphasize the jaw line, the checks and create  better proportions between the chin and the checks.

Surgeons use implants to achieve a better balance and create a younger look. Chin augmentation is also called mentoplasty. The operation aims to shape the chin by making it smaller or bigger. A larger chin can be created by an implant insertion or by surgery, which elongates the lower jaw. Smaller chin is made by reducing the size of the lower jaw. In many cases the surgeon will recommend mentoplasty for patients undergoing nose surgery in order to fit the new nose to the face, creating more harmonic appearance. When looked from the side the nose size should fit the chin.

The implant insertion may last from 30 minutes to one hour. The surgeon will design the implant that fits your chin and then insert it into a "pocket" located in front of the chin. A small cut for the insertion can be made inside the mouth near the lower lip or from the outside, just below the chin. After the procedure, the chin is bandaged using plasters to prevent swelling and implant movement. Bandages also help prevent unpleasant sensations. The stitches can be removed after 5-7 days. In case the cut is made inside the mouth, melting stitches are used and there is no need to remove them. The surgery can be done using local anesthetics with sedative drugs and sometimes with general anesthesia.

Every operation has its ricks. The implant may move from its original place. Then you need to undergo additional procedures to replace it. Infection is rare, it can be treated with antibiotics and in some cases the infected implant will be removed and replaced by a new one.

There is a strange feeling around the chin after surgery. It is normal to feel difficulties while talking, smiling and eating. Blue marks around the chin and neck might occur. It is advisable not to participate in activities which may harm the chin. The surgeon will instruct you regarding dental hygiene and eating.

The final results may take weeks and even month to notice, therefore you must be patient.

Mid-face SMAS Lift via Serdev Suture. No Visible Scars


What is SMAS?

In 1972 it was demonstrated that after classic face lifting the skin is not stable and elongates in minutes. Since then, lifting of the Superficial Muscle-Aponeurotic System of the face (SMAS, described by Mitz and Peyronie in 1976) became the obligatory method for surgical face lift (including mid-face lift), in order to maintain a long lasting result. The skin and soft tissue are strongly fixed to it in the temporal area.

Separating the skin from the SMAS leads to elongation of the skin, which has lost its stable support, and should not be performed. Also, in a subsequent SMAS lifting the skin is not affected any more, because it is not well attached. The consequences of separating the skin from the SMAS are a mask-like stretched appearance, changed hairline position behind the ears etc.

Mid-face lift via Serdev Suture®

This is one of the internationally most successful and popular methods of Prof. Dr. Nikolay Serdev. It lifts and stretches the middle and lower parts of the face, as well as the neck. It also stretches the cheeks, nasolabial and marionette folds, highlights the so called "hungry cheeks", restores the youthful jaw line.

Mid-face lift is most popular for beautification in middle aged and elderly patients, but also in some young patients for tightening the sagging of the skin in middle and lower face and neck.

In cases of fat deposits in the face, ultrasound assisted liposculpture may be required. The goal is to remove the fatty deposits on the cheeks, causing the so called "bulldog" appearance, which also leads to tightening the skin on the lower jaw line.

Serdev Suture Lifts are the most modern cosmetic, cosmetic surgery SMAS facelifts. They are performed without skin incisions or excisions, only through skin puncture points. There are no scars. No hospitalization and nursing are needed. The postoperative recovery is short and does not affect patient's ability to go to work. 

Temporal SMAS Lift Without Scars. Upper Face SMAS Lift.


What is SMAS and why do we use it?

In 1972 it was demonstrated that after classic face lifting the skin is not stable and elongates in minutes. The Superficial Muscle-Aponeurotic System (SMAS) of the face was described by Mitz and Peyronie in 1976. Since then, lifting of SMAS has become the obligatory method for surgical face lift (including temporal lift without scars), in order to maintain a long lasting result. The skin and soft tissue are strongly fixed to it in the temporal area.

Separating the skin from the SMAS leads to elongation of the skin, which has lost its stable support, and should not be performed. Also, in a subsequent SMAS lifting the skin is not affected skin any more, because it is not well attached. The consequences of separating the skin from the SMAS are a mask-like stretched appearance, changed hairline position behind the ears etc. 

What is Temporal Lift?

With age, the cranium shrinks and facial fat volume changes (in most cases increases), ptosis occurs (including the SMAS), along with skin laxity and non-elasticity. These factors change the facial expression into a sad and tired looking face. Lifting the SMAS and attaching it at a superior position allows repositioning of the other soft tissue facial structures, which are fixed to the SMAS. We achieve this with a temporal lift without scars.

Aesthetically incorrect face angles make young people look sad. Thus, the objective of the temporal SMAS lift in this young population is simply beautification, based on facial aesthetics. The correct proportions and angles of the eyes, eyebrows and lips are restored.

 

Procedure and Results

Each case will receive appropriate treatment and surgery, which will be suggested at the consultation.

In our clinic, we use the Serdev Suture® SMAS method for temporal lift without scars. It is a less traumatic experience for the patient, carried out under local anesthetic. There are no incisions or skin excisions, it is perfomed only through skin puncture points (no scars in the hair), which are not visible and disappear within 1-3 days.

Pain is subjective and of variable intensity according to the person concerned. There could be surface pain for which we  prescribe analgesics to be taken as necessary. Recovery is rapid, there is less swelling and normal activities can be promptly resumed. 

The results are immediate, but covered by mostly unvisible swelling. Main changes are: total face lift, change of angles of the eyes and lips, fresh look, younger and more beautiful appearence, cheekbone recovering, skin texture improvement.

After surgery, medications must be used and taken as directed. Theace must not be exposed to direct sunlight. You can go to the beach, as long as the face is covered by a sun block with total screening.

Supra-Temporal SMAS Lift

After a temporal SMAS lifting here is a further opportunity of lifting the SMAS in the supratemporal area. We recommend the scarless Serdev Suture® Lifting method.

Dr. Serdev’s Author Techniques in Rhinoplasty


Serdev Rhinoplasty Methods in Cosmetic Corrections of the Nose

Rhinoplasy in Aesthetic (Cosmetic) surgery consists of corrections of details of the nose. Therefore, the operation is composed of one or several steps. In our clinic most of these steps are done using the atraumatic Serdev rhinoplasty methods.

There are several Internationally recognized author methods of Prof. Dr. Serdev for rhinoplasty. They are:

  • T-zone Excision - used to rotate (lift) the tip for shortening the length of the nose;
  • Columella Sliding – used to correct the tip projection (decreases or increases the height of the tip). The method is used to obtain the aesthetic 30 degree angle dorsum to profile line;
  • Nasal Tip Refinement (narrowing) by suture - narrows and makes a fine tip,
  • Alar Base Narrowing by suture - narrows the width of the nostrils,
  • Nasal Tip Rotation by suture - shortens the length of the nose (scarless aleternative of the T-zone Excision).
  • Digital fracture vs. lateral osteotomy - the methods is used to close the open dorsum roof after medial osteotomy (humpectomy) without visible step deformity;
  • Medial and lower dorsum narrowing 

Benefits of Serdev Rhinoplasty Techniques

The T-zone Excision protects alar cartilages from separation/cutting/shortening during operation, which in previous methods often led to necrosis (after their separation, processing, and returning them back in place, cartilages do not always manage to be well vascularized again). Operation time is reduced to 20-40 minutes, depending on the extent of the operation. Trauma is minimized. No casts, patches, or pads are necessary. Downtime is also minimized, returning to work or social life are immediate. In combination, these and other methods of Dr. Serdev (Scarless Serdev Sutures Lifts), achieve an overall aesthetic beauty in proportions (see photos).

For detailed information on what is rhinoplsty and what are the correct proportions of the nose, please read this article on rhinoplasty.

The Operation

In our clinic, rhinoplasty is one of the most tolerable procedures for patients, without postoperative pain. It is an outpatient procedure with local anesthesia, combined with contemporary venous analgesics and anesthetics.

The methodology is based on the achievements of the first president of the American Academy of Cosmetic Surgery - Dr. Julius Newman, surgeon in Hollywood, called "Dr. Nose" and improved by Dr. Serdev through basic techniques known in the world as methods of Dr. Serdev - " T-zone excision", "columella sliding", as well as the well-known Serdev Suture®  methods for nasal tip refinement (narrowing) and alar base narrowing.

When we only correct the tip, there is no necessity of swabs or plaster. No bruising can appear and swelling is not visible to the uninitiated observers. The patient can return to social life almost immediately, without scars and no one will know that the nose has been operated. Most of our TV presenter patients work on the next day - the team and TV viewers do not even realize that there has been an intervention.

Due to the minimal trauma in our operations, bruises are minimal and only appear in about 30% of hump removal cases.  Intranasal packing is not necessary (and even traumatic) because it is placed in the inner nose, while cosmetic corrections deal with the external nose. Full return to social life is possible from the first to the 5th postoperative day, depending on the presence or absence of minor bruises.

After surgery, the patient has the obligation to appear at the designated check-ups.

Operations before the legal age are not recommended, but in rare cases of severe generated complexes an operation can be made upon request and signatures by both parents. In such cases, minor adjustments could be necessary after the completion of nasal growth, usually after the age of 21.

 

Rhinoplasty


What are the correct proportions of the nose?

The proper aesthetic proportions of the nose are: 1/3 of the length of the face (golden section rule), straight or slightly curved dorsal line, an angle of 90 degrees at the tip, possibly thinner dorsum and tip, narrow alar base.

The nose is located in and occupies the middle of the face - it is the most visible part and aesthetic proportions mainly depend on it. The nose  is an individual entity and when needed it has to be corrected in relation to the aesthetic proportions of individuals' face.

Attention!

Do not think that a surgeon can make your nose like it looks on the face of another person. Your bones, cartilages, skin, individual signs and proportions are completely different!!!

 

Many patients ask whether Michael Jackson's nose should be an ideal, but such thinning is impossible without removing important structures, which disturbs the function of the nose (its function is more important than its appearance). Not everyone can afford to buy and use a decompression chamber at home to saturate the body with oxygen.

 

The goal of aesthetic corrections is to beautify without disrupting the function.

What is the purpose of Rhinoplasty?

The purpose of rhinoplasty is to create aesthetic proportions of the face. Cosmetic surgery of the nose is the most frequently requested procedure in the face. In 1/3 of all cases we only work on the tip of the nose, in order to reduce it’s length and to design the narrow peak. Rhinoplasty requires accurate and precise movements with excellent knowledge of the anatomy.

Why do we use Closed, instead of Open Rhinoplasty?

In open rhinoplasty nose procedures the surgeon would make an incision across the columellar area of the nose and reconstruct the cartilage to alter the shape and size of the nose. Sutures would be put in place to close the incision and a splint would be set on the nose for a week so that the new shape stabilizes. When the swelling subsides, the new shape of the nose would be visible. However, in open rhinoplasty, a small scar would be visible on the underside of the nose.

In our clinic we do not like the open rhinoplasty, due to a lot of negatives (loss or necrosis of cartilage etc.) and visible scars. We use closed rhinoplasty techniques - the stitches inside the nose are not visible. There are no casts, no intranasal packing, no bruises around the eyes, no external scars.

Procedures

The techniques used in our clinic can be used for primary, as well as for secondary rhinoplasty.

  • Humpectomy - for hump removal. Create a straight or slightly concave dorsum depending on patient preferences.
  • T-zone Excision - used to rotate (lift) the tip for shortening the length of the nose;
  • Columella Sliding – used to correct the tip projection (decreases or increases the height of the tip). The method is used to obtain the aesthetic 30 degree angle dorsum to profile line;
  • Nasal Tip Refinement (narrowing) by suture - narrows and makes a fine tip;
  • Alar Base Narrowing by suture - narrows the width of the nostrils;
  • Nasal Tip Rotation by suture - shortens the length of the nose (scarless aleternative of the T-zone Excision);
  • Digital fracture vs. lateral osteotomy - the methods is used to close the open dorsum roof after medial osteotomy (humpectomy) without visible step deformity;
  • Medial and lower dorsum narrowing.

Secondary Rhinoplasty

The most common causes of secondary nose job are:

  • Disproportionately long nose and hanging tip or columella after the first operation;
  • Loss of alar cartilage due to excessive work on the extracted cartilages, trauma, loss of blood supply and necrosis;
  • Curved tip;
  • Adhesions;
  • Regrowth of hump fibrotic tissue, growth of the bone spikes from the medial osteotomy area.

The Operation

In our clinic, rhinoplasty is one of the most tolerable procedures for patients, without postoperative pain. It is an outpatient procedure with local anesthesia, combined with contemporary venous analgesics and anesthetics. Many of the stages of the operation are Bulgarian patent, bearing the name of Dr. Serdev. The operation is relatively short at his hands but can last for hours with other surgeons, which causes too much trauma to the tissues.

When we only correct the tip, there is no necessity of swabs or plaster, no bruising can appear, and swelling is not visible to the uninitiated observers. The patient can return to social life almost immediately, without scars and no one will know that the nose has been operated. Notably, most of our TV presenter patients work on the next day - the team and TV viewers do not even realize that there has been an intervention.

No Trauma, No Casts, No Intranasal packing

Due to the minimal trauma in our operations, bruises are minimal and only appear in about 30% of cases of hump removal. In rare cases, a minimal stripe bruise can appear under the eyes but it only runs for about 5 days. After the operation and only in cases where the hump is removed, a skin-color tape is worn for three days. Intranasal packing is not necessary (and even traumatic) because it is placed in the inner nose, while cosmetic corrections deal with the external nose. Full return to social life is possible from the first to the 5th postoperative day, depending on the presence or absence of minor bruises.

After surgery the patient has the obligation to appear at the designated check-ups, which usually are: the day after the operation (to clean the nose), on the third day (to take the tape off), and in two weeks (to remove the sutures, which are not absorbed, if any).

Operations before the legal age are not recommended, but in rare cases of severe generated complexes an operation can be made upon request and signatures by both parents. In such cases, minor adjustments could be necessary after the completion of nasal growth, usually after 21 years of age.

Serdev Methods in Rhinoplasty

Rhinoplasty is one of the most effective operations and using the methodology of Prof. Dr. Serdev it is also one of the lightest in cosmetic surgery, with very short recovery period. In some cases patients may wear a tape for only 3 days after surgery. Furthermore, there are no visible operation signs - no casts and no tampons, no "blue glasses" bruising and return to social life can happen in the first days after surgery

The methodology is based on the achievements of the first president of the American Academy of Cosmetic Surgery - Dr. Julius Newman, surgeon in Hollywood, called "Dr. Nose" and improved by Dr. Serdev through basic techniques known in the world as methods of Dr. Serdev - " T-zone excision", "columella sliding", as well as the well-known Serdev Suture®  methods for nasal tip refinement (narrowing) and alar base narrowing. 

The T-excision rotates the tip upwards and the columella sliding gives projection. If a hump is presented, a hump medial resection is performed to the bone and cartilage pyramid. A very atraumatic methodology exists - the digital fracture - created by Dr. Hernandez from Ecuador. It is used to prevent from bleeding and formation of bone steps on the side of the nose, and the three "crow's foot" lines (as in lateral osteotomy).

 

Lip Augmentation – WY or VY plasty


Lip Augmentation and Proportions

The beauty of the face is determined by its proper aesthetic proportions and lips are part of them. In volume, they should correspond to the volume of the eyes and eyebrows. The upper and lower lips should be equal in volume, juicy at the profile line, with sexy borderline appearance. Lip augmentation is one way of achieving correct volume and proportions.

Young girls seek grace and visible appearance. For adults it is more important to create volume in oreder to prevent or stop lip wrinkling, as well as dry and atrophy appearance. Thin lips are often congenital, but with age and atrophy of muscles the lips lose their volume, become dry and wrinkled, due to perioral muscle activity. In any case, it is important to express the lip contour and increase pink mucosa volume of the lips or the so called "kissing surface". 

Patients must be at least 18 years of age.

Cosmetic surgery enjoys a variety of methods for lip augmentation: by implants or by own tissue (WY or VY plasty).

WY and VY plasty - for permanent result

WY and VY plasty outpatient operations inside the lips increase the volume and the pink surface area permanently, with a very good and stable result.

Prof. Dr. Serdev has modified and improved the procedure in a way that allows for maximum increase, even with thin lips, and trauma is reduced.

The lips heal fast - within 3-5 days. Hyposensitivity could persist for no more than 2-3 months. This is the only inconvenience but the result is permanent, without using foreign bodies. This operation should be performed by a qualified cosmetic surgeon. 

Lip margin skin excision gives poor results with visible scars and should be abandoned. 

 

About the procedure

The surgeon performs various manipulations to create а new look for your lips. The cuts are made from the inside of your mouth, involving only skin and mucous membranes. Flaps are created to either shorten the distance or to fill the desired space.

Every procedure has its complications. This one includes: allergic reactions to collagen, haematoma of the donor site, skin scaring, infections, asymmetry of the lips, impaired lip function and sensation changes.

After the procedure your lips will be covered with ice packs for the first 24 hours. You'll be asked to avoid excessive talking, smiling or laughing for about a week. Oral analgesics are provided to reduce the pain. Swelling is very common it usually persists for 7-10 days. During the postoperative period it is recommended to use ice packs, avoid sunlight and solid food and use special saline for lip care. You may also feel numbness around the lips, which usually resolves after 4-6 weeks.

Copyrighted Image