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

What are Serdev Suture® Lifts?


serdev suture lifts

Serdev Suture Lifts - Concept

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).

 

Scarless

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.

 

Techniques

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:

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 Without Scars


brow lift is necessary in these cases, when the angles of the face are facing down. The procedure aims to restore the eyes’ youthful expression. In order to create the correct aesthetic proportions and angles without scarring, we use the Serdev Sutures method. This atraumatic procedure has a double effect because, in addition to the eyebrows, it also raises the angle of the eyes. In addition, an effective brow lift elevates the upper eyelids and thus delays the need for blepharoplasty in older patients for years.

 

Brow Lift Without Scars

We perform the Serdev Suture eyebrow lifting only through 2 hidden skin punctures points, which allow for the specially designed instruments to enter and exit the skin. We lift the brow fascia (Serdev fascia) and stably fix it to the periosteum at at higher level. This ensures the longevity of the aesthetic result. There are no incisions and therefore – 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.

Please note that the ageing process cannot be stopped! After a brow lift, ageing continues, but from the new, higher and more youthful position.

We do not practice classical and endoscopic methods in our clinic, due to their traumatic and scarring nature, as well as long recovery period. They are also indirect, have insufficient effect and leave scars.

 

Aesthetics

Why is the 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 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 lifting is most popular among patients aged 40-60, and can be combined with additional facelifts or an eyelid surgery. Blepharoplasty can be done simultaneously or a long time after lifting of the eyebrows.

The science of aesthetics remains eternal. It is fashionable that eyebrows rise upward and sideways, so as to reach a height of at least 1 cm above the upper edge of the orbit. In the world of fashion, the hight is 1.5 cm.

Besides rejuvenation, this method helps us to achieve beautification. 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. The atraumatic nature of Serdev Sutures Lifts, the lack of scars and prompt return to social life make this method very suitable for young people.

 

Patient Testimonial

  • Petya A.

    "After the operation [brow lift] I feel really comfortable. I can't believe it!" Video

Cheekbone Lift and Volume Creation via Serdev Suture®


Cheekbone Lift and Volume Creation Without Implants

By using Serdev Suture Lifting method, we can effectively achieve a cheekbone lift and in the same time create the necessary volume, without the use of implants. Thus, we also treat the nasolabial folds and tear troughs. Dr. Serdev performs the cheekbone lift through skin punctures only. Therefore, there is no cutting of skin and most importantly – no scars! The punctures disappear within 1-2 days. TV stars use such rejuvenation to appear on screen next day.

Wrongly, many physicians try to fill the nasolabial folds in order to create volume. Thus, they create a total projection of the lower part of the face (the so called “primate face”). In the same time, fillers add heaviness, which leaves the skin stretched after their absorption.The correct approach for cheekbone enhancement is to lift the soft tissue back to the zygomatic bone, restore cheekbone fullness, create the necessary volume – medially or laterally – and thus elevate the cheekbone. In this way, we eliminate the tear trough and nasolabial folds and improve the facial expression. Additionally, we achieve a youthful elongation of the “beauty triangle”, which is responsible for the beauty of the lower face.

Read more – Overall face beautification; Rhinoplasty

 

Cheekbone Enhancement and the “Beauty Triangle”

Cheekbones are relevant to nearly all aesthetic norms. Unfortunately, pronounced, high, and youthful cheekbones are rare.

The chin and cheekbones create the so called “beauty triangle”. Asian cheekbones are pronounced laterally but are flat in front. Vice versa – in Caucasians cheekbones are often more pronounced at the front, but quickly drop. They are almost absent in elderly.

Bichat’s fat pad (Corpus adiposum buccae) is of great significance in facial and cheekbone contouring. Often, after our 30s, the fat pads lose connection to the zygomatic bone and droop in, creating the tear troughs. Moreover, they hang over the nasolabial folds, making the latter deeper and more visible. This is why lifting the cheekbones back in their place is more aesthetic than filling the deep folds, which makes the face look obese and round. The Serdev Suture cheekbone lift without scars and without implants can easily restore the “Beauty Triangle”.

 

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


Chin Lift Without Implant

Chin enhancemet or chin lift without implant is one of the most popular suture lifting techniques, created by Prof. Dr. Nikolay Serdev. For this ambulatory procedure, Dr. Serdev uses only two skin punctures, in the supra- and submental folds. Using special instruments, he collects the whole available chin soft tissue, moves it to the correct position, and fixates it to the bone. The chin correction includes projecting one’s own tissues forward, but in cases of deformities, they can be moved up, down, left and right. Patients most often seek this procedure in cases of small chin (microgenia and retrogenia) and age-related ptosis (witch chin).

The aim of Serdev Suture chin lift is to position the chin in the central axis of the face, create the appropriate volume and correct facial proportions, without the use of implants. We perform the procedure in cases of ageing or sagging chin (the so called “witch chin”), small chin (micro- and retrogenia), and other deformities.

Read more – VASER lipo of the face – double chin and cheeks

 

The entire procedure takes a few minutes. There are no incisions and we do not use dermal closure or bandages. Patients should perform facial washing on the following day. The skin puncture in the supra-mental fold may be visible for 2-3 days and patients can cover it with make up. The early post-op period swelling is almost invisible. Patients can return to their social life as soon as they wish.

The chin lift results are durable and patients prefer it to the alternative method of using foreign bodies (implants), which requires incisions, wearing bandages and involves swellings, as well as possibilities of displacement and infection.

 

Chin Enhancement and Position Correction

We use this method not only to lift the sagging chin, but also for chin enhancement and position correction. We can move it to the side, as well as up or down. Such cases are for example facial deformities and cleft lip. As a result, we achieve correct volumes, angles and proportions.

We can also create a chin dimple as an addition to the chin lift, or as a separate procedure.

Read more – Cheek dimple (smiling points) creation

 

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 we smile, 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). Together, they form 1/3 of the face (golden ratio).

Dr. Serdev’s suture technique positions the chin on the line of the profile and restores the aesthetic proportions, angles and volumes of the face.

 

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


SMAS Mid-face lift via Serdev Sutures

The SMAS mid-face lift elevates and stretches the middle and lower parts of the face, as well as the neck. Also, it stretches the cheeks, nasolabial and marionette folds, highlights the so called “hungry cheeks” and restores the youthful jawline. We lift and stably fixate the SMAS only through skin puncture points, using the Serdev Sutures Lifting method.

The SMAS mid-face suture lift is one of the internationally most successful and popular methods of Prof. Dr. Nikolay Serdev. It is most popular among middle aged and elderly patients. However, due to the lack of scars, we also often perform this procedure in young patients for tightening the sagging of the skin in middle and lower face and neck.

Ultrasound assisted liposculpture may be necessary in cases of fat deposits in the face. The goal is to suck out and remove the fatty deposits on the cheeks, causing the so called “bulldog” appearance. The procedure also tightens the skin on the lower jawline.

Serdev Suture Lifts are the most modern cosmetic surgery SMAS facelifts. Dr. Serdev needs only a few skin puncture points to lift any area of the face. Even the more central zones, unreachable for classic lifting methods, are successfully treated. We achieve this without skin incisions or excisions and therefore there are no scars. Hospitalization and nursing are not necessary. The postoperative recovery is short and does not affect patient’s ability to return to their daily duties.

Read more – Scarless Upper SMAS facelift; Overall face beautification; Lower Face and Neck Lift; Cheekbone lift

 

What is SMAS?

Back in 1972, surgeons 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 do not drop easily, thanks to their strong fixation to the SMAS. Therefore, if we separate the skin from the SMAS, it will elongate, because it will have lost its stable support. As a result, a subsequent SMAS lift will not be able to pull and lift the skin. The consequences of separating the skin from the SMAS are a mask-like stretched appearance, changed hairline position behind the ears etc. Naturally, we strongly oppose such this approach.

 

Temporal SMAS Lift Without Scars


What is Temporal Lift / Upper Face 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. Fortunately, we can reposition the soft tissue facial structures, which are fixed to the SMAS, by lifting the latter and attaching it at a higher position. We achieve this with a temporal lift without scars (also called upper face lift).

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

Read more: Brow lift; Lip augmentation; Cheekbone lift; Overall face beautification

 

What is SMAS and why do we use it?

Back in 1972, surgeons 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 the SMAS in the temporal area. Therefore, if we separate them from the SMAS, the skin will elongate, because it has lost its stable support. As a result, in a subsequent temporal SMAS lifting, we will not be able to lift the skin. The consequences of separating the skin from the SMAS are a mask-like stretched appearance, changed hairline position behind the ears, etc. Naturally, we strongly oppose this approach.

 

Procedure and Results

In our clinic, we use the Serdev Sutures” lifting method for temporal SMAS lift without scars. It is a less traumatic experience for the patient, and is carried out under local anaesthetic, without incisions or excisions of skin. We perform the upper face lift only through skin puncture points, which are not visible and disappear within 1-3 days.

Pain is subjective and of variable intensity, depending on the person concerned. Surface pain can be present, for which we  prescribe analgesics as necessary. Recovery is rapid. There is less swelling than associated with other methods and the patient can quickly resume normal activities.

The results are immediate, but covered by mostly invisible swelling. The main outcomes of the temporal SMAS lift are: total face lift, change of angles of the eyes and lips, fresh look, younger and more beautiful appearance, cheekbone recovering, as well as skin texture improvement.

After surgery, the patients must take medications exactly as prescribed and must not expose their face to direct sunlight. They can go to the beach, as long as they cover the face with sun block with total screening.

 

Supra-Temporal SMAS Lift

After a temporal SMAS lifting, there is a further opportunity of lifting the SMAS in the supratemporal area. We recommend the scarless Serdev Sutures Lifting method.

 

Dr. Serdev’s Author Techniques in Rhinoplasty


Serdev Rhinoplasty Techniques

Rhinoplasy in Aesthetic (Cosmetic) surgery consists of correcting details of the nose. Therefore, the operation is composed of one or several steps. In our clinic, we perform most of these steps using the atraumatic Serdev rhinoplasty techniques.

Dr. Serdev has developed several Internationally recognized techniques in 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) and 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 – closes the open dorsum roof after medial osteotomy (humpectomy) without visible step deformity;
  • Medial and lower dorsum narrowing.

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.

 

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).

The techniques reduce operation time to 20-40 minutes, depending on the extent of the surgery. Trauma is minimal. Also, no casts, patches, intranasal packings are necessary. Downtime is minimized as well – returning to work or social life are immediate. In combination, these and other methods of Dr. Serdev (Scarless Serdev Suture 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.

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, there are no scars. Therefore, patients return to social life almost immediately. No one will know that the nose has been operated. For example, 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.

Of course, the patient has the obligation to appear at the designated check-ups after surgery.

We do not recommend operations before the legal age. However, in rare cases of severe generated complexes, we can perform rhinoplasty 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 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. Therefore, we use closed rhinoplasty techniques - the stitches inside the nose are not visible. In addition, there are no casts, no intranasal packing, no bruises around the eyes, no external scars.

Attention!

A surgeon cannot 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. Such thinning is impossible without removing important structures, which disturbs the function of the nose. However, the nose's 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 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 necessary, we need to correct it in relation to the aesthetic proportions of individuals' face.

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 alternative 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 we remove the hump, the patient has to wear skin-color tape 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. They usually take place on 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, if necessary).

We do not recommend operations before the legal age. However, in rare cases of severe generated complexes, we can perform rhinoplasty 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.

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, no intranasal packing and no "blue glasses" bruising. 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. We use it to prevent from bleeding and formation of bone steps on the side of the nose, as well as the three "crow's foot" lines (as in lateral osteotomy).

Lip Augmentation – WY or VY plasty


WY and VY plasty – for permanent lip augmentation

WY plasty and VY plasty are outpatient operations inside the lips that increase the volume and pink surface area. The result is permanent lip augmentation, without the use of foreign bodies. Prof. Dr. Serdev has modified and improved the procedure in a way that allows for maximum increase, even with thin lips. Trauma is reduced.

The lips heal fast, within 3-5 days. Hyposensitivity could persist for no more than 2-3 months, which is the only inconvenience of the procedure.

 

About the procedure

The surgeon performs various manipulations to create the new look of 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.

After the permanent lip augmentation procedure, you should cover your lips with ice packs for the first 24 hours. We advise against 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, we recommend that you use ice packs, avoid sunlight and solid foods. You must also use special saline for lip care. In case of numbness around the lips, it will resolve after 4-6 weeks.

Every procedure involves possibility for complications. The patient must discuss them with the surgeon prior to undergoing the procedure.

For patients who prefer a different approach, we also perform lip augmentation with implants.

 

Lip Proportions

Correct aesthetic proportions determine the beauty of the face and lips play a major part. 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. Therefore, 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 order 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 volume of the lips’ pink mucosa – the so called “kissing surface”.

Patients must be at least 18 years of age.

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