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


facelift surgery without scars

Beautification and rejuvenation are achieved by restoring correct proportions, volumes and angles. In our clinic, they are achieved by facelift surgery without scars. 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 procedures are carried out through skin perforation 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 facelifting surgery without scars are:

In Rhinoplsty:

With the exception of humpectomy, the listed procedures are Dr. Serdev's author methods in rhinoplasty, leaving no trauma and bruising. No tampons or casts are required even in humpectomy, only skin-colored tape.

    • Humpectomy;
    • Tip rotation in cases of long noses;
    • Tip projection (to obtain the aesthetic 30 degree angle dorsum to profile line);
    • Closing of the open dorsum roof (without visible step deformity);
    • Tip refinement (narrowing);
    • Alar base narrowing;
    • Medial and lower dorsum narrowing.

 Other face procedures:


scarless body lift

Beautification and rejuvenation are achieved by restoring correct proportions, volumes and angles. Sagging tissues are lifted and volume created where needed, with the use of patient's own tissue. In our clinic, this can be achieved by 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 procedures are carried out through skin perforation 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:

Artificial Hair Implants. Biofibre

Hair loss is caused by a combination of ageing, hormonal changes, and a genetic history of baldness. The earlier hair loss begins, the more severe the baldness. It can also be caused by trauma or burns, whereas surgery is considered reconstructive.

In MC "Aesthetic Surgery, Aesthetic Medicine", we offer both hair implantation and transplantation methods. However, we achieve best results by implantation of Biofibre® artificial hair.

Biofibre® Artificial Hair Implantation

Unlike transplantation, in which natural hair is grafted to the patient, taken from the back of the head, implantation is a method in which hair loss is covered with biocompatible fibers to achieve the desired appearance immediatelly. 

In hair transplantation new hair grows later - 4 to 6 months after surgery. In cases of improper technique, visible scars can occur and make further transplantation difficult. 

Biofibres are the most advanced organic fibers adapted for implantation and are made in accordance with international standards ISO 9002, EN 46,002 and the requirements of European Directive 93/42/EEC on medical devices for implantation. 

Biofibres are soft, flexible, fine, and resistant to color change. The result is immediate and aesthetic. For this purpose, biofibres come in a variety of 13 colors, with a length of 15, 30 or 45 cm, and three types of curliness. Under appropriate selection and blending, these characteristics will satisfy almost all patient requirements.

The implanted artificial hair is washable, with natural look. The procedure is quick and painless, done under local anesthesia. The aesthetic effect is achieved immediately, and patients leave the clinic rejuvenated with new hair. 40-50 biofibres per square centimeter create a natural density of hair. Due to high surgical sterility, we do not have infections (the latter are reported mostly by dermatologists). The average annual loss of fibers depends on the type of skin, hair and skin care, ranging from 5 to 20%. Biofibres loss leaves no scarring and a thickening procedure can be repeated at any time if needed. 

The sensation of movement of the implanted artificial hair is the same as with natural hair. Patients describe the pleasure of the wind in their hair immediately after the procedure.

Hair Transplantation. Methods.

The procedure consists of resurfacing bald areas of the scalp with hair. Plugs of bald scalp are removed and then filled with plugs of scalp containing several hair roots taken from hair-bearing areas. Thеse grafts root themselves into their new locations and hair follicles start to grow eventually.

Тhe number of grafts needed and the length of treatment sessions depend on the degree of baldness. Several operations may be necessary. The technique may leave many small scars on the donor sites, but are usually not noticeable.


Follicular Unit Extraction (FUE) Hair Transplant

Follicular unit extraction (FUE) is a hair transplant technique in which a small round punch is used to extract follicular units from a patient's bald resistant donor areas. These hair follicular unit grafts are then transplanted into a patient's balding areas.

Given the time consuming and tedious nature of this procedure, a physician is often limited to transplanting 500 to 600 follicular unit grafts in one day. The cost per graft of FUE is also typically twice the cost of the standard follicular unit hair transplant procedure in which a strip of donor tissue is removed from the back of the head and trimmed under magnification into individual follicular unit grafts. 


Comparing Follicular Unit Extraction (FUE) to the Standard Strip Procedure

While the FUE procedure has grown in popularity, largely due to the minimally invasive way in which follicular unit grafts are removed, the standard strip excision method is still the most popular hair transplant procedure. It involves surgically removing a strip of scalp from the bald resistant donor area of the patient. The donor area is then sutured together.

These sutures (either stitches or staples) are then removed about ten days after surgery. Some physicians use dissolvable sutures so that no removal is needed. When the linear incision is fully healed the patient is left with a thin scar in the back of the head. This scar is typically hard to see once the surrounding hair grows out and conceals it.


Scalp Flap Transfer

This is done when the sides of the scalp (above the ears) and the back of the scalp is hair-bearing. A long, thin "flap" of scalp that is hair-bearing is removed and placed across a bald section to create a band of normal hair growth. As part of the treatment, parts of the bald scalp may be removed. The donor site is closed by stretching the opposite side of the scalp. This procedure replaces hair across a large area of bald scalp. The hair growth looks normal, and the narrow scars are hidden between the hair follicles.


Scalp Reduction (Serial Excision)

This is the removal of as much of the bald section as possible and done in the first operation. The adjacent hair bearing areas of scalp are pulled in close to the bald section, with the understanding that some bald areas will remain. This technique is repeated one or more times at a later date to eventually reconstruct the bald area.

Tissue Expansion

A device called a tissue expander is placed under a hair growth area situated adjacent to a bald area. After several weeks, the tissue expander causes skin to grow new skin cells. Then another operation is necessary to place the newly expanded skin over the ajoining bald area.

Almost everyone believes that follicular units are the best size grafts for hair transplantation, but reality is a bit different. In our clinic we use 3 sizes of grafts: single hair follicular units, follicular units, and modified follicular units. We use single hair follicular units mostly for the hairline, while follicular units could be the basic size for the rest of the grafts. 

Ideal candidates for hair replacement must have a healthy growth of hair at the back and sides of the head. The hair on the back and sides of the head will be the donor sites where the flaps and grafts will be surgically removed.

To achieve the desired fullness, several surgical sessions are needed. There is a healing period of several months recommended between each session. The final result with a full transplant series may take up to 2 years. 

A month or 2 after surgery, the grafted hair falls out (which is normal and temporary). It takes another month or more before hair growth starts. To create more natural-looking results, a surgical touch-up procedure may be necessary. This may consist of using a combination of mini grafts or slit grafts to fill and blend in the hairline.

Gallery - Biofibre Artificial Hair Implantation (above); Hair Transplantation (below).

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Cosmetic Medicine Procedures

Liposuction – Ultrasonic Assisted Liposculpture (UAL), Body Contouring

Ultrasonic assisted liposculpture (UAL) is the best liposculpture and body contourring method in our hands. No bloodloss, fast recovery, immediate return to social and work life. Additional positives are the skin tightening and weight loss.

Traditional tumescent liposuction has been very effective in young patients with mild to moderate amounts of fat. Ultrasonic assisted liposculpture however has expanded the number of patients suitable for body sculpting. This includes patients with larger amounts of fat and less elastic skin tone. It also allows us to treat areas, which were not easily or effectively treated in the past. These include fibrous areas such as the back, male breast and upper abdomen.

Ultrasonic assisted liposculpture is a more advanced form of both regular lipoplasty and tumescent liposuction, which is used to get precise body contouring results. In case you are a healthy individual with fat deposits that are not going away even after continued exercise and dieting, then you can consider UAL. 

Apart from carrying the risks associated with all cosmetic surgery procedures, UAL also carries specific risks. In most cases, excess fluid produced by the body to fill the fat cavity needs to be removed for a number of days.

A physical examination is required in order to verify whether you are a candidate for this procedure. 

Comparison between UAL and traditional liposuction methods can be seen below.

VASER Ultrasonic Assisted Liposculpture - How does it work?

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

Ultrasonic waves, delivered through the cannula, emulsify or liquefy the fat, while traditional liposuction requires manual effort to pulverize adipose tissue.

Ultrasonic waves actually target fat cells specifically, causing them to “implode” and liquefy for suction removal. Because fat cells alone are selected, blood and tissue loss is minimal. Traditional liposuction causes more tissue trauma and bruising than ultrasonic techniques due to tissue destruction necessary to manually break up the fat. Ultrasound emulsifies fat without damaging adjacent tissue. 

During the procedure, an aqueous solution of lidocaine, epinephrine and saline water is first injected into the area from which fat is to be removed. Small incisions are made on the sides and thin hollow tubes are inserted inside. Sound waves are transmitted to the fat with the help of this cannula, which is also used for sucking out the fat that liquefies due to the effect of the tumescent solution and ultrasonic waves.

Comparison Table - UAL vs Traditional Liposuction

Ultrasonic Assisted Liposculpturing

It only targets fat cells, wich makes male breast, upper abdomen and fatty deposits on the back easier to treat.

It emulsifies fat without damaging adjacent tissue. Reduces bloodloss and post-operative pain.

Due to the skin tightening effect and the reduced bloodloss, UAL can also be performed on overweight patients.

It minimizes the ”wavy areas" side effect. Because ultrasound is so smooth and precise, contouring is more achievable. 

Traditional Liposuction

Difficult fibrous areas, such as the male breast, upper abdomen and fatty deposits on the back are hard to treat.

Traditional liposuction causes more tissue trauma and bruising than ultrasonic techniques, due to the tissue destruction necessary to manually break up the fat. 

Best suited for women and men close to their ideal weight, with good, i.e. youthful skin tone and texture.

Higher chance of getting the side effect of "wavy areas" of fat.


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.


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.


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).


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