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.

Face


facelift surgery without scars

Beautification and rejuvenation of are achieved by restoring correct proportions, volumes and angles. In our clinic, we perform facelift surgery without scars. We use 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 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 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 intranasal packings or casts are required even in humpectomy, only skin-colored tape is places to suck out any swelling.

    • 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:

Body


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:

Artificial Hair Implants. Biofibre®


In Serdev Clinic - MC "Aesthetic Surgery, Aesthetic Medicine", we offer both hair implantation and transplantation methods for treating hair loss. However, we achieve best results by implantation of Biofibre artificial hair.

Multiple factors and their combination can be the reason behind hair loss - ageing, hormonal changes, and a genetic history of baldness. The earlier hair loss begins, the more severe the baldness. Trauma or burns can also cause baldness. In such cases the patient will be subject to reconstructive surgery.

Biofibre Artificial Hair Implantation

Unlike transplantation, in which we take natural hair from the back of the head to make grafts, hair implantation is a method in which we cover the head with biocompatible fibers (Biofibre) to achieve the desired appearance immediatelly. 

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

Biofibre® are the most advanced organic fibers, adapted for hair implantation. They comply with international standards ISO 9002, EN 46,002 and the requirements of European Directive 93/42/EEC on medical devices for implantation. 

Biofibers are soft, flexible, fine, and resistant to color change. The result is natural, immediate and aesthetic. For this purpose, Biofibre comes in a variety of 13 colors, length of 15, 30 or 45 cm, and three styles - straight, wavy or curly. Of course, this artificial hair is washable and has a natural look. Under appropriate selection and blending, these characteristics will satisfy almost all patient requirements.

The artificial hair implantation procedure is quick and painless, done under local anesthesia. 40-50 fibers per square centimeter create a natural density of hair. Due to high surgical sterility, we do not have infections.

The average annual loss of fibers ranges from 5 to 20% and depends on the type of skin, hair and most importantly - patient skin care. The loss of fibers does not leave scars. Surely, we can repeat the thickening procedure any time if necessary. 

The sensation of movement of the Biofibre 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. We remove plugs of bald scalp and then fill them 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.

The degree of baldness determines the number of grafts and the length of treatment. 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 we use a small round punch to extract follicular units from a patient's bald resistant donor areas. We then transplant hese hair follicular unit grafts into patient's balding areas.

Given the time consuming and tedious nature of this procedure, we are often cannot transplant more than 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 we remove a strip of donor tissue from the back of the head and trim it 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 physician the sutures the donor area together.

These sutures (either stitches or staples) stay for about ten days after surgery. Some physicians use absorbable sutures, so that their removal is not necessary. When the linear incision has 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 are 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, we may remove parts of the bald scalp. The surgeon closes the donor site 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. We repeat this technique one or more times at a later date to eventually reconstruct the bald area.

Tissue Expansion

The surgeon places a device called "tissue expander" under a hair growth area, adjacent to a bald area. After several weeks, the tissue expander causes the 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, from where we will surgically remove the flaps and grafts.

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 – VASER Ultrasonic Assisted Liposculpture (UAL), Body Contouring


VASER Ultrasonic Assisted Liposculpture - UAL

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

Tumescent liposuction has been very effective even 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.

VASER ultrasonic assisted liposculpture is a more advanced form of both regular lipoplasty and tumescent liposuction, and 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 VASER lipo. 

Apart from carrying the risks associated with all cosmetic surgery procedures, UAL also carries specific risks. In all liposuction methods, the body produces excess fluid to fill the fat cavity, which we have to remove for a number of days.

We require a physical examination in order to verify whether you are a candidate for this procedure. 

Comparison between VASER lipo and other liposuction methods can be seen below.

VASER Lipo - How does it work?

In our clinic we use VASER lipo - 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 cut and aspirate fat tissue, producing tunnels in the fat depots.

Ultrasonic waves actually target fat cells specifically, causing them to “implode” and liquefy for suction removal. Thus, blood and tissue loss is minimal. Traditional liposuction causes more tissue trauma, blood loss 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, we first inject an aqueous solution of lidocaine, epinephrine and saline water into the area from which we will remove fat. We then make small incisions on the sides and insert thin ultrasound probes to transmit sound waves to the fat, in order to liquefy it. The liquefied fat is then sucked out with the use of thin cannulas.


Comparison Table - VASER vs Other Liposuction Methods

VASER Ultrasonic Assisted Liposculpturing

It only targets fat cells and leaves neighbouring tissues intact.

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

Male breast, upper abdomen and fatty deposits on the back easier to treat.

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

Traditional (Suction Assisted) Liposuction

Most common form of liposuction.

Performed by manually breaking up the fat (pushing and pulling a probe through the fat area, using negative vacuum pressure). Causes greater blood loss, trauma and bruising than ultrasonic techniques.

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

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

Laser-Assisted Liposuction/Laser Lipolysis

Uses thermal energy to destroy fat cells and seal off surrounding vessels.

It can cause thermal damage to important tissues.

The extracted fat cannot be used for lipo transfer.

Usually can treat only small fat deposits.

Power-Assisted Liposuction

Fastest liposuction method.

Similar to traditional liposuction, PAL uses a specialized tube and mechanized movements to help break up the fat tissue.

Surgeons can have difficulties controlling the device.

Can result in contour irregularities.

 

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).

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