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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.


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