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Scarless Buttock Lift via Serdev Suture

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What is the so called Serdev Suture buttock lift without implants or transplans? Thanks to Serdev Sutures Lifting method, we collect buttock’s tissues, lift them and fixate them to a stable, higher position. This means that we achieve the lifting without the use of implants, but by patient’s own tissues projection, using only skin punctures. The procedure does not leave scars, because there is no cutting and excision of skin.

Lifing of the buttocks has the additional effect of legs elongation and achieves a better proportion for the entire body. As our patients evaluate the procedure – we lift the flattened and loose form “into the pockets of the jeans”, and even further – over the pockets.


Serdev Suture Buttock Lift

Butt lift without implants and without scars, using “sutures” (briging tissues closer togheter by sewing), is by far the most popular method of Dr. Nikolay Serdev worldwide. He performs the procedure through a few skin puncture points to stably lift the gluteal fibrosis layers to the Serdev sacro-cutaneous fascia (discovered by Dr. Serdev, and therefore bearing his name). This suture fixation maximally guaranties the longevity of the aesthetic effect. The buttock is lifted, rounded and projected.

We use semi-elastic surgical threads, which do not cause tissue trauma. The result is immediate, with short post-operative recovery. Surgery is done under local anesthesia with intravenous sedation. There is no necessity of hospitalisation or nursing care. Patients could even be able to travel by car to the clinic for follow-up and care on the day after surgery.


Fio Bulgaro. Fio Elastico…

Serdev Sutures Lifting methods have gained great popularity, especially in Latin America. Dr. Serdev demostrated them and trained a large number of plastic and cosmetic surgoens during courses and congresses in Argentina, Colombia, Venezuela, Ecuador, and especially – in Brazil. There, his methods became known as Fio Bulgaro and Fio Elastico Bulgaro. One of the many TV episodes with Dr. Serdev on the topic of beautification and rejuvenation with his mentods can be seen here – Brazilian TV series about Fio Bulgaro.


Butt Lift Without Implants and Without Scars

This technique gained worldwide popularity, due to the results of projecting patient’s own tissues and visual legs elongation – all without the need to use implants or transplants and without leaving scars. Back in 1994, this was the only butt lifting technique and it became a hit in Brazil, where the buttocks hold an aesthetic, sensual and sexual meaning. Due to the specific angle position of the tailbone (coccyx) in Afro-Americans, the buttock lifting procedure and the acquired form were called „Brazilian Buttock lift“. However, due to incorrect understanding, surgeons and patients use this term when they opt for augmentation of the buttocks using fat transplants, fillers and implants.

Unfortunately, on its own, augmentation is not a lifting. On the opposite, it leads to unnatural proportions and look of the buttocks, which droops (sags) because of the additional heaviness. Furthermore, drastic augmentations beyond the correct volumes and proportions are not aesthetic.

There are some complications after mass fat injections (which cannot be vascularised to survive) or other implants in big volumes. They are mostly fistulas, leaking and infections in a high percentage. This is why we do not recommend such injections to our patients after lifting their buttocks via Serdev Suture.

Read more – Body LiftingsScarless Breast Lift


Fat Depots in the Buttocks

In the cases where there is an accumulated fat depot in the buttocks area, we might need to remove it. In our clinic we use VASER for ultrasound liposculpturing.

With quick alteration in pressure, ultrasound selectively targets fat cells, causing them to “implode” and liquefy. This allows us to suck the fatty liquid out, under low pressure. Thus, blood loss and tissue trauma are minimal. Hence, patients can return to work and social life almost immediately. We can remove the fat depots as a standalone procedure or in combination with Serdev Suture buttock lift.

After lifting of the buttocks (and/or in combination with VASER ultrasonic liposculpture), the patient wears elastic garments for a month during hot months, a month and a half in the cold ones.


Patient Testimonial

Tanya B.

“[The day after Serdev Suture buttock lift] With bigger self esteem, I am trying to recuperate faster. I have little pain, but hope it will go away very soon. I did not take painkillers, the pain is much less than I expected and is tolerable. Today I managed to see myself from the back and side for the first time, using a mirror, and to me the effect is breathtaking. My butt is lifted and has entered my jeans’ back pockets.”


Buttock Lift By VASER Ultrasonic Liposculpture

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We perform buttocks liposuction in cases when we have to remove the accumulated fat depots below the gluteal muscle, around the thighs and hips. In out clinic, we use the VASER lipo method. Besides effectively getting rid of the fat deposits, it helps us achieve a visual butt lift effect.

VASER Ultrasound Assisted Liposculpture (UAL) allows us to sculpt the buttocks with precision.  It is a form of liposuction, where ultrasound waves target fat cells in order to liquefy them, without harming adjacent tissues. In this way, the liquefied fat tissue is sucked out under low pressure without trauma and without blood loss. Fat cells cannot reappear in the same places again, because UAL destroys them.

You can read a detailed description of VASER ultrasound liposculpturing and comparison with other liposuction methods here.


UAL Buttock Lift Effect

The buttock liposculpture procedure has an immediately visible effect of lifting the infragluteal fold, legs are elongated and there is a change of body proportions. As a result, we achieve a buttock lift via ultrasound liposculpture.

Buttock lipo with lifting effect

After lipo on the left side. Visible lifting of the left infragluteal fold!

This procedure can be a standalone operation, done in advance of scarless Serdev Suture Buttock Lift, or simultaneously, when we have to reduce fat and heaviness of the butt. The atraumatic nature of VASER UAL also makes possible to combine the procedure with fat removal from other areas of the face and body, depending on patient characteristics. We can also add various liftings using scarless Serdev Sutures Lifting method.


After the Buttock Liposculpturing Procedure

After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night (and after, if necessary). We do daily follow-up sessions in the first 3-5 days. These sessions include showering, disinfection, bandaging and change of elastic garments.

During the days in the early post-op period, most important is the follow up for fluid retention or collection, until the organism takes in the resorption. In this way, we prevent formation of painful seroma and infection at a later stage. Patients wear elastic garments 24/7 for a month and a half. Of course, during this time, they are free to resume their normal daily activities.

The immediate result shows much better form of the body and extremities, even when initial swelling is present. Swelling will gradually diminish within the next 3 months. The final result becomes better and better with reduction of the swelling.

NB! Massages on the treated areas are strictly forbidden! This is because skin movement can break the newly formed capillaries! As a resutlt, there will be growing of edema, extension of the recovery period and loosening of skin fixation.


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