Both women and men crave younger faces, firmer bodies and lusher hair. Prof. Dr. Nikolay Serdev is a professional who has dedicated his life to meet these needs.
A world-renown specialist in cosmetic surgery, Dr Serdev is an epitome of professionalism. He has authored a number of innovations for blood-less, scar-less and working beautifying procedures for the face and the body. We meet him to talk about his increasingly popular Serdev Sutures® Lifting methods, and more.
Dr Serdev, you have gained international recognition for your innovative methods for aesthetic correction. What made them so popular?
Serdev Sutures® Lifting methods are a mini-invasive alternative to classic lifting techniques. They achieve durable aesthetic result with minimal to no trauma and most importantly without scars. The methods have become known with different names, but the one that stands out is Fio Bùlgaro or Fio Elastico Bùlgaro in Brazil.
21 techniques were created with various modifications in face and body areas. Each area can be lifted individually or in combination, we can add volume by using the patient's own tissue, without implants or transplants. We can also correct asymmetries by moving some tissues up, down, left or right.
The concept is simple, yet very effective – to lift the ptotic mobile tissues and attach them to stable immobile structures for guaranteed longevity of the result. All this is done transcutaneously, without any skin incisions or excisions. At 2-4 puncture points in the skin we apply the specially designed needle instruments to capture and lift the Superficial Muscle-Aponeurotic System (SMAS) and stably fixate it by suturing it to the periosteum – the firm membrane that covers the bone surface. Trauma is minimal, there is no blood loss, no scars and no downtime, so patients can resume their work and social life immediately. This is very important especially for young patients who do not want big scars. Of course, we cannot stop the ageing, but it will continue from the new, lifted and rejuvenated position.
Currently, women started to pay attention to the shape of their buttocks. What solutions do you have for them?
The buttock lift is by far the most popular among the Serdev Sutures® Lifts. We collect buttock's tissues, lift them and fixate them to a stable, higher position. We use only skin punctures to project patient's own tissues, without the use of implants. There are no scars and the result is immediate: lifted, rounded and projected buttock.
I have demonstrated the technique and trained a large number of plastic and cosmetic surgeons at trainings and congresses in Argentina, Colombia, Venezuela, Ecuador, and especially – in Brazil, where the buttocks hold an aesthetic, sensual and sexual meaning.
Sculpted body is fashionable, too, but exercises cannot always help. What procedures do you offer to solve the problem?
At Serdev Clinic we approach body sculpting in the same manner as all other procedures – we use the technology which gives the best results with minimal trauma to the patient. We use VASER lipo – the best Ultrasound Assisted Liposculpturing technology on the market. I have trained many doctors in it, including in my own innovations in the field, such as leg form straightening and elongation.
VASER lipo emits ultrasonic waves, which emulsify the fat. They target only the unstable giant fat cells, which deposit and store calories as fat. They cause them to "implode" and liquefy for suction removal under low pressure. Other tissues and vessels are not impacted, so blood and other tissue loss is minimal. The stable microscopic cells of the superficial subdermal layer of fat tissue, which makes the skin smooth, do not react to these waves. Therefore, there are no surface irregularities after the procedure.
Nose correction is an old procedure, but it evolves, too. Tell us more about how do you perform rhinoplasty?
This is the most frequently requested cosmetic surgery procedure for face beautification. I use a closed rhinoplasty approach that prevents the traumatic "opening" of the nose. The work is done on the inside. I have developed surgical and suturing techniques for the various rhinoplasty cases that are atraumatic and without blood loss. There is no need of casts, plasters and intranasal packings, there are no swelling, "black eyes" and scars. When we remove the hump, the patients wear a small skin-colour tape for 3 days that absorbs any swelling. After a nose job, our patients can freely resume their social and work interactions, without anyone uninformed even noticing the intervention.
In 1/3 of all cases we only work on the tip of the nose, to reduce its length, refine and project it.
We can also narrow the back of the nose and the nostrils using Serdev Sutures® methods.
The approach's advantages are the lack of trauma, casts, intranasal packings, immediate to short recovery, very rare occurrence of bruising under the eyes and only in cases of hump removal. I do not use open approach rhinoplasty due to negatives, such as cartilage loss or necrosis, high percentage of secondary corrections, and visible scars.
It is important to know that rhinoplasty aims at beautifying the outer nose, without disrupting the function. Any inner nose issues must be consulted with an ENT specialist in advance.
Which are the most common causes that lead men into your clinic?
Some would think that men are not interested in cosmetic surgery and beautification. They would be wrong. Many men seek our help in their strive to feel and look better.
Hair loss due to a combination of ageing, hormonal changes, and a genetic history of baldness is their main driver. We treat such cases, especially the ones with scars where own hair cannot survive, with implantation of Biofibre® artificial hair. These are biocompatible fibers with immediate effect and there is a wide choice of hair styles available. The result is natural, immediate and aesthetic. This method cannot be applied in all cases, so proper patient selection is essential.
Significant number of men also come for liposculpturing of abdomen, love handles, breasts and back. We use VASER for best results.
Rhinoplasty is another procedure of significant interest among many men. Men are also interested in lifting procedures: upper, middle and lower face lifts, chin and cheekbone enhancement, volume or position correction.
Sofia, 20th April Street No11
phone: +359 888 80 2004