alexa Suture Suspensions for Lifting or Volume Augmentation in Face and Body
ISSN: 2161-1173

Reconstructive Surgery & Anaplastology
Open Access

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Research Article

Suture Suspensions for Lifting or Volume Augmentation in Face and Body

Nikolay P Serdev*

Honorary Professor, Director of the International University Program in Aesthetic/Cosmetic Surgery at the New Bulgarian University, Head, Medical Centre “Aesthetic Surgery, Aesthetic Medicine, Sofia, Bulgaria

*Corresponding Author:
Nikolay P Serdev
Honorary Professor, New Bulgarian University
Director, Medical Centre “Aesthetic Surgery
Aesthetic Medicine”, Sofia, Bulgaria
Tel: +359885719696
Fax: +35929515668
E-mail: [email protected]

Received Date: June 20, 2013; Accepted Date: July 17, 2013; Published Date: July 24, 2013

Citation: Serdev NP (2013) Suture Suspensions for Lifting or Volume Augmentation in Face and Body. Anaplastology 2:115. doi:10.4172/2161-1173.1000115

Copyright: © 2013 Serdev NP. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Scarless closed approach suture liftings present skeletal fixation with skin punctures without incisions as a first alternative to classic excision lifts. The author started the anatomy study, instrument creation and thread selection in 1990 and the whole topographic anatomy, instrumentarium and technique  understanding of this new method was ready in 1993. Needle preparation and selection of threads was experimental.  Stretch, elasticity and cut through tests were performed for selecting threads. Thread long term absorption is crucial in this method. 54 patients were operated in 1993-1994 to correct early ptosis and flabbiness in areas of face and body and the results were published. Author’s contribution is that his closed approach suture techniques lift SMAS and fascias without traditional incisions. Operations are ambulatory with  excellent results, reported by the patients. The trauma is minimal and the follow-up period is no longer than a few hours to 3 days with fast, sometimes immediate return to work and social life. There are no visible scars; the needle perforations on the skin disappear within 2-3 days.


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