New Bulgarian University, Bulgaria
Nikolay P. Serdev, M.D., Ph.D. is a Sofia, Bulgaria based board certified specialist in General Surgery and Cosmetic Surgery. He is both Professor and Director of the International University Program in Cosmetic Surgery at New Bulgarian University. Dr. Serdev is a graduate of the Sofia Medical University, and trained in General and then Cosmetic Aesthetic Surgery at the Military Medical Academy, and Aesthetic Surgery, Aesthetic Medicine Medical Center in Sofia, 1991-1996 he was a deputy head and acting head of the Burns Department in the Military Medical Academy and 2006-2008 National consultant in Cosmetic (Aesthetic) Surgery medical specialty at the Ministry of Health, Bulgaria.
Scarless closed approach suture lift ings for tissue volumising presents skeletal fi xation with skin punctures without incisions as a fi rst alternative to classic excision lift s and implants. We started the anatomy study, instrument creation and thread selection in 1990 and the whole topographic anatomy, instrumentation and technique understanding of this new method was ready in 1993. Needle preparation and selection of threads was experimental. For threads, we have performed stretch, elasticity and cut through tests. Th read long term absorption is crucial in our method. In the last 20 years, 1993-2013, we have operated 2054 patients to correct early ptosis and fl abbiness in areas of face areas to create, restore or position the volumes of the face. Our contribution is that our scarless closed approach Serdev Suture® presents the fi rst techniques total understanding to lift SMAS and fascias without traditional incisions and to create or position volume without transplants and implants. Operations were ambulatory with excellent results, reported by the patients. Th e trauma is minimal and the follow-up period is no longer than 3 days with fast, sometimes immediate return to work and social life. Th ere are no visible scars; the needle perforations on the skin are not visible aft er days.