Perspective

Total Face Beautification using Serdev Sutures®

Nikolay Serdev*

Department of Aesthetic Surgery, New Bulgarian University, Bulgaria

Submission:June 20, 2018; Published: July 02, 2018 ;

*Corresponding author: Nikolay Serdev, Department of Aesthetic Surgery, New Bulgarian University, Bulgaria.

How to cite this article: Nikolay S.Total Face Beautification using Serdev Sutures®. Dermatol & Cosmet JOJ. 2018; 1(1): 555555. 10.19080/JOJDC.2018.01.555555

Abstract

Beautification is the main goal in cosmetic surgery. Both words “cosmetic” in Latin and “aesthetic” in Greek language mean “beautification”. Both terms “cosmetic” and “aesthetic surgery” are wrongly understood as rejuvenation, anti aging, restoration, reconstruction etc., if no beautification is obtained.

It has been found that certain points in a face composition automatically attract the observer’s attention. Many objects and scenes with certain proportions please us automatically.

The scarless transcutaneous “Serdev suture®” Lifts are using a curved elastic needle and a semi-elastic thread, to suture(sew) the mobile SMAS to periosteum. In face these are temporal, medial, lower SMAS and platysma lift, brow lift, cheekbone lift and augmentation, chin enhancement along with modifications and combinations to create beautification in young people and rejuvenation plus beautification in elderly

Aesthetic Proportions - Main Rules

Aesthetics as a science has been first established in ancient Greece and we found that it is based on aesthetic proportions, angles and volumes. Those aesthetic rules are intransient and are a persistent base for understanding of beauty in all ethnic groups and cultures and are studied in “History of Art”. Most important rules in face are:

Golden section rule

In face aesthetics, main proportion is the Golden Section Rule -section of the face in 3 equal parts. Ancient Greeks have found that distance between columns has to be equal, to give an aesthetic perspective from different points of view. Leonardo da Vinci investigated the principle that underlies our notions of beauty and harmony and called it the Golden Section. Long before Leonardo, Babylonian, Egyptian, and ancient Greek masters also applied the Golden Section proportion in architecture and art

Another golden rule is the Golden Ratio of 1.6 (1.6180339887…) that is an important rule in human body and extremity proportions. It is so much well accepted that credit cards have been created corresponding to the golden ratio.

Aesthetic angles

As face ptosis affects the lateral face, angles should be positioned higher laterally to create the beauty of youth, corresponding to “mask of comedy” in ancient theatre, unlike the “mask of tragedy”. So, the lifting effect on face should be lateral.

Aesthetic volumes

The “beauty triangle” in face visualizes apparent chin and cheekbones. Higher cheekbones represent youth.

Profile

Straight profile line is a noble sign.

Eyes

As people look each other in the eyes when communicating, our first goal is to open and give light to the eyes and never modify them into an “operated-on” appearance.

Considering patient faces we can recognize unaesthetic signs. Following aesthetic rules: proportions, angles and volumes, regardless of age, we can add beauty to any face.

Main goal of Serdev SuturesR is beautification - to create the appropriate aesthetic proportions, volumes and angles in face and body.

The s.c.scarless transcutaneous “Serdev suture®” is uncomplicated in the postoperative period. The idea is, using a curved elastic needle and a semi-elastic thread, to suture(sew) the mobile SMASto to periosteum. In face these are temporal, medial, lower SMAS and platysma lift, brow lift, cheekbone lift and augmentation, chin enhancement, including modifications and combinations to create beautification [1-5].

Some Clinical Cases

(Figures 1-10)

Conclusion

In a way, cosmetic surgery as a multidisciplinary science is a fine art inherently combining knowledge of design, fashion, sculpture, painting, architecture, and even poetry. Scarless closed approach Serdev SutureR Lifts in combination with other author’s techniques (especially in Rhinoplasty) serve to create beauty on the basis of a proper understanding of anatomy, aesthetics as a science, ideal proportions, angles and volumes.

References

1. Serdev NP (1994) Suture Suspensions for Lifting or Volume Augmentation in Face and Body (English version). Int J Aesth Cosm 1(1): 2561-2568.
2. Serdev NP (1994) Temporal SMAS lift without skin excision In: Lip Augmentation During Mask and SMAS Lift Procedure, AAARS Annual Meeting, New Orleans, USA.
3. Serdev NP (1999) SMAS Lifting of the Face by Minimal Incisions - the Serdev Technique. Life Surgery Workshop sponsored by International Academy of Cosmetic surgery and the Balkan Academy of Cosmetic Surgery, held at the Krilig Clinic in Caracas, Venezuela.
4. Serdev NP (2000) Principles of face beautification, The 3-rd World Congress of ISAS, Tokyo.
5. Serdev NP (2003) Serdev Sutures® Face And Body Lifts And/or Volumizing, Marllor Editions, Giovani S in Marignano, Italy.