Facebeautificationprinciples

Nikolay P. Serdev, M.D., Ph.D.PresidentNational Bulgarian Society of Aesthetic Surgery &

Aesthetic Medicine

Nikolay P. Serdev, M.D., Ph.D.PresidentNational Bulgarian Society of Aesthetic Surgery &

Aesthetic Medicine

Aesthetic/Cosmetic Surgery

“Beauty is the aim”Patients are asking for:1.Beautification in 92%2. Rejuvenation in 8%

“Beauty is the aim”Patients are asking for:1.Beautification in 92%2. Rejuvenation in 8%

Face beautification principles

Three dimensional beauty= volums, forms, proportions & angles

Tissue volume augmentation (PAA gel, MetaCrill)frontal, glabelar, supraorbital, lips, chin, cheekbonesVolume reduction (ultrasonic liposculpture) skin tightening

cheeks, fat pad, parotid-maseteric region, double chin and neckUpward face lift: Temporal SMAS lift –angles, expression

lifts eyebrows, eyes, fat pad, lipsFibrous tissue cutting - folds – nasolabial etc., scars

Nikolay P. Serdev, M.D., Ph.D.

Three dimensional beauty= voluvolums, forms, proportions & angles

Tissue volume augmentation (PAA gel, MetaCrill)frontal, glabelar, supraorbital, lips, chin, cheekbonesVolume reduction (ultrasonic liposculpture) skin tightening

cheeks, fat pad, parotid-maseteric region, double chin and neckUpward face lift: Temporal SMAS lift SMAS lift –angles, expression

lifts lifts eyebrows, eyes, fat pad, lipsFibrous tissue cutting - folds – nasolabial etc., scars

Nikolay P. Serdev, M.D., Ph.D.

Face rejuvenation and beautificationFace rejuvenation and beautification

• Wrinkles, acne scars & pigmentationsExoderm lift & TCA peel

n Scarsvacuum peeling, dermabrasio, surgery

n Excessive hairphotoepilation, laser

n Teleangiectasiaemicro-electro/radio-surgery

n Baldness and thin hairimplantation or transplantation.

Nikolay P. Serdev, M.D., Ph.D.

Face beautification principles

European Aesthetic Surgerymostly accepts :

• aesthetic profile,• golden dividing rule in 3 equal parts,• beauty triangle etc.

Nikolay P. Serdev, M.D., Ph.D.

Beauty triangleis obvious

PROFILE

1. Straight profile

2. Golden dividing in 3 equalparts

BeautificationRhinoplasty

tocorrect middle face

proportions

Nose is the middle thirdof the “Golden dividing”

rule

= the middle part of the 3 equal parts of the face

NOSE

90 degree at the top 110 degree at the nasolabial angle

4 days post op

pre op 12 days post op

Rhinoplasty= beautification

Beautification Rhinoplasty

pre op 5 d post op

Beautification Rhinoplasty

Columella slidingfor projection

my techniquemy technique

Columella sliding for projectionChanging of proportions = beautification

Columella sliding &chin augmentation

CHINform and position

correction

for beautification

Chinis part of lower thirdof “Golden dividing”

rule

= 3 equal parts of the face

Importance of the chin positionChin is a part of the

straight profile & golden rule

Chin & cheekbone correction= beauty triangle & straight profile remodeling

Previous lip augmentation

Chin, cheekbone repositioning,lip augmentation

19'30 – 19'40 h."Mentoplastia sin implantes"Dr. Nikolay Serdev (Bulgaria)

You are invitedYou are invited

Lipsare part of the

face and profile proportions

=equal to the volume ofeyes & eyebrows

PROFILEImportance of lip rejuvenation

after 40

Importance of lip rejuvenationafter 40

Lip beautification &rejuvenation

in elderly

pre op post op

Lip position = Streight profilePAA correction in deformities

Temporal SMAS liftingby hidden incisions

“my technique”

Temporal SMAS lifting

•Changing expression•Eye beautification•Angle correction

•Lifting of the facial mask•Skin beautification

SMAS lifting by minimal temporal incision

-changing of angles-skin beautification

-correction of fat pad position

SMAS, lip, chin, cheekbonecorrection

Nikolay Serdev, M.D., Ph.D.

SMAS, lip, chin, cheekbonecorrection

Temporal SMAS liftingmy technique

changing expressionchanging expression

Temporal SMAS liftingby hidden incisions

“eye beautification”

Unilateral temporal SMAS liftingmy technique

in facial paralysis

Immediate post op Nikolay P. Serdev, MD

pre op 4 days post 12 days post op

Rejuvenation = Beautificationjuvenation = BeautificationSMAS lifting,

Columella sliding,Fat pad ultrasound treatment

TOTAL SMAS LIFTTOTAL SMAS LIFT

My techniqueMy technique

Before & immediately post opBefore & immediately post op

FACEUltrasonic Liposculpture

••BeautBeauty triangley triangle•Refinement of the face proportions

•Tightening of the skin

Ultrasonicliposculpture

of the face

1. Buccal fat2. Neck

Cheek ultrasonic liposculpturing to obtainthe “beauty triangle”

Ultrasonicrejuvenation in young(heavy lower face looks(heavy lower face looks

old)old)

Double chin ultrasonic liposculpture in 72

skin tightening 1 month post op

Double chin ultrasonic liposculpture in 50skin tightening 4 months post op

before 7 days post opIntra op

Ultrasonic double chin sculpturingTemporal SMAS lifting

Columella sliding

EXTRAORBITALEYES

BEAUTIFICATION

Using beautificationrhinoplasty

before & immediately post op

Beautification rhinoplasty,chin augmentation,

lip volume adjustment

Beautification rhinoplastychin augmentation,

lip volume adjustment

Using temporal SMAS lift

Temporal SMAS liftingmy technique

changing expressionchanging expression

Eyes beautificationEyes beautificationafter TOTAL SMAS LIFTafter TOTAL SMAS LIFT

Fintsi’s exoderm lift

Fintsi’s exoderm lift

Auriculoplastyis a part of beautification

Hair implantationnBeautificationnImmediate aesthetic

result

Artificial hairArtificial hair

Sábado, por la mañana – Aula 1

Principios básicos en cirugíafacial: rinoplastia, lifting,

ultrasonidos etc.Dr. Nikolay Serdev (Bulgaria)

A lot of videosA lot of videos

Invitation for courses-regularly each month on 15th-individual courses available

nTotal face beautificationnTemporal and Total SMAS liftingnBeautification rhinoplasty and collumela

slidingnChin augmentation without implantsnTotal ultrasonic liposuction of the face

Barcelona 2001

Thank youDr. Nikolay SERDEV, Ph.D.