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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
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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%
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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.
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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.
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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.
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Beauty triangleis obvious
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PROFILE
1. Straight profile
2. Golden dividing in 3 equalparts
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BeautificationRhinoplasty
tocorrect middle face
proportions
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Nose is the middle thirdof the “Golden dividing”
rule
= the middle part of the 3 equal parts of the face
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NOSE
90 degree at the top 110 degree at the nasolabial angle
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4 days post op
pre op 12 days post op
Rhinoplasty= beautification
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Beautification Rhinoplasty
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pre op 5 d post op
Beautification Rhinoplasty
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Columella slidingfor projection
my techniquemy technique
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Columella sliding for projectionChanging of proportions = beautification
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Columella sliding &chin augmentation
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CHINform and position
correction
for beautification
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Chinis part of lower thirdof “Golden dividing”
rule
= 3 equal parts of the face
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Importance of the chin positionChin is a part of the
straight profile & golden rule
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Chin & cheekbone correction= beauty triangle & straight profile remodeling
Previous lip augmentation
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Chin, cheekbone repositioning,lip augmentation
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19'30 – 19'40 h."Mentoplastia sin implantes"Dr. Nikolay Serdev (Bulgaria)
You are invitedYou are invited
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Lipsare part of the
face and profile proportions
=equal to the volume ofeyes & eyebrows
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PROFILEImportance of lip rejuvenation
after 40
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Importance of lip rejuvenationafter 40
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Lip beautification &rejuvenation
in elderly
pre op post op
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Lip position = Streight profilePAA correction in deformities
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Temporal SMAS liftingby hidden incisions
“my technique”
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Temporal SMAS lifting
•Changing expression•Eye beautification•Angle correction
•Lifting of the facial mask•Skin beautification
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SMAS lifting by minimal temporal incision
-changing of angles-skin beautification
-correction of fat pad position
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SMAS, lip, chin, cheekbonecorrection
Nikolay Serdev, M.D., Ph.D.
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SMAS, lip, chin, cheekbonecorrection
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Temporal SMAS liftingmy technique
changing expressionchanging expression
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Temporal SMAS liftingby hidden incisions
“eye beautification”
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Unilateral temporal SMAS liftingmy technique
in facial paralysis
Immediate post op Nikolay P. Serdev, MD
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pre op 4 days post 12 days post op
Rejuvenation = Beautificationjuvenation = BeautificationSMAS lifting,
Columella sliding,Fat pad ultrasound treatment
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TOTAL SMAS LIFTTOTAL SMAS LIFT
My techniqueMy technique
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Before & immediately post opBefore & immediately post op
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FACEUltrasonic Liposculpture
••BeautBeauty triangley triangle•Refinement of the face proportions
•Tightening of the skin
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Ultrasonicliposculpture
of the face
1. Buccal fat2. Neck
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Cheek ultrasonic liposculpturing to obtainthe “beauty triangle”
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Ultrasonicrejuvenation in young(heavy lower face looks(heavy lower face looks
old)old)
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Double chin ultrasonic liposculpture in 72
skin tightening 1 month post op
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Double chin ultrasonic liposculpture in 50skin tightening 4 months post op
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before 7 days post opIntra op
Ultrasonic double chin sculpturingTemporal SMAS lifting
Columella sliding
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EXTRAORBITALEYES
BEAUTIFICATION
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Using beautificationrhinoplasty
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before & immediately post op
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Beautification rhinoplasty,chin augmentation,
lip volume adjustment
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Beautification rhinoplastychin augmentation,
lip volume adjustment
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Using temporal SMAS lift
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Temporal SMAS liftingmy technique
changing expressionchanging expression
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Eyes beautificationEyes beautificationafter TOTAL SMAS LIFTafter TOTAL SMAS LIFT
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Fintsi’s exoderm lift
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Fintsi’s exoderm lift
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Auriculoplastyis a part of beautification
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Hair implantationnBeautificationnImmediate aesthetic
result
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Artificial hairArtificial hair
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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
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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
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Barcelona 2001
Thank youDr. Nikolay SERDEV, Ph.D.