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.