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Transcutaneous Serdev suture for buttock’s lift

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Author(s): Nikolay P. Serdev

Journal: European Medical, Health and Pharmaceutical Journal
ISSN 1804-5804

Volume: 4;
Start page: 30;
Date: 2012;
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Keywords: Serdev Suture | Buttock's lift | Serdev needles | Semielastic Polycon thread

ABSTRACT
This article presents the author's technique and experience in the treatment of the flaccid "unhappy buttock" form with hissurgical procedure of buttock lift by suture, without incision scars. The author first presented this new operation techniqueon a national level at the 2nd Annual Meeting of the National Bulgarian Society for Aesthetic Surgery and AestheticMedicine in Sofia on March 18, 1994 [1] and internationally at many scientific meetings over the world [2, 3, 4…]. The resultis a visual change in the buttock position to a higher one, which elongates the lower limbs and changes the proportionsbetween lower and upper half of the body. The aim of this study is to describe a miniinvasive procedure of beautificationof the buttock form without scars by creating a lifting effect on the buttock's subcutaneous tissue, using a suture that takesthe inferiorly positioned deep fibrose tissue and fixes it upwards to the sacrocutaneous fascia, discovered by the author.Aesthetic and technical considerations required properly sculpting the buttocks into a higher position, demonstrating nicelyrounded form. Preoperative shape is discussed and patient evaluations, operative techniques, postoperative managementand results after 4 years of experience are emphasized. 1032 female patients, and 26 male patients aged 1862 years,with ptosis and cellulite on the buttocks were treated since 1993 on an outpatient basis by the "Serdev suture techniquewithout visible scars". Important instrumentarium is a long, curved, elastic needle and Polycon semielasticBulgarianantimicrobial polycaproamide long term (in 2 years) absorbable surgical threads Polycon, produced in Bulgaria. Thisoperation has been performed either alone or after ultrasonic assisted liposculpture (UAL) that reduces the amount of fatand heaviness. All patients reported a high degree of satisfaction. A stable improvement in the buttock position and formwas observed for the period described. In the postoperative period the complication rate was minimal and resolved in thefirst 45days post operative period. The skin puncture in the perianal zone makes antibiotic prophylaxis obligatory as wellas a strict follow up for the first 7 days. Some pain in the sitting position was observed for at least 5 to 10 days, but all othersocial and professional duties and activities were possible. This outpatient procedure is effective in the correction ofbuttock laxity and ptosis and creates a new form, universally accepted as "happy buttocks".

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