Temporal SMAS Lift Using Serdev Sutures

www.cosmeticsurgery.bg/en Copyright © 2014 Nikolay P. Serdev. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Closed approach transcutaneous Serdev Suture ® lifts encompass the principale concept of stable suturing and fixation of mobile fascias to immobile periosteum, tendons and fascias, resulting in suture suspension and/or volume augmentation and/or repositioning. 21 techniques and individual modifications are used on face and in body areas, even where open surgical techniques cannot be directly applied. Serdev Sutures ® in the temporal area are scarless and uncomplicated in the post-operative period. These techniques use curved semi-blunt semi-elastic needles and smooth surgical sutures to elevate and fixate mobile fascial tissue. Polycon surgical sutures are preferred for these techniques. They are characterized by short elasticity to prevent mobilized tissue from rupture and are characterized by delayed absorption (in 2-3 years, after the fibrosis is finalized). This enables stable fibrotic fixation before suture degradation. Fixed mobile facial tissue using Serdev Sutures ® is SMAS in all face areas: In Temporal SMAS lift it is the galea aponeurotica, which is fixed by a transcutaneous suture to the stable periosteum at the upper temporal line and the temporal fascia