What is Serdev Suture Mid Face Lift?

I actually visited Dr. Serdev a few months ago in Bulgaria. Suture suspension lifts have not been received well historically. Dr. Serdev has built a career with his unique proprietary sutures and instruments. His sutures have an elastic quality to them that move with the tissue and minimize the possibility of them tearing through. Another difference is the use of his specially designed needles that allow for non traumatic anchoring of these sutures to specific areas of the face.
I have performed a few of his procedures with excellent results. I do tell my patients that this is not a long term solution as the sutures do dissolve and we have not done any major undermining prior to the lift. Dr. Serdev's results last years and he has the photos to prove it. I still prefer traditional lifting procedures, but only offer it as a last alternative to patients who do not want anything invasive (mostly brows and cheeks) and are aware that this may not last more than a year or two. I also price it accordingly, more like fillers than a procedure.

These thread lifting procedures keep coming back to haunt us. The threadlifts for facelifiting were out about a year before the FDA pulled them off the market. The threads would break from the tension and then the free ends would migrate under the skin before poking out throught the skin like in some science fiction movie. The whole idea of relying on just a suture deep to the skin to create a tightening result has never made sense to me. I have seen hundreds of patients with deep sutures placed at previous operations. These sutures when I saw them were not tightening anything because tissue had grown around them moving the lines of tension to other areas. Dr. Serdev has taken this further using the thread lift principle to lift buttocks, thighs etc.

The Serdev suture has some unique qualities, and is used in a suture technique without undermining (surgical release of tissues to aid in repositioning).

The appeal is the minimal trauma, lack of scars and quick recovery.

The technique does not have widespread acceptance. Many surgeons have abandoned suture techniques because of complications with the techniques and because they do not last well.