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This manual offers detailed step-by-step explanation and instructions for performing the Scarless Serdev Suture® Technique for nasal tip refinement. Video instructions, as well as pre- and aftercare are also included.

Video demo:

The “golden section” rule states that the face should be divided into 3 equal parts (the length of the nose occupying the middle third). The nose should have a thin dorsum, thin tip and narrow allar base. The tip of the nose prominence gives volume to the central face and its position should be in harmony with the beauty triangle (projected cheekbones and chin) and in line with the cheekbone prominences. The nasal dorsum should be straight or slightly concave. The best angles in Caucasians are: 90^o angle at the tip, 110^o nasolabial angle, 30^o angle of nostrils to columella, 30^o dorsum to profile line. 

The aim of Serdev Suture^®techniques in beautification Rhinoplasty is to improve not only the aesthetic proportions, volumes and angles of the nose, but adapt them to the face as a whole. Serdev Sutures^® include tip refinement, tip rotation, tip projection and allar base narrowing.

Serdev Sutures^® tip refinement techniques represent a scarless transcutaneous closed approach technique. They are 1. transdermal methods to suture all 4 crura beneath the domes, or 2. transmucosal medial crura mattress suture.