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Fernando Burstein MD, Facial Plastic Surgeon
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Fernando Burstein MD, Facial Plastic Surgeon
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon

No one wants to have to think about growing older, and many men and women put off dealing with the signs of facial aging for as long as possible.  However, it has always been my philosophy that the treatment of facial aging is best accomplished with a long-term, graduated maintenance plan that begins early, with subtle, minimally-invasive facial rejuvenation procedures.  From there we can slowly expand the menu of options to include more comprehensive facial plastic surgery techniques only as those techniques become necessary.  Even though every patient is unique and every face ages differently, there are a few helpful guidelines that can help you formulate a plan for addressing facial aging that will maintain a youthful, natural-looking appearance for years to come.

Facial aging through the yearsPrevention in Your 20’s

At the earliest stages of the aging process the skin is typically still healthy and resilient, so many of the traditional signs of facial aging have not yet begun to manifest.  However, the skin’s appearance can be adversely affected by either environmental factors, such as cigarette smoking or excessive sun exposure.  Laser skin resurfacing or gentle chemical peels can often help alleviate this damage by removing dead or damaged skin cells and stimulating collagen production, preventing the premature aging of the skin.

Maintenance in Your 30’s

As aging skin begins to lose its elasticity and taut smoothness, wrinkles and folds frequently begin to form throughout the face.  In many cases, this loss of volume and elasticity can be counteracted with injectable cosmetic treatments (like Botox® or Dysport®) or facial fillers (like Juvéderm® and Restylane®).  These procedures can often relax the underlying muscles that create expression lines or restore lost volume and moisture to the facial features in a single short office session.

Touch-ups in Your 40’s

Injectable facial rejuvenation treatments can certainly help keep the facial tissues looking young and healthy, but eventually the tiny muscles that support facial features like the eyebrows or eyelids will begin to weaken and excess skin and fat will accumulate, causing features to sag and droop.  Targeted facial plastic surgery procedures that specifically focus on these areas of concern, such as eyelid surgery or a brow lift, can often achieve subtle and long-lasting results with only minimal surgical downtime.

Restoration in Your 50’s and Beyond

While minor, targeted procedures and minimally invasive facial rejuvenation techniques can all work together to postpone the point at which comprehensive facial plastic surgery becomes necessary, the process of facial aging can only be slowed, never stopped completely.  Patients experiencing generalized wrinkling and sagging in the upper, middle, and lower face and neck can often benefit from a full face lift, which can restore  a natural and youthful look without over-tightening the skin.

Every patient is unique and each one ages differently, so some of these procedures are used to maintain or rejuvenate at all ages while others, in some cases, may not be necessary at all.  There are as many different approaches to the treatment of facial aging as there are individual faces, so contact my office in order to schedule a consultation so that we can determine what course of treatment is right for you.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

We live in an age where face to face contact, even with a person on the other side of the world, can be achieved with nothing more than a few simple keystrokes.  From business meetings conducted via web cam to “selfies” posted on social media platforms, the face has far outstripped written and verbal communication as the way that people overwhelmingly interact.  However, the close, low angle of most video conferencing devices often draw an inordinate amount of attention to the lower portion of the face.  Fortunately there are a number of cosmetic and reconstructive plastic surgery procedures specifically designed to address the lower areas of the face and help keep that key area looking its best.dr fernando bursteinOne specialized procedure ideal for addressing these concerns is a mini-face lift focused on the lower third of the face, also called a lower face lift.  Specifically designed to eliminate sagging jowls and neck banding, lower face lifts work by adjusting the underlying muscles and trimming excess skin and fat from the face using only minimal incisions behind the ears.  Because the procedure focuses only on one specific area of the face, it is less extensive than a full face lift and requires a significantly shorter recovery period.  Additionally, liposuction can also frequently be used in conjunction with a lower face lift procedure to remove excess fat, eliminating the proverbial “double chin” and giving the lower third of the face a lifted and more youthful contour.

Patients seeking a more dramatic change in the lower face, particularly those with disproportionately large or small chins, sometimes opt for a more extensive facial plastic surgery procedure called a genioplasty, or chin surgery.  In most cases, I can achieve the safest and most effective outcomes with a sliding genioplasty procedure, where the bone of the chin can be moved forward or backward as needed and then secured in the desired position.  Because bone from the patient’s own body is used, rather than an artificial implant, there is a significantly reduced risk of allergic reaction, surgical rejection, or post-operative infection. Even minor changes in the chin can significantly change the appearance of the face as a whole, particularly when paired with another facial contouring procedure, like a rhinoplasty or brow lift.  Combining these procedures can effectively balance the facial features for a more aesthetically unified result.

Finally, more serious issues may require reconstructive maxillofacial surgery to remedy the physical symptoms of various congenital defects, injuries, and diseases that affect the face, head, neck, or jaws.  As the Medical Director of Children’s Center for Craniofacial Disorders, I have had the opportunity to help children suffering from congenital birth defects like cleft lips, cleft palates, and craniosynostosis using advanced reconstructive plastic surgery techniques.  I have even been able to develop an endoscopic treatment for muscular torticollis that corrects the issue with minimal scarring and a significantly lower risk of complications.

The wide variety of procedures specifically designed to address concerns of the lower face makes it possible to find an approach custom suited to each patient’s specific plastic surgery needs, and I would welcome you to contact my office in order to schedule a consultation so that we can determine what course of treatment is right for you.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Honored to be an Atlanta “Top Doc”

July 8th, 2015 | Posted by drburstein_marketing in Blog | What's happening with Dr. Burstein - (Comments Off on Honored to be an Atlanta “Top Doc”)

castle connolly top doctorThe most rewarding thing about being a plastic surgeon is seeing the difference I can make in people’s lives.  As the Director of the Center of Craniofacial Disorders for Children’s Healthcare of Atlanta (CHOA), I have been able to help children from all over the world to live normal and healthy lives, and in the more than twenty-five years that I have been a practicing cosmetic and reconstructive surgeon in Atlanta I have been able to build strong relationships with countless patients.  Earning your trust through dedication and empathy has always been one of my most deeply felt motivations.

That’s why I am so honored to have again been named as one of Atlanta Magazine’s Top Doctors in the field of plastic surgery.  Each year, Atlanta Magazine publishes a roster of the doctors “to whom physicians would send their own families” as a way to help readers find the very best health care providers.  The list, compiled by Castle Connolly Medical Ltd., a healthcare organization founded in 1991 to guide consumers to the highest quality healthcare, uses an extensive peer nominations and a rigorous screening process led by a physician research team to identify the nation’s best doctors in fifty-eight different specialties.  Hundreds of thousands of licensed physicians from across the country nominate and vote for those doctors who not only excel in academic medicine and research, but who also exhibit exceptional patient care, creating a list of top doctors on both the national and regional levels.

This year marks the seventh consecutive year that I have been honored as an Atlanta “Top Doc,” and the eleventh since 1999.  Being board certified in both plastic surgery and otolaryngology (head and neck surgery), I have always made it my goal to use my highly-specialized knowledge of facial structural anatomy to produce subtle and natural-looking results for all of my patients.  I consider this recognition a testament to the enduring support of my amazing medical staff and to the inspiration that I draw from all of my patients every day.  But most of all this recognition really highlights what I am most proud of, my long-standing commitment to my patients in Atlanta and beyond.

I look forward to working with more wonderful patients in the future and invite you to contact me, Dr. Fernando Burstein, if you have any questions or would like to schedule a consultation.  To keep up with the exciting news and events happening, be sure to connect with me on Facebook, Twitter, and Google+ for all the latest.

A Customized Approach to a Younger Looking Neck

June 30th, 2015 | Posted by drburstein_marketing in Blog | Educational - (Comments Off on A Customized Approach to a Younger Looking Neck)

One of the most important things that I have learned while performing cosmetic and reconstructive facial plastic surgery is that no two procedures are ever exactly alike.  Even in cases that seem relatively straightforward, like addressing the extremely common signs of aging that can manifest in the lower face and neck, one single procedure is typically not sufficient to address every situation.  A patient’s body type and personal medical history both play a significant role in determining which facial rejuvenation or cosmetic surgery techniques will achieve optimal results.facial plastic surgeonWhen patients gain or lose a significant amount of weight, fat deposits in the neck can result in a loss of definition between jaw line and the neck line or give the appearance of a “double chin.”  Unfortunately, fat in this area is often extremely difficult to eliminate with exercise and tends to resist the effects of a healthy diet.  In many of these cases, the issue can be addressed with simple liposuction.  Carefully extracting these localized fat deposits helps restore jaw/neck definition and can give the entire area a more firm and youthful appearance.

However, simple aging or the damage caused by various environmental factors can often reduce the skin’s ability to “bounce back” into shape after it has been stretched, particularly in patients with a history of cigarette smoking or excessive sun exposure.  In these patients with reduced skin elasticity, the removal of facial fat deposits can sometimes leave stretched and sagging skin behind.  In these cases, a neck lift or lower face lift can help remove this excess skin, making the area appear taut and firm once more.  Some patients suffering from excessive skin sagging in the face and neck may also benefit from Ultherapy® skin tightening, an FDA approved system that uses ultrasound technology to gently warm the underlying layers of skin and promote collagen production.  By strengthening the skin from within, Ulthera® can often help restore the skin’s natural elasticity and give the face and neck a rejuvenated appearance without the downtime associated with more invasive procedures.

Finally, many of my more slender and athletic patients are concerned with the appearance of platysmal bands, the vertical cords that often appear when the neck is strained.  As we age, the platysma muscle, which creates the neck contour, splits into two parts, one on either side of the midline.  As the skin loses volume and elasticity the free edge of the muscle can take on a much more pronounced appearance, creating what is known as a “turkey neck.”  A full neck lift, in addition to removing excess, sagging skin, may also be able to re-suspend the underlying muscles, soften the appearance of the platysmal bands and give the entire area a smoother look.

Since every patient is unique and requires individualized assessment, I would welcome you to contact my office in order to schedule a consultation so that we can determine if a neck lift is right for you.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Preserving and Restoring Your Skin’s Elasticity

June 19th, 2015 | Posted by drburstein_marketing in Blog | Facial injectables | Frequently Asked Questions | Skin Care - (Comments Off on Preserving and Restoring Your Skin’s Elasticity)

Even after more than twenty-five years as a board certified plastic surgeon and otolaryngologist, I am often amazed by how much facial plastic surgery can accomplish.  Non-invasive facial rejuvenation treatments can temporarily address many of the traditional signs of facial aging while cosmetic plastic surgery techniques can shift underlying tissue and fat, lift and tighten facial muscles, and even sculpt the facial features to bring them into a more aesthetically pleasing balance.  However, one of the most pervasive problems with older skin is its loss of elasticity.  Not only does this issue contribute to skin looking older and more worn, but it also can diminish the effectiveness of many facial plastic surgery procedures.  Quite a few of my patients have asked me how this loss of elasticity occurs and if they can do anything to prevent it.

double chin surgery atlanta gaElasticity specifically refers to the ability of young, healthy skin to return, or “bounce back”, to its original position and shape after it has been stretched or pulled.  Primarily the result of an essential protein called elastin, tissue elasticity is the reason why lungs and blood vessels can stretch without bursting and young skin remains taut no matter how much the underlying fat, tissue, or muscle may grow or shrink.  Unfortunately the gene responsible for the production of elastin functions most strongly during the first few years of life, when the cells are first developing.  After that point the body’s production of elastin steadily declines until, by the time we are middle-aged, only a trickle of elastin is produced.  As time goes by and the body’s reserves of elastin are depleted, the skin gradually loses the elasticity it once had.

One of the best ways to preserve skin elasticity is to avoid the many different environmental factors that damage the skin and force it to use its limited elastin for self-repair.  Cigarettes, for example, contain substances that negatively affect collagen synthesis and increase its breakdown, while simultaneously diminishing nutrient delivery to the skin.  Cortisol, a hormone released in response to stress, causes inflammation and slows down the skin’s reparative mechanisms.  Finally, exposure to certain types of ultraviolet radiation can destroy the collagen in the skin directly and has even been known to cause mutations in the DNA of skin cells that can lead to skin cancer.  Taking steps to minimize these damaging elements can go a long way to keeping your skin looking young and healthy.

Additionally, even after decades of environmental damage, there are facial rejuvenation procedures that can help restore the appearance of the skin.  Minimally-invasive approaches, like laser skin resurfacing and chemical peels with trichloroacetic acid (TCA), gently remove dead and damaged skin cells and stimulate the rapid production of collagen, resulting in fresher, more vital-looking skin with only minimal downtime.  Injectable dermal fillers, like Juvéderm®, add volume to facial tissues by restoring hyaluronic acid, a substance that occurs naturally in healthy skin and helps prevent it from losing moisture, but also appear to stimulate the production of collagen and elastin in the skin cells themselves.

Even though getting older is unavoidable, a variety of facial plastic surgery and rejuvenation procedures can help temporarily counteract the effects of time and sun damage and maintain the skin’s healthy and youthful appearance.  If you are interested in learning more about a plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Be sure to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.