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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

Despite the fact that plastic surgery procedures can correct a number of different formative and structural concerns, they are most often used to achieve overall cosmetic improvement.  However, optimal cosmetic surgery results are seldom achieved by merely altering the appearance of a single facial feature.  The individual shapes and contours that make up the face work best when they balance and complement one another, working together to achieve a harmonious whole.  This is why facial contouring procedures work best when we look at the face holistically, focusing on how each individual feature can contribute to the whole.

atlanta-facial-plastic-surgery-fernando burstein (4)atlanta-facial-plastic-surgery-fernando burstein (1)For example, many patients come in and ask me if I can reduce the size of their nose.  However, simply performing a reduction rhinoplasty would be doing these patients a disservice.  A significantly smaller nose may look unnatural or oddly proportioned on their face, or worse may cause obstructions in airflow and breathing.  I can usually achieve far superior results by combining a less drastic nose surgery with augmentations to the patient’s chin or jaw, depending of course on the specific details of an individual patient’s facial anatomy.  By adjusting the balance of the facial features, we can create a natural looking and aesthetically pleasing profile with only very minor structural adjustments.

Adjustments to the chin, jaw, or cheeks can generally be accomplished through a variety of facial contouring techniques.  Artificial implants can increase the size and projection of a chin, the width of the lower third of the face, or even the projection of the cheekbones, adding volume to areas that may appear recessed for flat.  However, whenever possible, I prefer to use an autologous graft made up of cartilage, bone, or fat taken from other areas of the patient’s body in lieu of an artificial implant.  In my experience, using natural grafts or fat transfer achieves much more natural looking results while significantly reducing the risk of allergic reaction or post-operative infection.  Moreover, because these augmentations can be made through incisions inside the mouth, they can be done without visible scarring.

If you are interested in learning more about a plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Atlanta Plastic Surgery, P.C. also can provide a variety of options for financing, including CareCreditSM, in order to assist you.  Be sure to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Rhinoplasty, one of the most commonly performed plastic surgery procedures in the world, is specifically designed to address both cosmetic and functional issues with the nose.  Many patients who come into my office interested in nose surgery have questions about what they can expect before, during and after a rhinoplasty procedure.  Here is a brief overview of what exactly is entailed.

Nose SurgeryEvery rhinoplasty that I perform, whether it is done for primarily cosmetic or functional purposes, begins with an in-depth consultation.  In this initial encounter, I document significant nasal history such as trauma or previous surgery and perform a detailed external and internal nasal examination.  Nasal allergies, smoking history, use of topical or systemic medications, and overall physical health can all play a significant role in the ultimate outcome of a rhinoplasty procedure.  Then I sit down with my patients and together we discuss their goals and expectations, often with the use of computerized facial imaging to give patients a chance to view their potential surgical results and to give me a detailed template to which I can refer during surgery.

During the procedure itself, I prefer an external “open” approach using a transverse columella incision.  An incision is made across the columella, the narrow strip of tissue that separates the nostrils, allowing for easy access and complete visualization of the entire nasal anatomy.  This approach makes it possible to perform precision sculpting and grafting of the bones and cartilage within the nose, allowing me to achieve more predictable and natural looking results.

At this point the bone separating the two chambers of the nose, called the septum, can be easily accessed and any deviated portions removed.  Additional functional concerns can be addressed at this time, followed by changes to the underlying structure of the nose.  Various techniques can be used to reduce the width of the bridge, or remove a bony dorsal hump by trimming or sculpting the underlying bones.  Finally, the cartilage that makes up the nasal tip can be shaped or even enhanced with grafted cartilage taken from the septum or (in some cases) from behind the ear.

After the surgery, nasal dressings consisting of adhesive strips and a custom-fitted plastic splint will remain in place while you recover.  I generally recommend that patients keep their head elevated for the first five days and they use cold packs to reduce the swelling for the first 24 hours.  The plastic splint, along with all nonresorbable sutures, will be removed at a follow-up appointment around 5-7 days after the surgery.  At this point, moderate exercise can be resumed, but heavy contact should be avoided for at least six weeks.  Nasal congestion and swelling may persist for anywhere from six weeks to a year, and the final rhinoplasty results may not be fully apparent until the delicate tissues have completely healed.

Despite the fact that rhinoplasty is an extremely technical and demanding surgical procedure with one of the highest revision rates of all cosmetic surgeries, in my practice revision surgery is necessary in less than 5% of patients.  If you are interested in 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.

Meet Our January 2015 Spotlight Patient: Mary

January 13th, 2015 | Posted by drburstein_marketing in Blog | Spotlight Patients - (Comments Off)

Mary has always been the kind of person who could never stand sitting still.  As a dedicated medical professional and mother of three, she has always been active and energetic, even recently qualifying to compete in the next Boston Marathon.  For more than twenty five years, Mary has worked as a surgical nurse with Children’s Healthcare of Atlanta at Scottish Rite Hospital, and in that time has had the opportunity to observe, first hand, many incredibly skilled surgeons at work.  So when she began to notice drooping and sagging in the tissues of her face, accompanied by persistent dark circles under her eyes, she knew that Dr. Fernando Burstein was exactly who she wanted to call.

“I had worked with Dr. Burstein many times, and always thought that he really was an artist,” Mary explained.  “When another woman in the office had some work done by him and I could see how natural-looking the final results were, I knew that I wanted him to work on me.”

So, nearly a decade ago, Mary underwent an upper and lower blepharoplasty and mid-face lift with Dr. Burstein.  By removing excess skin and fat from the eyelids while smoothing the skin and tightening the muscles in the cheeks, corners of the mouth, and under the eyes, Dr. Burstein was able to give Mary a revitalized look with only minimal surgical downtime.  “I had an amazing experience from start to finish,” said Mary.  “I could not have been happier with the results.”1991-facial-plastic-surgery-results---fernando-burstein-md

However, although cosmetic facial procedures can often seem to turn back the clock, they cannot stop it entirely.  Over time, the skin continues to lose volume and elasticity, causing the signs of facial aging to eventually return.  Dr. Burstein typically recommends addressing these issues with a graduated approach, using periodic touch ups to maintain a youthful appearance that doesn’t look pulled or artificial.

When Mary returned to discuss another mid-face lift, Dr. Burstein instead recommended including a minimally invasive fat transfer procedure.  After the skin was lifted and smoothed using the incision sites from the original surgery, small amounts of excess fat was removed from the abdomen and re-injected into the tissue under the eyes and around the nose and mouth, giving it a fuller, more youthful appearance.  “Dr. Burstein has never steered me wrong,” said Mary.  “Everyone says how great I look but the results are so natural and subtle that no one would ever guess I had any work done.  Better yet, I had the procedure done on a Thursday and was back to work by Monday.  I had no complications whatsoever and everything went perfectly.  I would absolutely recommend Dr. Burstein to anyone even thinking about cosmetic surgery.”2014--facial-plastic-surgery-results---fernando-burstein-md

If you are interested in learning more about a plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Additionally, Atlanta Plastic Surgery, P.C. provides a variety of options for financing, including CareCreditSM, in order to assist you.  Be sure to connect with me on FacebookTwitter, and Google+ for the latest facial plastic surgery news.

An Eye Opening Look at Blepharoplasty

January 5th, 2015 | Posted by drburstein_marketing in Blog | Eye Rejuvenation - (Comments Off)

ScreenHunter_148 Jan. 05 20.51Many of the most pronounced signs of facial aging, like wrinkles, folds, and sagging skin, are the results of a gradual loss of skin elasticity that affects all of us as we grow older.  One of the places where these effects are most readily apparent is the area around the eyes.  The constant pull of gravity slowly causes the eyelids to stretch and the muscles supporting them to weaken, which leads to excessive skin collecting both above and beneath the eyes themselves.  This excess skin creates wrinkles and bulges on the lower eyelid and can hang over the eyelashes on the upper lid, sometimes obstructing peripheral vision.  Additionally, the fat that cushions the eyeball from the skull can also cause bulges in the upper and lower eyelids as the thin membrane that holds the fat in place weakens, letting the fat jut into the lids.  Ultimately, the result is a tired, sleepy or sad look, which can significantly detract from the natural beauty of the eye area.

Fortunately, these symptoms can often be reduced or even eliminated with eyelid surgery, also known as a blepharoplasty.  This procedure works to correct drooping upper eyelids and puffy bags below the eyes by removing excess fat and skin while tightening the tiny muscles around the eyes.  In addition to giving the patient an overall younger appearance, blepharoplasty can minimize puffiness in the upper eyelids caused by excess fatty deposits and address bags under the eyes, droopiness and fine wrinkles of the lower eyelids.  Blepharoplasty eliminates the loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision.  It can also achieve impressive cosmetic surgery results with minimal cost, risk and recovery time.

eyelid surgery atlantaThis procedure usually takes about one and a half to two hours if both upper and lower eyelids are done together, however the upper and lower lids can also be done separately if that is more in accordance with your individual cosmetic needs.  Incisions are concealed in the natural folds of the eyelid or, in the case of a transconjunctival blepharoplasty, inside the lower eyelid, so that the appearance of scars is minimized.  Fine lines and wrinkles in the skin around the eyes can then be softened significantly through laser skin resurfacing with the Sciton® Erbium laser.  After eyelid surgery, it is common to have temporary swelling and bruising, but the eyelids should look normal within a week or two.

If you are interested in learning more about a plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Additionally, Atlanta Plastic Surgery, P.C. provides a variety of options for financing, including CareCreditSM, in order to assist you.  Be sure to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

As we all look forward to some well deserved time off with family and friends this holiday season, my medical staff and I would like to thank all of you for making 2014 such a wonderfully successful year.  During the twenty-five years that I have had the privilege of practicing in Atlanta as a board certified  plastic surgeon and otolaryngologist, I have most valued the strong relationships I’ve built with my patients in Atlanta and beyond while striving to always provide the most exceptional patient care possible.  It has always been my goal to use my specialized training in facial structural anatomy to produce subtle and natural-looking facial plastic surgery results for all of my patients, whether they are children or adults.

Happy Holidays from Dr. Fernando BursteinThis past year has seen a number of exciting announcements for the members of my medical team.  Our own Nurse Debra Cooper achieved her certification as an Aesthetic Nurse Specialist (CANS), a title we can now proudly add to her already impressive list of accomplishments.  In addition, I was recognized as an Atlanta “Top Doc” in the field of plastic surgery by Castle Connolly Medical Ltd. for the sixth year in a row, an honor that I consider a testament to the enduring support of my amazing staff and to the inspiration I draw from all of my patients.

We hope everyone enjoys this week celebrating the holidays!  We all look forward to seeing new patients and visiting with returning ones in months to come and wish you all good health and happiness in 2015.  Don’t forget to connect with us on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.  Happy holidays and have a safe and joyful New Year!