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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

patient-before  patient-after

Sometimes the tiniest changes can make a world of difference.  Just ask Lee, our September Spotlight Patient.  When Lee, a twenty-six year old hairdresser from Ireland, came to our Atlanta plastic surgery office, he had been experiencing breathing difficulties all his life.  He was extremely self-conscious about his facial profile and had wanted plastic surgery since his early teens.

“I always felt awkward and embarrassed in social situations,” he explained. “And I even actively avoided having my picture taken.”

Having only lived in the United States for two years, Lee was left to his own devices in finding a doctor.  After having several unsatisfactory consultations with different referrals, Lee’s research led him to our office.  “Everyone in his office was so friendly and helpful,” Lee explained.  “I felt like Dr. Burstein really listened to what I had to say and understood what I wanted to accomplish.  I finally felt like I had come to the right place.”

Lee’s nasal difficulties were addressed with rhinoplasty, or nose surgery, to repair his deviated septum and reconstruct the sinuses.  Rather than significantly reducing the size of Lee’s nose, the tip was reshaped with a tip-plasty and then the size and definition of his chin was augmented with genioplasty in addition to liposuction of his lower face and neck.  The final result was a more cleanly defined profile and an end to Lee’s breathing problems.

“I don’t snore anymore,” he happily related. “I sleep much better and I am less tired all the time.  I’ve even lost weight because it’s so much easier to work out.  Running and cardio training are so much more fun when you can actually breathe!”

Lee is extremely pleased with the cosmetic surgery results, but was immediately impressed by the post-surgery care that we were able to provide.  “I only missed about a week of work and I hardly experienced any pain at all.  I recovered so much faster than I had expected I would,” Lee explained.

Since then, Lee’s self-confidence has soared.  “I couldn’t have imagined a better outcome,” he exclaimed.  “Dr. Burstein is definitely the man to see!”

If you are interested in a cosmetic or reconstructive facial procedure with a double-board certified surgeon, contact us today to schedule a consultation.  Additionally, some reconstructive procedures can be covered by insurance and we provide a variety of options for financing, including Care Credit®, in order to assist you.  Be sure to also connect with me, Dr. Burstein, on FacebookTwitter, and Google+ for more plastic surgery news.

Over time, skin and muscle tissue can lose elasticity and tightness.  Additionally, the loss of a significant amount of weight, whether through diet and exercise or bariatric surgery, may leave behind skin that has been stretched and loosened.  In either case, the results can be slackened jowls that sag and fold beneath the cheeks or loose skin that hangs below the neck and creates the appearance of a “double chin” or even “turkey waddle.”  There are a number of different cosmetic surgery procedures that can address concerns in this area, and I make it a point to carefully consider both the physical factors and the goals of all my Atlanta plastic surgery patients in order to determine which option is best for their individual needs.

Lip AugmentationFor patients who are only beginning to exhibit signs of facial aging in the lower face, I offer Ultherapy® skin tightening treatment.  Ultherapy® uses high frequency sound waves to stimulate and gently warm the deep dermal tissue without disturbing the surface skin.  This stimulation activates the body’s natural healing process and encourages the production of collagen, temporarily restoring the skin’s natural elasticity and volume.  With a short 15 to 30 minute treatment, Ultherapy® skin tightening can help alleviate the appearance of sagging skin for several months at a time.

For patients interested in more dramatic and long-lasting results, but who feel that they are not ready for a full facelift because the upper face is still relatively young looking, a neck lift procedure may be ideal.  By making small, easily hidden incisions under the chin and around the ears, I can tighten the muscles of the neck, remove excess fat via liposuction, and eliminate excess skin to create a more slim and youthful facial profile.  The lower face and neck areas are often among the first few areas to show signs of aging, and by addressing those signs early we are often able to postpone the need for more comprehensive surgical facial rejuvenation procedures.

Even more significant contouring to the profile can be achieved through chin surgery, or genioplasty.  Through subtle revisions to the size and shape of the chin, other facial features, such as the nose or brows, can be magnified or minimized, giving the face a more balanced and aesthetically pleasing appearance.  While a chin may be augmented with the use of an artificial chin implant, I prefer, wherever possible, to use bone or cartilage from the patient’s own body in augmentation so as to avoid allergic reaction, surgical rejection, and the risk of post-operative infection.

If you are interested in learning more about a plastic surgery procedure I perform, please contact us today.  Also be sure to connect with me, Dr. Fernando Burstein, on FacebookTwitter, and Google+ for the latest facial plastic surgery news.

It is my belief that the natural effects of aging on the face can be minimized with a gradual, long-term approach.  By starting early in the aging process with minor, non-surgical treatments, you can keep your features looking younger longer and help any subsequent cosmetic surgery procedures achieve more optimal results.  Keeping the face looking young and fresh is largely a matter of maintaining the skin’s elasticity and volume while keeping its surface free from marks and blemishes and there are a number of non-surgical treatments that can help accomplish those goals.

non surgical facial rejuvenation atlanta ga - dr fernando bursteinInjectable cosmetics like Botox® and Juvéderm® are excellent ways to keep the face looking young and vital.  Years of repetitive facial expressions wear on the delicate skin around the eyes and throughout the upper face, causing the tiny creases known as crow’s feet and frown lines.  Botox® relaxes the facial muscles responsible for the appearance of these fine lines and wrinkles, making them fade and leaving the skin smooth and younger looking.  Similarly, as we age, the skin can lose volume, becoming lax and sagging lower on the face to create the deep folds and furrows associated with age.  Juvéderm®, Restylane®, and other facial fillers work to restore the lost facial volume and give the face the plump firmness of youth.

There are also a number of technological advancements that can help alleviate the signs of aging.  Environmental factors like smoking and exposure to the ultraviolet radiation in sunlight can cause damage to the surface of the skin, leaving it dry, tough, and weathered.  The Sciton® Erbium laser skin resurfacing system can treat the fine lines and wrinkles, liver spots, and pigment irregularities that are the result of long term damage by removing dead and damaged surface skin and exposing new, fresh skin underneath.   Sagging and loss of skin tone can also be treated with Ultherapy®, a skin tightening system that uses ultrasound technology to gently warm the deeper layers of tissue, strengthening the skin from within and promoting collagen production while lifting and tightening loose skin.

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

The vast majority of personal interaction has always occurred face to face.  In fact, advancements in teleconferencing and video chatting have made the face a focus of communication even across continents.  Unfortunately, the upper third of the face, where the majority of attention is focused during conversation, can be one of the first places to manifest the signs of aging.  Frown lines, crow’s feet, and many of the other wrinkles that result from years of animated expression all surface in the area around the eyes and forehead.  As a board-certified plastic surgeon specializing in facial procedures, I have spent a great deal of time perfecting techniques for alleviating signs of aging in these key areas.

upper facial cosmetic surgery atlantaOver the years, the skin loses its natural elasticity and begins to sag.  In the upper face, this typically means that the skin begins to slide lower, creating deep furrows in the forehead and giving the brows a heavy, hooded appearance.  A brow lift, or forehead lift, works to reshape and smooth the forehead and tighten the underlying muscles in order to lift the brows to a more alert and youthful position.  I can often diminish the appearance of scars in this procedure through the use of short incisions hidden within the hairline or by using an endoscope in what is known as the “key-hole” technique.

Brow lift surgery is often complimented by eyelid surgery, or blepharoplasty.  Fat deposits can accumulate in the upper and lower eyelids, making the eyes appear puffy and the eyelids droop.  This can make you appear constantly tired and, in some cases, even obstruct vision.  A blepharoplasty can be performed on the upper or lower eyelids, or both, to remove fat deposits and excess skin, leaving the eyes looking refreshed and alert.  It is even sometimes possible to achieve some of these results without leaving any visible scars through the use of transconjuntival incisions.

Additionally, a chemical peel can be performed during or after either of these facial plastic surgery procedures to even out the skin’s tone and texture.  In most cases, I prefer to use trichloroacetic acid (TCA) peels because they are relatively mild, unlikely to negatively affect pigmentation, and allow for a faster recovery than most other chemical peels.  While a mild 15% TCA chemical peel can be done in-office to address minor signs of aging or skin imperfections, I use a stronger 30% TCA peel in the operating room in conjunction with surgical procedures to minimize the appearance of scars, promote collagen production to speed the natural healing process, and generally maximize facial plastic surgery results.

If you are interested in learning more about a plastic surgery procedure I perform, please contact us today.  Also be sure to connect with me, Dr. Fernando Burstein, on FacebookTwitter, and Google+ for the latest facial plastic surgery news.

When performing reconstructive or cosmetic surgery procedures on the face, it is often necessary to add material that can be sculpted and contoured to accentuate specific facial features or create new ones.  Both otoplasty (ear surgery) and rhinoplasty (nose surgery) may require the use of additional flexible material to sculpt new structures, and facial contouring frequently makes use of implants to add definition to the cheekbones or chin.  For all of these procedures, I prefer to use cartilage from the patient’s own body rather than artificial implants whenever possible so as to avoid allergic reaction, surgical rejection, and the risk of post-operative infection.

balanced profileCartilage is a strong and flexible supportive and connective tissue made up of a gelatinous ground substance called chondroitin sulfate mixed with collagen and elastic protein fibers.  Together, these components form a matrix that is flexible, yet highly durable and resistant to compression forces.  The most abundant type of cartilage, hyaline, is found as supportive tissues in the nose, ears, trachea, larynx, and smaller respiratory tubes.  Hyaline cartilage also reduces friction and acts as shock-absorbing tissue between the bones in most joints and forms the attachment of the ribs to the sternum, allowing the entire rib cage to expand and contract during respiration.

Cartilage is preferable to artificial implants for a number of reasons.  Implants made from artificial materials can be excessively rigid, creating results that appear unnatural.  Implants used to supplement or replace the structural framework of the nose during rhinoplasty can also, over time, exert pressure on the skin, ultimately causing it to thin to the point where the implant becomes visible.  Cartilage, however, is highly moldable and can blend seamlessly with the patient’s own tissue, healing with the body and providing results that appear most natural.  Cartilage will also warp when scored with a sharp implement, making it ideal for sculpting the curves and arches that appear in the outer ear when necessary in reconstructive otoplasty.  Finally, because the cartilage is the patient’s own tissue, there is a significantly reduced risk of infection, bone erosion, or rejection.

If you are interested in learning more about a plastic surgery procedure I perform, please contact us today.  Also be sure to connect with me, Dr. Fernando Burstein, on FacebookTwitter, and Google+ for the latest plastic surgery news.