Welcome to Delicate template
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
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon

The effects of time, gravity, rapid weight loss, and even stress can cause sagging skin to make us look tired and aged beyond our years.  Of particular concern to many people is the area beneath the chin and around the neck, which can be one of the first areas affected by the signs of facial aging.  As skin elasticity and volume begin to diminish, tissue and fat can begin to slide lower on the face, resulting in sagging jowls, a double chin, or the proverbial “turkey-waddle”.  In some cases, this can even occur while the upper facial features still appear young and vital, long before a full facelift is even a consideration.  Fortunately, there are a number of different options available for rejuvenating the appearance of the lower chin and neck.

jowl-surgery-atlanta-georgiaMost commonly, excess fat and skin in the lower face, fatty deposits under the chin, loose neck skin, and muscle banding around the neck can all be treated with neck lift surgery, or lower rhytidectomy.  According to statistics published by the American Society of Plastic Surgeons, over 55,000 men and women underwent neck lift procedures in 2013, an increase of 6% over the previous year.  During this procedure, the tissue underlying the neck skin is repositioned, and commonly the platysma muscle is tightened, while fat is simultaneously redistributed away from the jowls and neck or removed completely via liposuction.  The skin can then be redraped over the uplifted facial contours and the excess trimmed away, creating smoother, younger looking facial contours.

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.

One of the most common problems addressed by cosmetic plastic surgery is the tendency of tissue to lose elasticity and volume over time.  In many ways, the skin can be compared to a balloon.  At first, the balloon is full and outer surface is taunt and springy, but over time, the balloon slowly deflates, losing volume and causing the outer skin to wrinkle and sag.  There are many different methods for addressing this facial wrinkling, ranging from cosmetic injections of Botox® or Dysport® to the surgical removal of excess skin during a facelift or the treatment of skin with laser skin resurfacing or chemical peels.  However, one of the most popular and successful methods of treatment involves the injection of a filler substance into deficient areas. Where facial resurfacing can be thought of as “leveling the mountains,” use of an implantable substance effectively “fills in the valleys.”  A number of different substances have been tried over the years, but have sometimes felt unnatural, caused adverse immunologic reactions, or been costly and difficult to obtain.  However, simple fat taken from the patient’s own body, also known as autologous fat or tissue, has proven to satisfy all of these concerns.

Chemical Peels Atlanta GAUsing fat to augment areas of the face is not a new idea.  As early as 1893, German physician Franz Neuber grafted a piece of upper arm fat to a patient’s cheek to fill a soft tissue defect.  Developments in the technique continued through the early part of the 20th century, and many attempts have been made over the years to use fat to correct conditions ranging from burn scars to thin lips.  However, modern fat transfer techniques did not develop until the early 1980s, when the increasing popularity of liposuction made it possible to remove and transfer large amounts of liquid fat via injection.  Youthful faces are full and often even plump in appearance.  But as the face begins to exhibit the signs of facial aging, it slowly loses that volume and fullness, leaving the skin hanging in loose folds and creating gaunt, hollow-looking features.

Fat transfer takes fat that has been removed from the abdomen via liposuction, filters and purifies it, and then re-injects it into the areas of the face where volume has decreased.  Typically this restores a youthful fullness to the face and alleviates wrinkles and sagging skin in key areas like the lips and nasolabial folds, without the need for invasive facial surgery.  In the more than twenty years that I have been performing this technique, I have found that fat transfer can often provide longer lasting, more natural looking results than artificial facial fillers, because it uses living material taken from the patient’s own body rather than a man-made foreign substance.

If you are interested in learning more about facial rejuvenation techniques or any of the plastic surgery procedures that 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.

Meet Our December 2014 Spotlight Patient

November 25th, 2014 | Posted by drburstein_marketing in Blog | Spotlight Patients - (Comments Off)

fernando-burstein-december-spotlight-patient

Melissa, a nursing student working as a medical assistant for an EMT office in Atlanta, has known Dr. Fernando Burstein for nearly her entire life.  Born with craniosynostosis, a congenital disorder caused by the improper fusing of the skull’s plates, Melissa was referred to Children’s Healthcare of Atlanta, where she first met Dr. Burstein.  When the cranial sutures, fibrous bands of tissue that connect the bones of the skull, fail to fuse correctly, the result can be a misshapen skull or even neurological side effects if the brain is impacted by the malformations.  To correct this condition, Dr. Burstein performs surgery to re-separate the sutures so that they may properly grow back together.

Melissa underwent her first reconstructive surgery when she was just a baby.  Because of the neurological impact this condition can have, the procedure is typically performed on infants before they reach their first year of age, so that the brain can have a chance to develop normally.  Dr. Burstein frequently works closely with a pediatric neurosurgeon, as he did in Melissa’s case, in order to help ensure that there are no neurological side effects.

“By the time I was seven, I guess that most people couldn’t tell that there had ever been a problem, but I was still very self-conscious,” Melissa went on to explain.  “I felt like I still had these dents in my skull.”

While the fontanels (or soft spots) on the skull generally solidify sometime between 20 months and 2 years of age, the bones of the human body, including the skull, continue to grow and shift throughout puberty, so it is not uncommon for some craniosynostosis patients to seek additional reconstructive surgery procedures later in life.

“He completely fixed the problem, and after that I felt much more outgoing and confident.  I even got involved in dance and gymnastics.  Even though I was just a kid, I can remember thinking that Dr. Burstein finally made me feel normal.”

Now a professional woman in her twenties, Melissa went in for her last surgery just this past August.

“I never even considered going to anyone other than Dr. Burstein; he had always been so nice and understanding and I felt like he knew my head better than anyone else alive.  I was amazed that he immediately saw exactly what I wanted to have done.  I had some concerns about my brow region, but felt awkward asking for extra cosmetic attention.  As Dr. Burstein went over minor reconstructive improvements he wanted to make, he explained how he would be able to blend in elements of a brow lift to address the very concerns I was having.  It was almost like he was reading my mind.”

With over twenty-five years as a practicing, board-certified plastic surgeon and otolaryngologist, Dr. Burstein has a tremendous amount of experience with facial anatomy.  Understanding the subtle interplay of the muscles and bones that underlie the facial features allows him to achieve subtle, natural looking cosmetic surgery results.

“It’s the gradual, subtle changes that build up over time to make a drastic difference,” Melissa commented.  “Because of Dr. Burstein, I have always been extremely open and willing to talk about my condition.  It always makes me feel good when people say that they never would have noticed if I hadn’t told them, but it means even more to me to be able to help educate people and alleviate some of the fears that they may feel.”

If you are interested in learning more about a plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Additionally, some reconstructive procedures may be covered by insurance, and 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.

We all have to grow older, and each of us has to deal with a uniquely individual combination of factors, including heredity, sun exposure, and lifestyle choices, that impact the rate at which the signs of aging begin to manifest in our bodies.  Because no two faces age in exactly the same way, I have developed an approach to facial plastic surgery and anti-aging cosmetic procedures that is individually tailored to each patient’s unique cosmetic needs.  My goal is to promote an open line of communication with my patients, so they can help me to understand their chief concerns and we can devise a graduated care plan that naturally enhances their best features while minimizing risk, recovery time, and patient expense.

atlanta-eyelid-surgeryOne of the most useful tools in achieving those ends is the mini-facelift.  I have found that the best plastic surgery results are often obtained when smaller scale, minimally invasive procedures can be used to make subtle but lasting changes that can postpone or even alleviate the need for more extensive procedures later on.  A mini-facelift is a precision technique designed to target a highly specific region of the face, treating certain signs of facial aging when they first begin to appear and before they can become pervasive.  A mid-facelift, for example, lifts and repositions the fat in the cheeks to a position over the cheekbones while removing excess fat from under the eyes.  These subtle changes accentuate the natural contours of the face, alleviating the subtle signs of facial aging without the need for a traditional full facelift procedure.

By the same token, an upper facelift can smooth the appearance of deep forehead furrows and frown lines, but does not involve more extensive tightening of the muscles to address the hooding that occurs over the eyes when the eyebrows start to sag, like a full forehead lift would.  Likewise, a lower facelift can remove excess fat and skin while tightening the underlying muscles of the lower jaw region, but requires significantly less alteration than a neck lift.  Because these procedures are less invasive, and can frequently even be done endoscopically, using only very tiny incisions above the hair line or behind the ears, they require less post-surgical downtime and allow you to get back to your regular routine with minimal interruption.

Finally, it has been my experience that a balanced, even skin tone is often one of the most effective ways to give the whole face a younger, fresher look.  I often recommend to my patients a chemical peel after a surgical procedure in order to minimize the appearance of minor skin imperfections, like fine lines and wrinkles, rough patches of skin, and even minor scars and maximizing their facial plastic surgery results.

If you are interested in learning more about a plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Additionally, some reconstructive procedures may be covered by insurance, and 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.

Minimizing Plastic Surgery Complications

November 11th, 2014 | Posted by drburstein_marketing in Blog | Plastic Surgery news - (Comments Off)

No surgery is completely without risk, and cosmetic surgery is no exception.  According to the American Society of Plastic Surgeons (ASPS), the facelift, or rhytidectomy, is one of the five most commonly performed cosmetic surgeries in the United States, and although the procedure has proven to be extremely safe and effective, it does carry certain inherent risks that should be taken seriously.  Fortunately, there are several procedures that I work through with my patients before, during, and after surgery that can effectively reduce the likelihood of plastic surgery complications and increase the chance for optimal surgical results.

Before Surgery:
Our initial pre-surgery consultations are the ideal time for my patients to ask as many questions as possible and educate themselves on the risks associated with their plastic surgery procedure.  It also gives me an opportunity to take a detailed and thorough patient history, an absolutely essential step in avoiding the various complications that can arise.  It is important that you bring up any serious health conditions or adverse reactions you have had in the past to anesthesia or other medications.  In addition, we will discuss your current supplements and medications, alcohol use, tobacco use and medical conditions as well as the effects these can have on your procedure.  Finally, I will also explain the increased risks involved with patients who have high blood pressure or hypertension, as well as those who take certain pain medications or blood thinners.

During Surgery:
Many minor surgical complications, like bruising and scarring, can often be minimized by a skilled and experienced surgeon.  Surgery that is completed quickly and precisely produces noticeably less bruising than longer procedures.  However, this level of skill and timing usually can only be developed after years of extensive practice.  By the same token, surgical skill plays a major role in reducing the appearance of scars or in keeping them limited to areas of the body that can be hidden altogether.  Patients who carefully follow post-operative care instructions usually experience far less noticeable scarring as well.   Unfortunately, some scarring may be inevitable, which is why I often recommend chemical peels or laser skin resurfacing treatments to help even skin tone and reduce the appearance of scars even further.

After Surgery:
The value of post-operative care, and particularly of following your doctor’s post-operative instructions, cannot be overstated.  Some of the worst stories about botched plastic surgery procedures are actually the result of patients simply failing to follow post-operative care instructions.  Moreover, diligently attending post-operative visits can often allow me to catch and correct complications before they become serious concerns.  A number of external environmental factors can also mar your plastic surgery results.  Smoking, for example, impedes the natural healing process and can result in increased scarring or skin necrosis.  Alcohol and certain medications can also thin the blood, increasing the risk of bleeding and exaggerating bruising.  Take care to avoid activities involving smoking or alcohol use for at least six weeks before and after your surgery in order to ensure a speedier recovery.

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