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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

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.

When it comes to something as important as your health, it is not best to cut corners to save a few dollars.  Deeply-discounted surgery may seem like a good idea, but the long term costs can far outweigh the immediate savings.  When you are considering plastic surgery, there are three things you need to make certain you are getting.  If any “deal” is lacking in any of these areas, it just isn’t worth it, no matter how inexpensive it may be:

  1. Credentials:  The American Board of Plastic Surgery (ABPS) is the only recognized organization for certifying plastic surgeons in the United States.  The process of board certification is rigorous and takes years of specialized training and practice beyond medical school and residency, including thousands of hours of hands-on surgical experience.  With patients going abroad to neighboring foreign countries, the same qualifications to be a practicing plastic surgeon may not always apply universally.  The ability to research a surgeon’s credentials based on an entirely different country’s standards poses certain uncertainties for patients that may have to rely solely on the internet to make their decision.  There is a greater chance that you will have no way of really knowing exactly what their level of training might be.
  2. Consultations:  The best plastic surgeons realize that every patient has unique concerns and highly specific aesthetic goals.  They will work closely with their patients to establish strong communication.  This mutual rapport is essential so that the surgeon can understand exactly what the patient wants and needs, and so that the patient can understand fully what is involved in the procedure and what expectations are reasonable.
  3. Follow-Up Care: Optimal outcome from any surgical procedure requires carefully-managed recovery, with a doctor who is there to answer your questions and immediately address any problems or complications that may arise.  Board-certified plastic surgeons generally have privileges at accredited hospitals.  I currently hold hospital privileges at Northside Hospital and Children’s Healthcare of Atlanta at Scottish Rite so that in the case of an emergency I can get access to full medical facilities to quickly assist my patients.  Moreover, the best surgeons want to make sure your results remain optimal for years to come, not just until your check clears.  By traveling to foreign countries, patients significantly reduce their ability to receive proper follow up care.  Should a complication arise, limited contact with the original surgeon can prolong the patient’s ability to address any issues in a timely manner.  The longer a patient waits, the more risks of worsening complications arise.

If you are interested in learning more about a cosmetic plastic surgical 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.

During the summer people are more active, and many (particularly children and young adults) participate in outdoor sports.  While exercise is a healthy activity that should always be encouraged, there are also several inherent dangers associated with physically demanding sports activities.  Of particular interest to me, as a plastic surgeon specializing in facial reconstructive and cosmetic procedures, is the prevalence of serious facial injuries resulting from sports-related mishaps.  According to the June issue of Plastic and Reconstructive Surgery Global Open, sports-related facial injuries that require surgical correction occur more frequently in the summer months.  While most sports-related injuries are orthopedic in nature, maxillofacial trauma (injury to the bones of the face) can also be a frequent occurrence.

Facial Injuries and Maxillofacial ReconstructionAmong the most commonly occurring injuries to the face are broken noses, broken jaws, and fractures of the cheek bone (zygomatic fractures) and eye socket (orbital fractures).  Jaw fractures can result in malocclusion, or an inability to bring the teeth together, and both zygomatic and orbital fractures can result in facial asymmetry and potential vision-related problems.  It is important to note that some minor fractures may not be obvious under external examination, which may prevent individuals suffering from these injuries from seeking prompt medical attention.  Leaving these injuries untreated can ultimately lead to facial deformities and functional difficulties developing in the future.

With board certification in both plastic surgery and otolaryngology, I am specialized in cosmetic and reconstructive facial plastic surgery procedures necessary to repair these sorts of injuries.  Rhinoplasty (nose surgery) can align and reset the delicate bones of the nose, restoring both appearance and function.  Mandibular and maxillary reconstruction can reshape and reposition the existing bone, or implant bone grafts to replace missing or compromised sections of the jaw.  Finally, maxillofacial surgery can correct the physical symptoms of facial fractures, contouring the bones of the face into more symmetrical and pleasing proportions and helping to prevent the development of future complications.

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.

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.  I consider it an honor and a privilege to have been named as a Top Doctor in the field of plastic surgery in this year’s list.  This occasion marks the sixth consecutive year I’ve been so named, the tenth since 1999, but I consider that a testament to the enduring support of my amazing staff and to the inspiration I draw from all of my patients.

castle connolly top doctorAtlanta Magazine’s list is compiled by Castle Connolly Medical Ltd., a healthcare organization founded in 1991 to guide consumers to the highest quality healthcare.  I find their approval so valuable because their process relies on extensive peer-nominations.  Tens of thousands of licensed physicians in fourteen countries vote for physicians in their respective specialties, looking for doctors who not only excel in academic medicine and research, but who also exhibit exceptional patient care.  Castle Connolly asks physicians to nominate those to whom they would send their own families.

I have been practicing cosmetic and reconstructive surgery in Atlanta for over 25 years and I most value the fact that I have been able to build strong relationships with my patients in addition to striving to always provide exceptional patient care.  Being board certified in both otolaryngology (head and neck surgery) and plastic surgery, I make 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.  But 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 amazing patients in the future and invite you to contact me if you have any questions!  To keep up with the exciting news and events happening, be sure to connect with me, Dr. Fernando Burstein, on FacebookTwitter, and Google+ for all the latest.

While it is rare, given the advancement of medical services in developed countries and awareness among patients, to find an adult with an uncorrected cleft lip and palate, many adult cleft patients have residual nasal and lip deformities which were never adequately corrected for a variety of reasons.  In some cases financial resources or doctors with expertise were simply unavailable.  In others, the patient was fearful of more surgery and refused to continue.  These residual deformities can result in misaligned jaws and teeth, missing teeth, nasal and breathing problems, speech problems, and uneven lip appearance.  Fortunately these problems can be addressed with the latest reconstructive surgery techniques in adult cleft lip and palate reconstruction regardless of a patient’s age.

adult cleft lip and palate reconstruction In up to 20% of cleft palate patients, the failure of the upper jaw to adequately develop can result in a significant underbite requiring jaw surgery.  However advanced techniques, including the use of titanium plates and screws to avoid the wiring of the jaw, have facilitated this surgery and significantly enhanced the success rates.  Moreover, the use of bone from tissue banks has allowed surgeons like me to avoid the reliance on grafting from the patient’s own hip bones, significantly decreasing post operative discomfort.  Finally, jaw surgery is often combined with dental rehabilitation which includes the use of implants, bridges, and other cosmetic dental measures.

Frequently, a cleft lip nasal deformity occurs with a cleft lip and palate.  This separation can affect the nose, causing it to look widened and flattened because the cartilage is displaced.  More importantly the nasal septum, or structure within the nose that separates the left and right nostril, is often not aligned properly, affecting breathing and causing congestion problems in patients that can be corrected with rhinoplasty.  With techniques that make use of the patient’s own tissues and require only minimal incisions, adult cleft patients can achieve gratifying results that greatly enhance breathing, function, symmetry, and overall nasal appearance.  These modern procedures require no packing in the nose and the use of absorbable stitches and computer imaging all help achieve the desired outcomes.  Ultimately by combining these measures, we can restore facial harmony and enhance the profile while simultaneously improving function to maximize aesthetic and functional results.

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