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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

It has always been my philosophy that the best way to address facial aging is to take a gradual approach, beginning early with small, subtle procedures focused on highly specific areas of concern and only moving on to more comprehensive procedures when necessary.  In my experience, some of the most effective plastic surgery results can be obtained by treating the small, delicate areas around the eyes.  According to statistics published by the American Society of Plastic Surgeons (ASPS), more than 200,000 eyelid surgeries, or blepharoplasties, were performed in the United States in 2014, making it one of the five most commonly performed cosmetic plastic surgeries.  Many patients, both men and women, come to me with questions about this extremely popular procedure.

Am I a good candidate for eyelid surgery?
facial-plastic-surgeon-atlanta-gaEvery person is unique and each face has its own individual areas of concern, so ultimately the best way to determine if you are a candidate for a blepharoplasty is to come in for a consultation so that I can evaluate your facial anatomy thoroughly and determine what procedures might best remedy your concerns.  In general, however, any healthy men or women without serious eye conditions or medical conditions that would impair healing may be candidates for a blepharoplasty procedure.

Will the results of my eyelid surgery be permanent?
While cosmetic surgery procedures can help alleviate the changes in the face that can occur as the result of aging, they cannot stop the aging process completely.  Even after your procedure, a combination of time and environmental conditions will continue to age your face, and so additional procedures may be necessary to address additional facial aging concerns.  Still, upper eyelid surgery can last at least five to seven years, and in some cases even longer, and lower eyelid surgery rarely needs to be repeated.

What can I expect during recovery after eyelid surgery?
All patients heal at different rates, but after a blepharoplasty you will most likely have small stitches in your upper eyelids that will remain for as long as a week.  Swelling and, less frequently, bruising, is common after the procedure and some patients may even experience temporary blurry vision.  Surgical tape placed over the lower eyelids and cold compresses can help alleviate these side effects, but most patients are able to return to their normal activities within ten days.

A blepharoplasty is just one of the many ways that facial plastic surgery procedures can help keep you looking young and vital.  If you are interested in any of the other procedures that I perform, please contact my office, to schedule a consultation.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

How young is too young for nose surgery?  According to statistics published by the American Society of Plastic Surgeons, more than 63,000 cosmetic surgery procedures were performed on patients between the ages of 13 and 19 in 2013, and of those nearly half (more than 30,000) were procedures to reshape the nose.  While some have argued that cosmetic plastic surgery procedures, like nasal surgery, or cosmetic rhinoplasty, are not appropriate for adolescents, the truth is that such procedures can and often do provide a variety of benefits.  When performed by a skilled plastic surgeon, with extensive experience dealing with the subtleties of facial anatomy, adolescent rhinoplasty can be a safe and effective way to resolve congenital disorders or trauma to the nose while greatly improving nasal function and appearance.

Rhinoplasty procedures can be of particular benefit to younger patients because they address both functional and cosmetic issues at the same time.  An adolescent’s self-esteem can be greatly influenced by physical appearance, and as a main focal point of the face, the nose is a key component in establishing harmonious facial balance.  Moreover, several different congenital disorders can affect a patients’ ability to breathe in addition to impacting aesthetic appearance. Cleft lip and palate deformities, as well as physical trauma, can displace the cartilage of the nose, causing the interior wall, or septum, to deviate and restrict air flow.

rhinoplastyMany plastic surgeons are hesitant to perform rhinoplasty on younger patients, as surgical procedures performed before the nose is fully grown can potentially hinder the nose’s ongoing development.  However, the nose has completed approximately 90 percent of its total growth by age 14, and a thorough understanding of the anatomical structure and developmental characteristics of the face can help tremendously in predicting the ultimate outcome.  During all rhinoplasty procedures that I perform, I prefer an open approach that allows visualization of the entire nasal anatomy and, if necessary, easy access to the septum and internal nasal valve.  This level of exposure allows me to achieve a higher degree of precision with every maneuver, largely eliminating late shifting of structures of graft displacement, and increasing the predictability of the procedure.

As my colleagues and I point out in our chapter, “Primary Aesthetic Rhinoplasty in Adolescents”1 (published in Principles and Practice of Pediatric Surgery), adolescence is a critical period of development both physically and mentally, and self-image can play a vital role in long term happiness and well-being.  Where form and function are adversely affected by nasal deformities, adolescent rhinoplasty can result in extremely gratifying plastic surgery results.  In all cases, however, any adolescent prospective patient should have an honest, open discussion with their parents about their concerns and aesthetic goals.  From there, a thorough preoperative evaluation and discussion of expectations, along with computerized imaging to help avoid the misunderstandings that lead to postoperative disappointment, is an absolutely essential first step before undergoing any cosmetic plastic surgery procedure.  Following a step-by-step approach, with an emphasis on a conservative but thorough evaluation of the patient’s aesthetic and functional needs, is the key to achieving the best possible surgical outcome.

If you have questions about how best to address your own individual facial concerns, or if you are interested in any of the facial plastic surgery procedures I perform, please contact my office, to schedule a consultation.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

  1. Burstein, F.D., Bauer, M.D., Bruce S.: “Primary Aesthetic Rhinoplasty in Adolescents: Indications and Techniques.” Principles and Practice of Pediatric Surgery. Quality Medical Publishing, Inc. St. Louis, MO., Vol 2, 34:945-966, 2008.

The traditional full facelift, one of the most commonly performed facial plastic surgery procedures in the United States, has long been considered the “gold standard” in facial rejuvenation.  By removing loose, sagging skin while simultaneously lifting and tightening the underlying facial musculature, a facelift can effectively alleviate a number of the traditional signs of facial aging across the entire face, and for decades, no other facial plastic surgery procedure has been able to provide results that are as comprehensive and long-lasting.  However, the progression of facial aging can vary dramatically from person to person, and it is only very rarely that all the different areas of the face age at precisely the same rate.  As a result, many patients may desire cosmetic surgery to address one specific facial area or feature while other areas require no alteration whatsoever.  This is the main reason that the mini-facelift was created.

Mini-Facelifts for Natural-Looking Customized ResultsA mini-facelift is a precision surgical approach 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.  By performing comparatively minor, subtle changes that blend seamlessly with the natural contours of the face, I am able to lift and rejuvenate the features without making them appear stretched or “wind-blown.”  A mini-facelift can also prevent sagging skin and wrinkles from compounding over time, effectively postponing the age at which a full facelift might otherwise have been necessary.  Finally, because mini-facelift procedures focus on specific areas rather than the entire face, they require less extensive surgery, including less anesthesia and smaller incisions, and so allow for a noticeably faster recovery.

Mini-facelifts typically focus on either the upper, middle, or lower face.  Upper facelifts work to smooth the appearance of deep forehead furrows and frown lines, middle facelifts lift and reposition the fat and muscles in the cheeks while removing excess fat from under the eyes, and lower facelifts specifically tighten the underlying muscles of the lower jaw region while removing fat from under the neck and jowls.  Because these procedures are less invasive and work with smaller muscle groups than a full facelift, they can even be done using only very tiny, limited incisions under the sideburns and in front of the ears.  It has long been my philosophy that a graduated approach to facial aging, beginning with more subtle, less invasive procedures that can be individually tailored to each patient’s unique cosmetic needs is the best way to achieve the most natural looking cosmetic surgery results while minimizing risk, recovery time, and patient expense.

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.

beforeAs a board certified plastic surgeon and otolaryngologist (head and neck surgeon) it has always been my philosophy on facial aging that the most natural looking, long term results are achieved by approaching the face as a unified whole rather than a combination of distinct elements.  The results from a rhinoplasty procedure to deemphasize an overly prominent nose may be significantly improved with facial contouring to augment a weak jaw line.  While it is common to separate plastic surgery procedures into “reconstructive” and “cosmetic” types, the features of the face must all work together to create a harmonious whole and so the distinction between the two is sometimes not so perfectly clear.  Many patients who have undergone reconstructive surgery early in life, usually as a means to treat congenital defects, return years later to have other facial features contoured or sculpted to create a more seamless and aesthetically integrated profile.

Cleft lips or cleft palates, together commonly referred to as “orofacial clefts,” occur when a baby’s lip or mouth does not form properly during pregnancy.  Because the palate and upper lip form independently, it is possible for a baby to have a cleft lip, a cleft palate, or both.  Orofacial clefts are among the most commonly occurring facial birth defects, affecting more than 7,000 infants in the United States each year, and can ultimately cause difficulties in eating, speech, and respiration.  While reconstructive facial plastic surgery is commonly used to correct these defects, it is possible for subtle, long term effects to linger into adulthood.  Specifically, a cleft lip can affect the nasal septum, the structure within the nose that separates the left and right nostril, causing a deviated septum that can affect breathing and cause congestion problems in patients.  Many of these patients seek rhinoplasty, or nose surgery, after the facial features are fully developed to both relieve breathing difficulties and bring the size and shape of the nose into better proportion with the rest of the facial features.

afterAnother defect present at birth, craniosynostosis, or an improper fusing of the plates that make up the developing skull, can also cause aesthetic deficits that can be corrected by cosmetic surgery procedures.  The first reconstructive surgeries to separate the fibrous joints between the plates so that they can grow back together correctly are performed in the patient’s first year, but as the features of the face continue to grow and develop, some patients look towards brow lift surgery or other facial contouring procedures to maintain symmetry and a more aesthetically pleasing appearance.

These are just a few of the ways that cosmetic plastic surgery can be used to enhance or improve the effects of facial reconstruction surgery.  If you are interested in any of the facial plastic surgery procedures I perform, please contact my office, to schedule a consultation.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Over the course of the last twenty five years as a board certified plastic surgeon specializing in reconstructive and cosmetic facial procedures, I have watched attitudes towards plastic surgery change a great deal.  One of the most significant changes that I have observed has been the way men have increasingly come to embrace facial plastic surgery.  In the last five years alone, I have seen a steady increase in the number of male patients coming into my office seeking various forms of facial rejuvenation, ranging from minimally-invasive cosmetic injectables, like Botox® or facial fillers, to more significant, long-lasting cosmetic facial plastic surgery procedures such as eyelid surgery.  One of the areas of concern that my male patients most often seek to address is the lower face, specifically the area defined by the chin and jaw.  Not only is this area one of the first that is affected by the advancement of facial aging, it is also one of the areas where subtle changes can bring about profound yet natural looking cosmetic surgery results.

blepharoplastyOver time, the muscles and tissues of the body tend to lose strength and elasticity, especially in areas that see a great deal of use.  This gradual process is particularly noticeable in the face, where the tiny muscles responsible for constantly shifting facial expressions begin to stretch and sag, allowing excess fat and skin to slide down the face and form folds around the neck and jaw.  While the effects of facial sagging, such as the proverbial “double chin” or “turkey neck,” can be unpleasant for either gender, they can be particularly troubling for men competing in a competitive and increasingly young job market, where a firm and chiseled jaw line is often perceived as synonymous with confidence, decisiveness, and masculinity.  Often a neck lift can help alleviate these symptoms and give the entire face a more youthful and dynamic appearance.

During a neck lift, or lower rhytidectomy, incisions are made under the chin and around the ears to allow sagging neck muscles to be lifted and tightened, significantly reducing the appearance of muscle banding around the neck and redefining the jaw line.  At the same time, excess skin can be trimmed away while fat is redistributed or removed completely via liposuction, reducing sagging jowls and helping to create a smoother, younger looking facial profile.  I have also found that supplementing a neck lift procedure with fat transfer or facial contouring to further augment the chin or jaw can bring the facial features into better balance and create a more unified and natural looking whole.

If you have questions about how best to address your own individual facial aging concerns, or if you are interested in any of the facial plastic surgery procedures I perform, please contact my office, to schedule a consultation.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.