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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

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.

As medical knowledge advances and we come to better understand the long term benefits of an active and healthy lifestyle, more people are taking measures to get in shape.  Weight loss surgery, liposuction, and rigorous diet and exercise programs are helping millions of people slim down around the world.  However, it is also important to consider the effects that fluctuating weight can have on the features of the face and neck, as well as how those effects can best be addressed with facial plastic surgery procedures, in order to achieve truly optimal, comprehensive results.

double chin surgery atlanta gaThe gradual accumulation of fat, over time, stretches the skin and underlying musculature to such a degree that, if the excess fat is ever lost, sagging skin is inevitably left behind.  In fact, according to a recent article published by the American Society of Plastic Surgeons (ASPS), patients who have lost a substantial amount of weight, in general, find themselves having to deal with a large amount of redundant skin and soft tissue.  While this is true of both the body and the face, the tissues of the face are nearly impossible to exercise, making it much more difficult to eliminate excess skin in this area.  Many patients commonly undergo body contouring procedures to remove excessive skinfolds in the upper and lower body, but those procedures do nothing to relieve the sagging skin left behind in the face and neck.  Such conditions often need to be addressed with facial contouring or full facelift procedures.

In the facial area, excess skin causes cosmetic problems like a “droopy” face and “turkey” neck.  These issues can be particularly problematic in that they mar the overall results of all the hard work that went into losing the weight in the first place and make the patient appear far older than they actually are.  Certain plastic surgery procedures, like neck or facelifts, are specifically designed to address these concerns.  A neck lift, for example, works by removing excess skin and fat from around the neck and underneath the chin, while simultaneously tightening the underlying muscles to eliminate slack jowls and the colloquial “double chin”.  Similarly, a full facelift procedure does much the same for the face itself, lifting and smoothing the facial features to create a more youthful and rejuvenated appearance.  Finally, for faces left looking hollow and gaunt by substantial weight loss, various facial contouring procedures can actually augment the chin or cheeks, giving the entire face more balanced contours and a more elegantly sculpted profile.

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.

Varying Approaches to the Treatment of Facial Aging

February 25th, 2015 | Posted by drburstein_marketing in Blog - (Comments Off)

It is almost universally true that, as we get older, our skin begins to sag.  The natural loss of facial volume and skin elasticity, over time, causes the features of the face to slip lower, and causes excess skin to sag beneath the chin.  There are many different facial rejuvenation methods for treating drooping eyebrows and sagging skin around the neck and jowls, including one of the newest and most technologically advanced: the Ultherapy® skin tightening system.

facial-plastic-surgeon-atlanta-gaThis FDA approved technology focuses high frequency sound waves, similar to those that are produced by a common ultrasound machine, onto the deeper layers of tissue, gently warming them in order to stimulate the body’s natural healing factors and collagen production.  This stimulation, in turn, lifts and tightens loose skin while initiating a process by which the tissue begins to strengthen itself from within.  A typical Ultherapy® treatment takes anywhere from 30 to 60 minutes, depending on the size of the treatment area, and requires no surgical downtime.  Because Ultherapy® works by stimulating the body’s natural healing processes, the results slowly become more pronounced over time.  While patients can generally see some degree of improvement immediately, it is usually three months before significant changes become apparent and six months before optimal results are achieved.

However, even though Ultherapy® can seem to turn back the clock, it cannot stop it entirely.  The average duration of Ultherapy® results is about a year, and that duration can vary a great deal depending on the individual’s starting skin laxity as well as how well they take care of their skin.  Healthier, more resilient skin tends to maintain the results longer, while skin that is subjected to harsh environmental conditions such as heavy smoking or extreme sun exposure will age prematurely whether it has undergone Ultherapy® or not.  For results that are more long-lasting, but still subtle and natural looking, many patients opt for softer surgical procedures.  For example, blepharoplasty, or eyelid surgery, can permanently remove excess skin and fat deposits from the upper and lower eyelids, giving the patient an overall younger appearance with a relatively short and minimally-invasive surgical procedure.

Patients with even more pronounced signs of facial aging, specifically those who have already lost a great deal of skin volume and elasticity, may enjoy more significant and long lasting benefits from a full facelift procedure.  A recent study published by the American Society of Plastic Surgeons found that at least three fourths of facelift patients look younger five years after their facelift procedure than they did before it.  Moreover, a full facelift can be complemented with various secondary procedures, such as fat grafting or facial contouring procedures, designed to balance the facial features and further enhance the final aesthetic results.

Ultimately, the longest lasting, most natural looking results are the product of a gradual, tiered approach, using minimally-invasive facial rejuvenation technology and techniques early on to forestall the effects of facial aging, and then moving on to facial cosmetic surgery procedures when necessary.  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.