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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 you read about plastic surgery procedures, it is easy to start thinking of the face as a collection of extremely specific areas of concern, each with their own individual issues and modes of treatment.  However, the best facial plastic surgery results are usually the outcome of approaching the face holistically, seeing all of the individual pieces as complementary parts of a unified whole.  Stepping back and looking at this wider perspective allows us to see how the results of some cosmetic plastic surgery procedures of the face can be significantly enhanced by pairing them with other procedures.  In addition, performing combined procedures together can often substantially reduce not only the overall cost, but also the amount of time one may have to spend recovering from those procedures.

Surgery of the Nose and Facial Balance

eyelid surgery in atlanta gaMany are interested in modifying the shape or size of the nose.  In fact, according to the American Society of Plastic Surgeons, nose surgery, or rhinoplasty, was the cosmetic facial surgery procedure most commonly performed in 2013.  But when considering rhinoplasty, it is important to consider the balance of the other facial features, particularly the nose and cheeks, and how they contribute to a balanced and aesthetically unified whole.  In my practice, I have achieved truly exceptional nasal reconstruction results by pairing the procedure with genioplasty, or chin augmentation surgery.  In some cases, a nose that the patient finds uncomfortably large, for example, can be deemphasized and balanced with a strong, projecting chin.  Combining these procedures allows me to create an elegantly sculpted facial profile without reducing the size of the nose so much that it seems disproportionate or obstructs breathing.

Eyelid Surgery with Sagging Brows

With over 216,000 procedures performed in 2013, blepharoplasty, or eyelid surgery to alleviate sagging skin or under-eye bags, has become nearly as popular as rhinoplasty.  Typically eyelid surgery can be performed on both the upper and lower eyelids, either independently or together, to widen the eye and give the patient a more youthful and rejuvenated appearance.  However, it can be difficult to even see the eyes if the forehead and brows have grown heavy and begun to sag.  In many cases, a forehead lift, or brow lift, can help minimize deep forehead wrinkles, frown lines, brow furrows, and sagging eyebrows by tightening the skin and muscles of the upper third of the face.  The combination of a forehead lift and blepharoplasty can make the face appear much younger and more vibrant.

Finishing with a Facelift

A facelift is considered by many to be the ultimate solution to facial aging.  By removing and tightening sagging skin in order to eliminate the wrinkles and droopy areas of the face, a facelift can often create a long-lasting youthful appearance.  However, even after a facelift, the process of facial aging will continue.  Nothing can stop the skin from slowly losing volume and elasticity, and this may cause the results of a facelift procedure to diminish over time, particularly in patients who received facelifts at younger ages.  Fortunately, there are many different non-invasive maintenance procedures that can help forestall the effects of facial aging and maintain facelift results longer.  I often recommend Botox® Cosmetic to help alleviate the facial wrinkles that can result from shifting facial expressions, and the loss of facial volume can be addressed using volumetric enhancements like Juvéderm® injectable facial filler or autologous fat transfer.  Both of these procedures treat the underlying causes of facial aging and wrinkles, keeping the skin looking younger longer.

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 Care Credit®, in order to assist you.  Be sure to connect with me on FacebookTwitter, and Google+ for the latest facial plastic surgery news.

Over the past two decades, as plastic surgery has moved into the main stream for women, it has also become more socially acceptable for men.  More and more, looking young and vital has become a key factor in determining career success and many of my male patients, men who are at the top of their careers who feel young and confident, are worried they look much older than they feel.  Many of these men have found that cosmetic plastic surgery procedures can give them a competitive edge in the workplace by helping them look more vital and feel more confident.  In fact, according to the American Society of Plastic Surgeons (ASPS), men now account for almost 10% of all cosmetic procedures performed in the US, an overall increase of 22% since 2000.

male cosmetic plastic surgery atlantaOne of the primary concerns for professional men seeking plastic surgery is the downtime.  In many cases, they seek subtle, minimally invasive treatments that will smooth lines and wrinkles or improve overall skin tone without the need to take time off of work.  Botox® cosmetic injections, designed to minimize the appearance of fine lines and wrinkles in the forehead and around the eyes, have seen a 310% rise in popularity among men since 2000.  Specifically, Botox® can help to relax the frown lines that often occur between the brows, which many men complain make them appear angry and contentious.  Moreover, facial fillers like Juvéderm® and Restylane® (up 13% in just the last year) can help restore volume to facial features that have become slackened and sagging with age.

In addition, some men find that certain specifically targeted facial contouring procedures can also contribute to their success in the workplace.  Many believe that a strong, well-defined jaw line projects the appearance of authority and decisiveness.  Jaw-line recontouring, which augments or shapes the existing bones of the jaw, can help create a more desirable facial profile.  Similarly genioplasty, or chin augmentation surgery, sculpts the chin to bring it into harmonious proportion with the rest of the facial features and is actually the only facial procedure where men make up the majority of patients (51% according to ASPS).

Finally, the use of high definition video conferencing has increased the amount of close-up face-to-face interaction over the course of a regular business day.  As a result, the areas around the eyes have become areas of concern.  Sagging eyelids and puffy bags under the eyes can create the appearance of sleepiness or disinterest.  Blepharoplasty, or eyelid surgery, has become increasingly popular among men who want to keep their eyes looking vital and alert.

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

Combining Form and Function with Cosmetic Ear Surgery

September 2nd, 2014 | Posted by drburstein_marketing in Blog | Ear Surgery - (Comments Off)

Many people are familiar with the various procedures that can be performed to subtly contour and rejuvenate the features of the face.   From reconstructive rhinoplasty (nose surgery) that can correct breathing problems to cosmetic facelifts that can help to alleviate the effects of aging, facial plastic surgery procedures have become a familiar part of our everyday lives.  However, there is one area that often goes unnoticed and ignored: the ears.  Few realize that ear surgery, or otoplasty, can be used to correct congenital defects that may affect the appearance and function of the ear.

atlanta ear surgeryPatients often seek cosmetic ear surgery to improve the appearance of protruding ears which can cause psychological implications such as embarrassment or diminished self-confidence.  Between the third and sixth months of fetal development, the cartilage that forms the outer ears undergoes a series of folds as it grows.  These folds are what give the ear its characteristic appearance.  However, in some cases, this process is interrupted, resulting in ears that project prominently from the sides of the face.  Cosmetic otoplasty can often create a more streamlined appearance to the ear and a more balanced and proportionate facial appearance by carefully scoring the cartilage, causing it to bend, and thereby recreating the missing fold.  This procedure is generally carried out on children between the ages of five and seven years, when the ear is nearly of adult size and the cartilage is of adequate thickness to tolerate scoring and hold sutures.  While it is optimal to perform the procedure as early as possible, to avoid many of the psychological and social difficulties that may occur, the procedure can actually be performed on patients of any age.

Over the course of several hundred cosmetic otoplasty procedures, I have developed a surgical technique that allows me to increase the antihelical fold just inside the rim of the ear while simultaneously reducing the cartilage that defines the largest concavity of the external ear, all with minimal complications or need for revision.  The incisions are made behind the flap of the ear, so that, with the ear permanently positioned closer to the head, any surgical scars are well hidden.  Ultimately this technique in cosmetic otoplasty results in an ear that is both functional and aesthetically pleasing.

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

Meet Our September 2014 Spotlight Patient

August 29th, 2014 | Posted by drburstein_marketing in Blog | Spotlight Patients - (Comments Off)

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.