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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 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.

Many claim that the eyes are the windows to the soul.  Whether or not you believe that to be the case, it is true that the eyes are the place where people’s attention is most focused during any social interaction.  We carefully examine a person’s eyes when trying to tell if they are telling the truth, think highly of a person if they can maintain good eye contact, and gaze long into the eyes of a potential love interest.  But this heightened scrutiny means that, when the first signs of facial aging being to appear, the first places that people notice them are around the eyes.  Fortunately there are several steps that you can take to keep your eyes, and the rest of your face, looking young and vital.

eyelid surgery in atlanta gaOne of the first steps to addressing older-looking eyes is prevention.  Constantly shifting facial expressions can, over time, wear out facial muscles and tissues, accelerating the natural loss of skin elasticity.  As a result, tiny expression lines and wrinkles begin to form at the corners of the eyes.  These common signs of facial aging, generally referred to as “Crow’s Feet,” can often be minimized or even erased for a few months by Botox® treatments, which temporarily relax the facial muscles responsible for their formation.  Some physicians have even found that repeated Botox® injections can actually train the muscles of the face to remain relaxed, delaying the appearance of these expression lines even longer.

Unfortunately the effects of time cannot be avoided forever.  Eventually, many people begin to notice that their eyes seem smaller, darker, and more recessed than before and that the dark shadows that form in the eye sockets make them look tired, angry, or sad.  As we age, our skin gradually loses its resilience and elasticity and starts to sag, and this process can progress relatively quickly in the thin, delicate skin of the eyelids.  Ultimately the eyelids start to droop and hang over the eyes or pool in puffy looking bags underneath them.  A blepharoplasty, or eyelid surgery, removes excess tissue and fat from the upper eyelids, lower eyelids, or both, making the eyes appear wider and more youthful, and people who spend time interacting face to face with customers and colleagues need to look as alert and youthful as they feel.

For some patients, however, simply reducing the excess skin and fat from the eyelids may not be enough.  If the facial aging process is more progressed, the skin of the upper face and forehead may have started to sag as well, adding deep, horizontal furrows to the brow and making the eyes appear deeper set and even hooded.  A brow lift, or forehead lift, can help tighten the underlying muscles while trimming excess skin, giving the whole area a smoother and more lifted appearance.  I am even frequently able to perform brow lift procedures using an advanced, endoscopic “key-hole” technique, which can greatly diminish the appearance of scars and speed overall recovery time.

In the final analysis, it has always been my philosophy that facial aging is best approached with graduated procedures, beginning with minimally invasive cosmetic injectables and facial fillers and slowly transitioning to the use of subtle plastic surgery procedures that maintain the face’s natural look.  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.

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.

As a board certified plastic surgeon specializing in cosmetic and reconstructive surgery of the face, I have had the opportunity to study faces of every conceivable age and in over twenty-five years of practice, I have gotten a chance to observe first-hand how individual faces evolve and develop over time. I believe that understanding exactly how age can change the appearance of the face is essential in minimizing the effects of facial aging and achieving the best possible cosmetic plastic surgery results.

facial rejuvenation atlanta gaRecent studies have suggested that many of the changes associated with facial aging are actually more than just skin deep.  Researchers have carefully analyzed computer tomography (CT) scans of the facial bones of young people (age 20 to 40), middle-aged people (41 to 64), and more mature-aged people (65 and up).  Detailed measurements of these three-dimensional reconstructions reveal several important differences in the facial bone structure between the age groups.  Simply put, the bones of the face really do change and undergo an overall decrease in volume with increasing age.  For example, the area of the eye sockets increases significantly, becoming wider and longer in both men and women.  The bones of the middle and lower parts of the face are affected as well.  Researchers found reductions in the angles of the brow, nose, and upper jaw bones and a general decrease in the length and height of the lower jaw.  By taking these structural changes into account, I have been able to significantly improve the results of the facial rejuvenations I perform by incorporating facial contouring techniques to augment and sculpt the bones of the chin and cheeks.

As you leave your teens and enter your twenties, the face generally begins to lose the “baby fat,” shifting from a plump, child-like appearance to a slimmer, more adult look.  Although most people in this age group welcome this change, it is, in fact, the beginning of facial aging.  Expression lines, those tiny lines and creases related to facial movement, start to appear on the brow and around the eyes as facial volume diminishes.  Over the next decade, the skin of the face begins to look “tired” as the skin loses more volume and starts to sag.  Crow’s feet around the eyes become more noticeable and previous sun damage may worsen the appearance of small brown spots.  Many of the blood vessels in the face, particularly around the sides of your nose, may begin to dilate, becoming visible beneath the skin.  Facial creasing becomes more evident as well, manifesting as frown lines, those “dreaded 11’s” that pop up between the brows, and the deepening of the nasolabial lines around the mouth.  Many have suggested that injectable cosmetic treatments like Botox® can be particularly effective at this stage.  Evidence seems to indicate that, if you start early, you can actually stop these wrinkles from getting worse and that, in the long run, you’ll need much less to maintain a youthful appearance.

Eventually the skin begins to suffer a massive breakdown of collagen and elastin fibers, the support structures that hold up skin.  Fat underneath the skin breaks down even further, making the skin thinner and brown spots and wrinkles appear deeper and more prominent.  Treatment at this stage focuses on tightening the loosening skin and repositioning or filling in the underlying tissue.  This can be achieved surgically, with a full facelift, or non-surgically with deep tissue treatments like Ultherapy® skin tightening, which stimulates collagen production while tightening the underlying layers of skin by gently stimulating them with ultrasonic energy.

If you are interested in learning more about facial aging or 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 Care CreditSM, 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.