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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

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.

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.

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.

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.