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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

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.

As we age, many changes occur not only to our bodies but also to our skin.  Many baby boomers who worshipped the sun in their teens are now faced with the wrinkles, pigment changes and, in some cases, skin neoplasms that long-term sun-exposure can cause.  Long-term cigarette smokers find that they now suffer from skin damage and premature aging caused by the destruction of microscopic blood vessels.  Finally, wrinkles and dark spots eventually come to mar the complexions of even the most cautious among us.  In part three of my facial rejuvenation series, I will discuss the physical changes that the texture and color of our skin may experience as we age, as well as some of the causes and subsequent cosmetic treatment options.

Chemical Peels Atlanta GA

Fortunately, there are many exceptional non-surgical treatment options for damaged skin, including laser resurfacing, chemical peels, and microdermabrasion.  Given the sheer variety of cosmetic treatment options available, we have the opportunity to carefully examine every patient’s specific areas of concern, evaluate the type and severity of the problems, and choose a treatment plan that is customized to each patient’s personal needs and goals.  For example, mild to moderate skin wrinkling and pigment changes among patients in their 30’s and 40’s might require only a mild peel, while for a patient in their 50’s or 60’s with deeper wrinkling, a deeper peel or even laser resurfacing might be indicated.
A particularly effective approach to skin imperfections is the Sciton® laser resurfacing system.  The Sciton® Erbium laser uses light energy to safely exfoliate dead and damaged cells that make up the upper layers of the skin.  The healing cells then rapidly produce collagen, resulting in fresher, more vital looking skin.  The Erbium laser is completely adjustable, allowing it to treat conditions such as wrinkling, severe acne, post-trauma scarring, keratosis, and pigment irregularities as well as patients with differing skin tones safely and effectively.  Many patients will be able to see results after one treatment, but some may require additional sessions.

For those seeking more subtle, minimally-invasive approaches, trichloroacetic acid (TCA) peels can revitalize skin with minimal downtime while addressing many skin conditions including acne, hyperpigmentation, fine lines and wrinkles, rough or scaly patches of skin, and scars by chemically inducing exfoliation to reveal healthy, undamaged skin and enhance new skin cell production.  Moreover, Botox® cosmetic injections cause facial muscles to relax, smoothing the appearance of wrinkles and furrows around the eyes and forehead to create a more youthful appearance and even, in some cases, preventing further wrinkles from forming with results lasting an average of 4-6 months.

The key to developing a long term approach to facial rejuvenation is to allow surgical and non-surgical procedures to complement one another, achieving even greater overall results.  For some of my patients, areas of the face or neck might benefit from slimming and contouring with liposuction while others may experience a loss of volume and could benefit from autologous fat transfer, also known as fat injection.  The process of fat transfer allows me to take subcutaneous fat from one area of the body, using liposuction techniques, to fill aged or hollowed-out areas with naturally-added volume.  Harvested fat is purified before being re-injected into sunken facial areas including the lips and cheeks.  The donor fat can be taken from various areas on the body, for example the abdomen, and once injected I am able to sculpt the fat to provide a natural, more youthful and long-lasting effect.

As with all procedures, it is important for you to schedule a consultation with a board-certified plastic surgeon familiar with the intricacies of the face to ensure the best treatment for your specific needs.  If you are interested in learning more about skin resurfacing or working out your own individualized treatment plan, please contact us today to schedule a consultation. Also be sure to connect with Dr. Burstein on FacebookTwitter, and Google+ for the latest facial plastic surgery news.

Genetics, lifestyle, and even the choices we make in our youth have profound effects on the dynamics of the aging process.  All of these subtle factors can significantly affect skin texture and pigmentation, sun tolerance, or even healing.  In part one of my facial rejuvenation series I discussed my overall philosophy for approaching anti-aging treatments.  It is my belief that understanding a patient’s history in detail is vital before a treatment plan suited to their specific needs can be developed.  No matter what your history of lifestyle, there are basic components to facial aging that must be considered and understanding these components individually allows us all to begin to manage the aging process more effectively.

Component: Skin Laxity

facial cosmetic surgery atlanta gaAs we age, the muscles and skin of the face lose their natural elasticity.  Like a rubber band, when stretched over and over, can no longer return completely to its original size and shape, skin can also become “stretched out” or “lax.”  These lax tissues of the neck and face descend due to gravity and natural muscular wear and tear.  This may manifest as a deepening of the lines that run from the side of the nose to the corner of the mouth, a drooping of the brows, jowls, and neck, or as a sagging and folding of skin and soft tissue.  Traditional surgical options were once limited to facelift, brow lift, and neck lift procedures, but now a myriad of surgical and non-surgical options are available.  Depending on the degree of your muscle laxity, fat volume, and skin elasticity, non-surgical or combined surgical and non-surgical treatments may be appropriate.

One particularly effective treatment option I offer is Ulthera® skin tightening.  Sometimes referred to as a skin tightening system, Ultherapy® uses ultrasound technology to target deep tissue with high frequency sound waves.  This lifts and tightens loose skin while stimulating collagen production to tone lax muscle.  Ultherapy® is FDA approved for treating areas above the brow, under the chin and around the throat and leaves treated areas looking younger and more lifted without the need for surgery.

Component: Loss of Facial Volume

Along with skin laxity, many patients experience a loss of facial fat volume, or deflation, as they age.  The plump, full lips and cheeks associated with youth seem to droop and sag, like a balloon gradually loosing air, contributing to the gaunt appearance often associated with old age.  There are several options for improving facial volume in selected areas that can be incorporated as part of your facial rejuvenation plan.

Less invasive approaches including facial fillers, collagen-based injectables that work to counteract the natural effects of “deflation,” smooth out fine lines and wrinkles by restoring volume.  My nurse practitioner, Debi Cooper, NP-C, who has completed extensive specialized training in dermal filler techniques using Juvéderm®, Voluma™ and Restylane®, performs non-surgical facial rejuvenation procedures for patients aged eighteen and up.  The procedure itself generally takes about 10 to 15 minutes, and is relatively painless with the recent FDA approval of facial fillers with lidocaine (a local anesthetic).  Results can last from four months up to years depending on the type of injection you choose as well as the dedication you put into maintaining the best results.

Individual plans can and should vary depending on each individual patient’s needs and outcomes.  Everyone ages differently and deserves a customized treatment plan that provides the best results.  If you are interested in learning more about facial rejuvenation or even working with me, Dr. Fernando Burstein, on your own individualized treatment plan, please contact us today to schedule a consultation. Also be sure to connect with Dr. Burstein on FacebookTwitter, and Google+ for the latest facial plastic surgery news.  Check back regularly to follow the next part of Dr. Burstein’s facial rejuvenation series.

Double board-certified plastic surgeon, Dr. Fernando Burstein has been practicing facial reconstructive and cosmetic surgery for over 25 years.  In part one of this facial rejuvenation series, Dr. Burstein explains his approach to facial rejuvenation, outlining his overall philosophy, summarizing the general course of treatments, and detailing the components of facial aging and the methods for combating them.

facial rejuvenationIt is my belief that although facial aging is inevitable, it can be managed through the gradual and skillful application of a combination of non-surgical and surgical treatment options.  Simply put, regardless of the age of a patient, starting treatment plans earlier in the aging process and then gradually working up to more comprehensive treatments later on (if necessary) can produce optimal outcomes.  Moreover, the best results are possible only when physician and patient work together to determine the patient’s final aesthetic goals.  When factors of history and lifestyle are taken into careful consideration, and when all the components of facial aging (skin damage, laxity, and loss of volume) are addressed with this long term, graduated approach, maintaining youthful and healthy skin throughout the ages is possible.

This philosophy has been the driving force behind the design of my practice.  I have created a tight-knit team of nurse practitioners, aestheticians, and coordinators who work together with me to tailor an individualized treatment plan for each patient.  My team and I strive to provide our patients with the safest, most natural, and effective treatments suited to their unique hereditary traits, skin tone, and texture.  It is my hope that by maintaining an open line of communication throughout each patient’s gradual, variable treatment approach, we can achieve a natural, vital appearance that enhances each patient’s best features.

At my Atlanta plastic surgery practice, there is no such thing as a “typical treatment.”  Every patient’s genetic makeup requires specific considerations when approaching a beneficial treatment plan.  While each patient’s individual treatment plan specifics will vary, in every case I strive to approach planning as an ongoing process, implemented at various life stages according to the patients’ needs and desires.  Patients who begin their facial rejuvenation treatment plan in their early twenties and into their thirties may want to start with subtle, non-surgical treatment options, such as anti-aging skin care products, facial fillers, ultrasonic skin tightening, and Botox®.  Depending on the degree of wrinkling, skin laxity, or fatty deposits, we may later move on to selective minor surgical procedures such as facial liposuction or skin resurfacing.  Even these minimally invasive procedures can help keep a patient looking fresh, young, and vital well into their 40’s.  Ultimately, depending on how a patient ages, more extensive procedures (such as eyelid and brow surgery, neck or face lift) may be appropriate to maintain a revitalized but natural appearance into a patient’s 50’s and even 70’s and upward.  The main goal is to evaluate your facial structure and features during your varying stages of aging and combine the most beneficial treatments to not only address pre-existing and current concerns head-on, but also minimize the need for more aggressive treatments in the future.

Everyone ages differently and deserves a customized treatment plan that provides the best long term results.  If you are interested in learning more about facial rejuvenation or even working out your own individualized treatment plan, please contact us today to schedule a consultation. Also be sure to connect with Dr. Burstein on FacebookTwitter, and Google+ for the latest facial plastic surgery news.