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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 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.

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.