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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

beforeAs a board certified plastic surgeon and otolaryngologist (head and neck surgeon) it has always been my philosophy on facial aging that the most natural looking, long term results are achieved by approaching the face as a unified whole rather than a combination of distinct elements.  The results from a rhinoplasty procedure to deemphasize an overly prominent nose may be significantly improved with facial contouring to augment a weak jaw line.  While it is common to separate plastic surgery procedures into “reconstructive” and “cosmetic” types, the features of the face must all work together to create a harmonious whole and so the distinction between the two is sometimes not so perfectly clear.  Many patients who have undergone reconstructive surgery early in life, usually as a means to treat congenital defects, return years later to have other facial features contoured or sculpted to create a more seamless and aesthetically integrated profile.

Cleft lips or cleft palates, together commonly referred to as “orofacial clefts,” occur when a baby’s lip or mouth does not form properly during pregnancy.  Because the palate and upper lip form independently, it is possible for a baby to have a cleft lip, a cleft palate, or both.  Orofacial clefts are among the most commonly occurring facial birth defects, affecting more than 7,000 infants in the United States each year, and can ultimately cause difficulties in eating, speech, and respiration.  While reconstructive facial plastic surgery is commonly used to correct these defects, it is possible for subtle, long term effects to linger into adulthood.  Specifically, a cleft lip can affect the nasal septum, the structure within the nose that separates the left and right nostril, causing a deviated septum that can affect breathing and cause congestion problems in patients.  Many of these patients seek rhinoplasty, or nose surgery, after the facial features are fully developed to both relieve breathing difficulties and bring the size and shape of the nose into better proportion with the rest of the facial features.

afterAnother defect present at birth, craniosynostosis, or an improper fusing of the plates that make up the developing skull, can also cause aesthetic deficits that can be corrected by cosmetic surgery procedures.  The first reconstructive surgeries to separate the fibrous joints between the plates so that they can grow back together correctly are performed in the patient’s first year, but as the features of the face continue to grow and develop, some patients look towards brow lift surgery or other facial contouring procedures to maintain symmetry and a more aesthetically pleasing appearance.

These are just a few of the ways that cosmetic plastic surgery can be used to enhance or improve the effects of facial reconstruction surgery.  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.

Over the course of the last twenty five years as a board certified plastic surgeon specializing in reconstructive and cosmetic facial procedures, I have watched attitudes towards plastic surgery change a great deal.  One of the most significant changes that I have observed has been the way men have increasingly come to embrace facial plastic surgery.  In the last five years alone, I have seen a steady increase in the number of male patients coming into my office seeking various forms of facial rejuvenation, ranging from minimally-invasive cosmetic injectables, like Botox® or facial fillers, to more significant, long-lasting cosmetic facial plastic surgery procedures such as eyelid surgery.  One of the areas of concern that my male patients most often seek to address is the lower face, specifically the area defined by the chin and jaw.  Not only is this area one of the first that is affected by the advancement of facial aging, it is also one of the areas where subtle changes can bring about profound yet natural looking cosmetic surgery results.

blepharoplastyOver time, the muscles and tissues of the body tend to lose strength and elasticity, especially in areas that see a great deal of use.  This gradual process is particularly noticeable in the face, where the tiny muscles responsible for constantly shifting facial expressions begin to stretch and sag, allowing excess fat and skin to slide down the face and form folds around the neck and jaw.  While the effects of facial sagging, such as the proverbial “double chin” or “turkey neck,” can be unpleasant for either gender, they can be particularly troubling for men competing in a competitive and increasingly young job market, where a firm and chiseled jaw line is often perceived as synonymous with confidence, decisiveness, and masculinity.  Often a neck lift can help alleviate these symptoms and give the entire face a more youthful and dynamic appearance.

During a neck lift, or lower rhytidectomy, incisions are made under the chin and around the ears to allow sagging neck muscles to be lifted and tightened, significantly reducing the appearance of muscle banding around the neck and redefining the jaw line.  At the same time, excess skin can be trimmed away while fat is redistributed or removed completely via liposuction, reducing sagging jowls and helping to create a smoother, younger looking facial profile.  I have also found that supplementing a neck lift procedure with fat transfer or facial contouring to further augment the chin or jaw can bring the facial features into better balance and create a more unified and natural looking whole.

If you have questions about how best to address your own individual facial aging concerns, or 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.

Varying Approaches to the Treatment of Facial Aging

February 25th, 2015 | Posted by drburstein_marketing in Blog - (Comments Off)

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.