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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

One of the most fascinating things about being a plastic surgeon who specializes in facial procedures is the way that all of the individual elements of the face subtly work together to achieve a unified whole.  Even the tiniest detail is important, so when making decisions about facial plastic surgery procedures, one has to take into consideration all the different ways each individual element can affect the overall aesthetic balance.  One element that can be easily overlooked is the ear, and few realize that its size, shape, and placement can have profound effects on overall facial aesthetics.  Over the years I have had the opportunity to help hundreds of men and women of all ages improve the appearance of their ears through otoplasty, a common facial plastic surgery procedure.

Ear Surgery Can Benefit Patients of All AgesThe most common reason for ear surgery is to correct the appearance of overly prominent ears in young children.  In some cases, the cartilage forming the ears fails to fold properly during fetal development, resulting in an ear that sticks out unnaturally far from the side of the head.  Cosmetic ear surgery can often decrease the protrusion of these ears by recreating the missing cartilage folds, effectively bringing the ear closer to the head and giving the ear a more normal appearance.  I have personally published an article describing my own cartilage sparing otoplasty technique1, and have found that these procedures are generally best 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 hold sutures.

However, cosmetic ear surgery can also benefit patients who are far older.  Ears, like any other facial feature, tend to sag and droop with age, as the gradual slowing of collagen production in the skin causes the skin to lose elasticity.  Moreover, studies have suggested that all ears naturally elongate by as much as 0.22 millimeters per year, a fact that has even been used by forensic scientists to determine a person’s approximate age.  In some cases, I have found that subtle ear surgery to give the ear a more youthful appearance can complement more traditional facial rejuvenation procedures, like a mini-facelift, neck lift, or injectable cosmetic treatments, and better bring the newly lifted facial features into a more natural looking balance.

Every face is unique, and every detail makes a difference, so a full and careful examination will be necessary before we can determine what approach is right for you.  Together we can view possible results through computer simulations so that you will know exactly what to expect.  If you have any questions about ear surgery, or are interested in discussing any of the various cosmetic or reconstructive facial plastic surgery procedures that I perform, please contact me, Dr. Fernando Burstein, to schedule a full consultation.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

  1. Burstein, FD.: Cartilage-Sparing Complete Otoplasty Technique: A Ten Year Experience with 100 Patients. Journal of Craniofacial Surgery. 2003 Jul;14(4):521-5.

When we are young our skin is smooth, resilient, and elastic, but as we all know it very seldom stays that way.  When the skin ages, the collagen and elastin fibers that act as a kind of support structure begin to gradually weaken and break down, allowing the facial features to sag and wrinkles to form.  In the past twenty-five years that I have been practicing as a board-certified plastic surgeon I have had an opportunity to study thousands of faces at every conceivable stage of development, and so I am very familiar with the progression of facial aging.  Here is a visual representation of some of the more common signs of aging that can affect the face as well as the cosmetic plastic surgery and non-surgical facial rejuvenation treatments that can best address them.

Facial Rejuvenation Inforgraphic FINAL

All faces age differently, and so there is no single course of treatment that is universally appropriate for all patients.  Instead, it has always been my facial rejuvenation philosophy that the best way to combat facial aging is with an individualized, gradual approach, where we sit down together in consultation and go over your specific needs so that we can together determine what combination of treatment options will produce optimal facial rejuvenation results for you.  If you are interested in learning more about any of the non-surgical facial rejuvenation or cosmetic plastic surgery procedures that I perform and how I can help you, please contact me, Dr. Fernando Burstein, so that we can schedule a full consultation.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news and tips.

Double board-certified plastic surgeon and otolaryngologist Dr. Fernando Burstein has spent a lifetime performing cosmetic and reconstructive facial plastic surgery procedures ranging from cleft lip and palate repair to aesthetic rhinoplasty and even ear surgery on men and women of all ages.  In our ongoing blog feature, Ask Dr. Burstein, you will have the opportunity to hear him answer some of the most frequently asked questions he receives about facial plastic surgery.

Ask Dr. Burstein Can You Fix a Bad Nose JobQUESTION:  Many years ago, when I was in my mid-twenties, I was forced to undergo reconstructive plastic surgery to repair my nose after a particularly bad automobile accident.  Although the surgeon did do a good job, I have never been particularly happy with the aesthetic results, and I feel as though the appearance of my nose has only gotten worse as I’ve grown older.  It has been more than twenty years since the accident, and I was wondering if it was too late to undergo another rhinoplasty procedure.  Is there anything that I can do now to improve the overall appearance of my nose?

ANSWER:  Actually, your question is not uncommon and there is quite a bit that we can do.  Nasal surgery, or rhinoplasty, is considered to be one of the most difficult facial plastic surgery procedures to perform because a great deal of care must be taken in order to preserve proper function even as you are changing the nose’s appearance.  Moreover, since it may take up to a year for the new nasal contour to fully refine, some patients may not discover until long after their surgery that their results do not live up to their expectations.  Fortunately, patients of any age can undergo a rhinoplasty procedure, provided they are healthy enough for surgery.  In the more than twenty five years that I have been a board certified plastic surgeon and otolaryngologist I have done hundreds of rhinoplasty revision procedures to improve the results of nasal surgeries performed by other surgeons.

Because every face is different and requires a customized approach, I would recommend that you come in for a full consultation so that we can we go over potential results using advanced computer imaging and determine exactly what needs to be done in order to give you the nose you’ve always wanted.

About Dr. Fernando Burstein

Dr. Fernando Burstein is a well-respected Atlanta facial plastic surgeon with board certifications in both plastic and reconstructive surgery and otolaryngology (head and neck surgery.)  With nearly thirty years of experience specializing in cosmetic and reconstructive facial plastic surgery procedures, Dr. Burstein has served as both the chief of plastic and reconstructive surgery and the director of the Center of Craniofacial Disorders at Children’s Healthcare of Atlanta as well as a clinical professor of plastic and reconstructive surgery at Emory University.  He has authored and published more than 100 articles and book chapters on facial plastic and reconstructive surgery and has been honored as one of the top plastic surgeons in Atlanta by Castle Connolly Medical Ltd., a national organization founded in 1991 to help guide consumers to the highest quality healthcare, for the past eight consecutive years.

Happy Holidays from Dr. Fernando Burstein!

December 26th, 2016 | Posted by drburstein_marketing in Blog | Educational | Plastic Surgery news | What's happening with Dr. Burstein - (Comments Off on Happy Holidays from Dr. Fernando Burstein!)

With the holiday season upon us and the year drawing to a close, it can be nice to look back and take stock of everything that we are thankful for.  This past year has definitely been a memorable one, filled with accomplishments, but my staff and I are most proud of the relationships that we have built.  In the more than twenty-five years that I have been a board certified plastic surgeon and otolaryngologist in Atlanta it has always been my greatest honor to be able make a small difference in their lives of my patients.  Thank you all for being a part of our lives.

Atlanta plastic surgery, Atlanta plastic surgeon, Atlanta cosmetic surgery, Atlanta facial rejuvenation, board certified plastic surgeon, anti aging, natural plastic surgery results, facial plastic surgery results, looking younger, happy holidays, This past year we welcomed some new additions to my amazing medical team.  Physician Assistant Kalyani Pandya now directly assists me during surgical procedures and has quickly become an expert in administering injectable facial rejuvenation treatments with Botox® and facial fillers.  Along with Michelle Coppenger, our Registered Nurse and Aesthetic Consulting Imaging Specialist, and administrative assistants Lisa Merlino and Veronica Flores, P.A. Pandya helps make it possible to consistently provide the highest quality care to each and every one of my patients.

When you gather a team of dedicated individuals like this, who work together so seamlessly, you can do truly remarkable things.  I firmly believe that their ever-present caring and professionalism is a reason why I was honored as one of Castle Connolly’s Top Doctors in the field of plastic surgery for the eighth consecutive year, and for the twelfth since 1999.  Castle Connolly’s emphasis on both the evaluations of experienced medical professionals and the testimonials of actual patients is, in my opinion, what makes their recognition such a privilege.  It highlights an aspect of my practice of which I am extremely proud, my long-standing commitment to my patients in Atlanta and beyond.

We hope everyone has a tremendous holiday season!  We all look forward to seeing new patients and visiting with returning ones in months to come and wish you all good health and happiness in 2017.  Contact my office to sign up for our monthly newsletter, and connect with us on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.  Happy holidays and have a safe and joyful New Year!

Which is Better: Surgical or Non-Surgical Facial Rejuvenation?

December 19th, 2016 | Posted by drburstein_marketing in Blog | Facial injectables | Frequently Asked Questions | Skin Care - (Comments Off on Which is Better: Surgical or Non-Surgical Facial Rejuvenation?)

Whether it’s deep creases in the forehead, tiny crow’s feet around the eyes, or sagging cheeks and jowls, one of the most common aesthetic goals of the many men and women who come to me seeking cosmetic surgery is relief from the various signs of facial aging.  These natural changes in the face can make us look much older than we feel and may even interfere with career advancement or a satisfying social life.  Because there are so many different treatment options out there, it can often be difficult to choose which one might be right for you.  Specifically, many patients ask me whether non-surgical facial rejuvenation treatments or facial plastic surgery procedures will ultimately give them the best results.  The answer can actually be much more complicated than people might think.

Which is Better Surgical or Non-Surgical Facial RejuvenationNon-Surgical Facial Rejuvenation Treatments

For patients who require a quick and comparatively hassle-free solution to certain specific signs of facial aging, non-surgical treatment options can be extremely effective.  Injectable treatments, like Botox® or various facial fillers can smooth away the lines and wrinkles caused by repeated facial movement or restore lost volume to a face that has started to look sunken or gaunt.  Chemical peels or laser skin resurfacing treatments can gently remove layers of dead skin cells that dull the complexion and make wrinkles more noticeable.  These treatments can usually be completed in a single office visit and require virtually no recovery time.  However, the results are only temporary and so regular maintenance is necessary in order to preserve your results.

Cosmetic Facial Plastic Surgery Procedures

From the surgical facelift that addresses signs of aging across the entire face to highly-specialized procedures like eyelid surgery or neck lifts that target only specific areas of concern, cosmetic facial plastic surgery can accomplish a great deal.  Years of experience as a board certified plastic surgeon and the most advanced surgical technology make it possible for me to consistently achieve subtle, natural-looking results that do not look “overdone” or obviously artificial.  All of these procedures do, of course, require that a patient go through surgery and a post-surgical recovery period, but facial plastic surgery results can generally, with proper care and upkeep, last a lifetime.

The Best Choice: Combine Both!

In the more than twenty-five years that I have been helping men and women fight the signs of facial aging, it has become my facial rejuvenation philosophy that the best outcomes usually occur when patients adopt a gradual approach, beginning their treatment plans earlier in the aging process and only undergoing more comprehensive, surgical procedures as they become necessary.  For example, a patient may begin their facial rejuvenation treatment plan in their early thirties with subtle, non-surgical options.  Then, depending on the degree of wrinkling, skin laxity, or fatty deposits, they may move on to selective minor surgical procedures.  Finally, more extensive facial plastic surgery procedures may eventually become necessary to maintain a revitalized but natural appearance.  Even after a cosmetic surgery procedure, minimally invasive facial rejuvenation treatments are often necessary in order to keep you looking your best.

If you are troubled by facial aging and interested in learning more about what facial plastic surgery or non-surgical facial rejuvenation can do for you, please contact me, Dr. Fernando Burstein so that we can schedule an appointment.  During a full consultation I can carefully examine your specific needs so that we can develop a comprehensive treatment plan that will help you achieve your personal aesthetic goals.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.