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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 and otolaryngologist (head and neck surgeon) with more than twenty-five years of practical experience treating men and women of all ages, I am intimately familiar with a wide variety of surgical and non-surgical techniques that are specifically designed to address the various signs of facial aging.  One such procedure that has become quite popular is the mini-facelift.  Unlike a traditional full facelift, a mini-facelift targets only the bottom third of the face, reducing minor sagging of the skin around the cheeks, jawline and neck.  However, even though more limited in scope, a mini-facelift can provide a number of distinct advantages over a full facelift procedure.

The Advantages of Having a Mini-FaceliftReduced Discomfort

Any time the delicate tissues of the face are cut or manipulated, some degree of bruising and discomfort will occur.  However, because a mini-facelift addresses a smaller area than a full facelift, it is performed using only a handful of tiny incisions that can be easily concealed behind the ear.  Fewer and smaller incisions generally mean that there is less post-operative discomfort and a lower risk for facial scarring or other complications while reduced manipulation of the underlying facial muscles means that most patients experience less bruising while recovering from the procedure.  Because a mini-facelift is less invasive and time-consuming than a full facelift procedure, and usually requires less overall time in the hospital, it tends to be more affordable as well.

Faster Recovery Time

After a full facelift, patients usually require at least two weeks before the bruising subsides and the results start to become evident, and some may potentially take even longer than that to fully recover.  However, after a mini-facelift, patients whose job does not require strenuous activity can generally return to work just a few days after their sutures are removed and many start to notice results almost immediately.  Although the effects of a mini-facelift are not as long-lasting as those of a full facelift procedure, typically lasting between five and ten years, the procedure is ideal for those who would like to look younger and more vital, but who cannot afford the prolonged post-surgical downtime associated with a full facelift.

Customized Results

Not all faces age at the same rate, and not all areas of the same face start to exhibit the signs of aging at the same time.  It has long been my facial rejuvenation philosophy that using subtle procedures to specifically target only those areas that require attention, and performing those procedures gradually over the entire aging process, can ultimately achieve far more aesthetically pleasing and natural-looking plastic surgery results.  Procedures like the mini-facelift, brow lift, and neck lift are integral parts of this individually customized approach.

If you have any questions about the cosmetic or reconstructive plastic surgery procedures that I perform, or would like to learn more about what techniques might most benefit you, please feel free to contact me, Dr. Fernando Burstein, to schedule an appointment for a full consultation.  There we can discuss your particular needs and examine computer-generated images of what your potential results will likely be.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Ask Dr. Burstein: Can I Get Facial Rejuvenation and Still Look Masculine?

October 17th, 2016 | Posted by drburstein_marketing in Blog | Face Lift Surgery | Male Plastic Surgery - (Comments Off on Ask Dr. Burstein: Can I Get Facial Rejuvenation and Still Look Masculine?)

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 I Get Facial Rejuvenation and Still Look MasculineQUESTION:  I am a man in my early fifties, and I have always worked hard to stay active and to keep myself physically fit.  Recently, however, I have started to notice deep furrows in my brow, facial wrinkles, and other assorted changes in my face that are beginning to make me look much older than I feel.  I believe that looking younger would probably give me an advantage both professionally and personally, and have been considering some form of plastic surgery, like perhaps a facelift.  However, I am concerned that such procedures might give my face a more feminine appearance.  What steps could you take to make my face look younger while still appearing masculine?  Are there any specific procedures that you might recommend?

ANSWER: This is actually a question that I am asked quite frequently.  The popularity of cosmetic plastic surgery among men continues to increase every year, but many of the changes that traditionally make the face look younger, like lifting the brow to make the eyes less hooded, smoothing the skin to remove wrinkles and blemishes, or adding volume to sunken cheeks, can also potentially make the face appear softer, rounder, and more feminine.  In my experience, the key to a successful male plastic surgery procedure, or to any facial rejuvenation procedure for that matter, lies in avoiding over-correction.  Rather than focusing on a single facial feature, I have found that making subtle, almost undetectable changes to different areas of the face can give a patient a more youthful appearance without significantly altering their fundamental facial structure or giving them an obviously “worked-on” look.

In terms of specific anti-aging procedures for men, I have found that blepharoplasty, or eyelid surgery, is often extremely effective.  Many men find that sagging eyelids and under-eye bags can make them appear perpetually tired or even angry and unapproachable.  Removing the excess skin and tiny deposits of fat from the upper and/or lower eyelids can make the entre face look more rested and vital.  A mini-facelift, which focuses exclusively on the area beneath the eyes and above the jaw line, can also be an excellent way to eliminate wrinkles and improve facial volume while still maintaining a strong chin and jaw.  Every face is different and requires a customized approach, so if you are interested in finding out exactly what specific facial plastic surgery procedures would be best for you please contact me, Dr. Fernando Burstein so that we can schedule a full consultation or even give you a chance to see possible visual results.

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.

Liposuction for Facial Contouring and Rejuvenation

October 12th, 2016 | Posted by drburstein_marketing in Blog | Facial Liposuction | Plastic Surgery news - (Comments Off on Liposuction for Facial Contouring and Rejuvenation)

When most people hear the term liposuction, they immediately think about how it can slim down the abdomen or remove those stubborn, hard to reach fat deposits from the thighs.  However, even though these are among the most common uses for the procedure, they are certainly not the only options available.  In my practice, I frequently use liposuction during facial plastic surgery procedures as well.  This versatile technique can be extremely effective in sculpting and contouring the jawline and neck, and in restoring a youthful fullness to areas of the face that have started to sag and droop.

Liposuction for Facial Contouring and RejuvenationAs we age, fat gradually accumulates throughout the body, even in the face.  As gravity drags that fat downward, it can form heavy jowls that droop below the jaw line or the bulges in the neck commonly known as a “double chin.”  Neck liposuction is designed to eliminate these fat deposits, which typically do not respond to simple diet and exercise, and to give the entire face a slimmer and more contoured silhouette.  However, liposuction alone is seldom sufficient to completely restore the face to a more youthful appearance.  Accumulated fat has a tendency to stretch and distort the skin, not unlike a balloon being filled with water.  Even after the fat is removed, the skin does not necessarily return to its original taunt firmness.  This can be particularly true in older patients, whose skin has lost a degree of elasticity and resilience over time.  After neck liposuction, many patients can also benefit from a neck lift that removes the excess, sagging skin that causes wrinkles and gives the area a smoother, more youthful appearance.

Furthermore, liposuction techniques can play a vital role in procedures that add volume and fullness to the face as well.  As we get older, the skin’s production of collagen and elastin begins to decline.  This ultimately results in a loss of volume and moisture in the facial tissues, which can make the lips look less plump and give the face a drawn and haggard look.  Although injectable facial fillers, like Juvéderm®, Restylane®, or Perlane® can temporarily alleviate these symptoms, longer lasting results can be attained using fat taken from the patient’s own body.  After fat has been removed via liposuction and properly filtered and purified, it can be re-injected into the areas that require additional volume using a process commonly known as fat transfer.  Unlike artificial facial fillers, which remain in the body for six months to two years before they are naturally eliminated, the results from natural fat transfer can last up to ten years before additional maintenance is needed.  Even though no cosmetic rejuvenation procedure can stop the aging process entirely, and even a fat transfer will eventually have to be maintained, the stem cells produced by the natural fat can help by improving the condition and appearance of the skin so that future maintenance can achieve truly exceptional results.

Liposuction is just one of the many different plastic surgery techniques that we can use to counteract the signs of facial aging or to subtly sculpt the lines and contours of the face.  If you are interested in learning more about what particular facial rejuvenation procedures would be right for you, I welcome you to contact me, Dr. Fernando Burstein and schedule a consultation.  Find out more by connecting with me on Facebook, Twitter, and Google+ for all the latest news and updates from the world of facial plastic surgery.

What Can Chemical Peels Really Do?

September 26th, 2016 | Posted by drburstein_marketing in Blog | Frequently Asked Questions | Non surgical facial rejuvenation - (Comments Off on What Can Chemical Peels Really Do?)

There are many different techniques and technological devices in the plastic surgeon’s tool box, ranging from blepharoplasty procedures that remove minute amounts of tissue from the upper or lower eyelids to full reconstructive procedures that involve rebuilding damaged areas of the face.  However, one of the most effective and versatile procedures doesn’t actually involve surgery at all.  Over the course of the last twenty-five years, I have made extensive use of chemical peels both as a way to rejuvenate the skin’s appearance, removing wrinkles and restoring a youthful glow, and as a way to help patients who are recovering after more comprehensive plastic surgery procedures.  Here is some insight into how this useful technique works and what exactly it can do for you.

CWhat Can Chemical Peels Really Dohemical peels are useful because they take advantage of the skin’s natural ability to constantly renew itself.  As new skin cells are formed in the deep, underlying layers of tissue, they push older skin cells towards the skin’s surface.  The oldest of these skin cells, now flattened and dead, provide a barrier that protects the living, growing skin from dirt and environmental bacteria.  However, these older surface cells, because they are no longer living, are far less elastic and pliable than they once were, and so they can become creased by facial movement much more easily.  This results in a multitude of fine lines and wrinkles across the face.  A low strength chemical peel uses trichloroacetic acid, or TCA, to gently wash away layers of these dead skin cells, in effect ‘smoothing out’ the skin’s surface, making dynamic facial lines less noticeable, and generally giving the entire face a refreshed and rejuvenated look.  TCA chemical peels can also address a variety of skin conditions, such as acne, hyperpigmentation, and rough or scaly patches, and because it is relatively mild and unlikely to negatively affect pigmentation, allows for a faster recovery time than most other chemical peels.

However, chemical peels can also do a great deal more.  Removing the protective outer layers of skin in a controlled, sterile environment under a doctor’s supervision is completely safe, but it does trigger the body’s natural healing processes, increasing the production of collagen and elastin that form the basis of new skin cells.  This can be particularly helpful for patients who are recovering from more invasive cosmetic plastic surgery procedures.  After a facelift or brow lift, for example, a stronger chemical peel, using a higher concentration of trichloroacetic acid, can actually be used to reduce the appearance of scars caused by surgical incisions, improving overall facelift results.

Combining various plastic surgery procedures to address specific areas of concern simultaneously is one of the most efficient and effective ways to achieve the look you want with minimal post-procedure downtime.  If you are interested in a chemical peel, or in any of the other cosmetic plastic surgery or facial rejuvenation procedures that I perform, please contact me, Dr. Fernando Burstein, to schedule a consultation so that we can determine what approach is right for you.  Additionally, you can find out more by connecting with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news and updates.


The Advantages of Endoscopic Facial Plastic Surgery

September 19th, 2016 | Posted by drburstein_marketing in Blog | Face Lift Surgery | Plastic Surgery news - (Comments Off on The Advantages of Endoscopic Facial Plastic Surgery)

The practice of cosmetic and reconstructive plastic surgery is constantly evolving, with new techniques and advanced technological tools appearing all the time.  In the nearly thirty years that I have been a board certified plastic surgeon and otolaryngologist, I have found that one of the most useful of these innovations is the fiber optic technology that makes endoscopic surgery possible.  By using a tiny camera mounted to a tubular probe, endoscopic technology makes it possible for surgeons to perform complex and detailed work underneath the skin and tissues using only a handful of very small incisions.  Although endoscopic techniques have been used for decades in a number of different procedures, ranging from gallbladder removal, to tubal ligation, to knee surgery, their use in plastic surgery is still relatively new.  However, they have proven to be both highly effective and extremely versatile.  While an endoscopic approach is not appropriate for all plastic surgery procedures, and may not necessarily be advisable for use with all patients, in situations where it is possible it can significantly reduce post-surgical recovery times, minimize bruising and scarring, and generally achieve extremely satisfactory results.

the-advantages-of-endoscopic-facial-plastic-surgeryWhenever the skin is cut or manipulated, some sort of mark, like a bruise or a scar, will be left behind.  Hence a major challenge of cosmetic plastic surgery procedures is to make the alterations that the patient desires while causing as little disruption and damage as possible.  This is particularly true during facial plastic surgery procedures, when significant scarring or bruising cannot be easily hidden beneath clothing.  Endoscopic techniques can make it easier to successfully meet that challenge by reducing surgical incisions.  For example, a traditional brow lift procedure, designed to reduce wrinkles and deep furrows on the forehead, once required the use of a coronal incision, running from ear to ear across the top of the scalp.  This long incision could, in some patients, cause unsightly scarring or even damage the hair follicles, which could in turn compromise the growth of hair along the scar line and potentially make the resulting scar even more visible.  Today, I commonly perform an endoscopic brow lift using an advanced “key-hole” technique.  This allows me to see and access the tissues and muscles in the brow using only a few small incisions, each less than one inch long, that are easily concealed in the hairline.  Similar endoscopic techniques can also be used to improve the results of mini-facelift procedures, which address sagging and facial aging in the area beneath the eyes and above the jawline, as well as in certain forms of nasal surgery.

The use of smaller incisions significantly reduces bleeding, bruising, and swelling during and after a plastic surgery procedure, and also decreases the risk of longer incisions damaging the underlying nerves and causing sensory loss.  With an endoscopic approach, patients usually enjoy faster plastic surgery recovery times and are able to return to their normal activities sooner than if they had undergone a more conventional procedure.  In some cases, endoscopic procedures can even be performed on an outpatient basis, using only local anesthesia.  This may allow patients to avoid an overnight hospital stay.

As with any plastic surgery procedure, it is important to remember that every patient is unique and has their own individual requirements, so a personal consultation is necessary in order to determine the specific surgical approach that is most appropriate.  If you have questions about any of the cosmetic or reconstructive plastic surgery procedures that I perform, please feel free to contact me, Dr. Fernando Burstein, to schedule an appointment for a full consultation so that we can discuss your particular goals and needs and examine computer-generated images of what your potential results will likely be.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.