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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

There are many cosmetic plastic surgery procedures that can help minimize the various signs of facial aging, but they all begin with healthy skin.  No matter what your individual areas of concern might be, keeping your skin firm, smooth, and elastic not only keeps your face looking youthful, but can also help maintain the results of other facial plastic surgery procedures.  One of the best ways that I have found for patients to rejuvenate their skin is with various advanced skin resurfacing techniques.  Here is some insight into why this particular non-surgical facial rejuvenation technique is so effective.

What Is Skin Resurfacing and How Does It WorkThe skin is actually a very complex organ, composed of several distinct layers and a variety of specialized structures.  The layer that is closest to the surface, or the epidermis, is itself composed of layer upon layer of skin cells.  When these cells are formed in the deepest part of the epidermis, they are fat and square, but as they are pushed toward the surface they flatten out, so that the outermost portion of the epidermis is actually nothing but layers of dead skin cells that are constantly flaking off and being replaced as newly formed cells are pushed upward from underneath.  These dead skin cells form a protective barrier against the elements and keep the underlying layers moist and healthy.  However, because they are themselves dead and dry, they are less elastic than healthy skin cells, and so become creased and cracked by continuous facial movements.  This is the reason that fine lines and wrinkles tend to form around the eyes, between the brows, and anywhere else on the face that is subject to constant movement.

What we call skin resurfacing refers to the process of gently removing the outermost layers of dead skin cells by using either a mild acid, as is the case with a TCA chemical peel, or a Sciton® Erbium laser.  The removal of surface skin effectively “evens out” the various creases, cracks, and imperfections and reveals a smooth and even surface underneath.  In addition, skin resurfacing also “buffs away” or reduces the appearance of damage that may have been caused by eternal, environmental factors, like rough or scaly patches of skin, pigment irregularities, and potentially even scars.  Finally, the body reacts to the removal of skin cells by activating its natural healing processes, which in turn increases the production of collagen and elastin, vital components that form the basis of new skin cells.  I will sometimes perform a chemical peel on a patient after they have undergone another facial plastic surgery procedure, like a facelift, in order to encourage collagen production and skin recovery while improving overall results.

It is important to note that once the outer layers of dead skin have been removed, the new skin cells underneath are far more susceptible to damage.  That is why it is so important to keep the new skin moist and protected while you are recovering from a skin resurfacing procedure and to avoid potentially damaging environmental factors like cigarette smoke and harsh ultraviolet light.  The effectiveness of any skin resurfacing treatment depends on a variety of factors, including the type and texture of the patient’s skin, so they are best performed by trained professionals who are experienced with the complex details of facial anatomy.  If you are interested in finding out exactly what specific facial plastic surgery procedures would be best for you please contact me so that we can schedule a full consultation.  During that consultation we will have the opportunity to discuss your individual aesthetic goals, look over before and after pictures, and in some cases even use advanced computer imaging technology to preview potential results.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

From the traditional full facelift down to non-surgical chemical peels and facial injectable treatments, there are literally dozens of different plastic surgery procedures that can be used to subtly improve the appearance of the face or to address the various signs of facial aging, and in the nearly thirty years that I have been a board-certified plastic surgeon and otolaryngologist specializing in facial procedures, I have had the opportunity to perform them all.  In my recurring “Spotlight Procedure” blog feature, I will give my patients some insight into the specific details of these procedures, explaining exactly what they do and how they are performed.  This month, I will focus on eyelid surgery, or blepharoplasty, the plastic surgery procedure performed most frequently on men and women over the age of 40.

Spotlight Procedure Atlanta Eyelid Surgery Is Eyelid Surgery right for me?

As we get older, our skin gradually loses its elasticity and begins to sag and droop, causing wrinkles.  This process can be particularly noticeable in the thin, delicate layers of skin that make up the upper and lower eyelids, where wrinkles and sagging make the eyes narrow and make the entire face appear tired, sad, or angry.  In some cases, drooping eyelids may even partially impair peripheral vision.  Eyelid surgery can be performed on the upper and/or lower eyelids to remove tiny amounts of excess skin and fat while tightening the miniature muscles that surround the eye to give the eyes a more youthful look.

How is Eyelid Surgery performed?

In an upper blepharoplasty an incision is made in the natural crease of the eyelid, allowing for the removal of excess skin and, if necessary, the tightening of underlying muscles.  To address puffy under-eye bags and dark circles on the lower eyelids, I will frequently use a transconjunctival incision, created on the inside of the lower eyelid, to remove or reposition small fat deposits.  In either case, the placement of the incisions helps to ensure that any post-surgical scarring that may occur is almost completely undetectable and that the results are subtle and natural looking.

What should I expect while recovering from Eyelid Surgery?

Eyelid surgery generally only takes from one and a half to two hours and patients can usually go home that same day.  For the first three days after the procedure, a patient will need to keep his or her head elevated and eyes covered with cool compresses.  After that point, they can usually return to work and light activity, although bruising and swelling will persist for seven to ten days and they should avoid bending over if possible.  Every patient is different and individual healing rates can vary significantly, but recovery after a blepharoplasty generally requires less time than any of the more extensive facial plastic surgery procedures.  In many cases, patients undergoing a mini-facelift or a brow lift to address to address facial aging in the middle or upper regions of the face also undergo a blepharoplasty at the same time to optimize their results.

If you are interested in learning more about any of the non-surgical facial rejuvenation, anti-aging, or cosmetic facial plastic surgery procedures that I perform, please contact my office so that we can schedule a full consultation and determine together exactly what procedures are right for you.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

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, we will have the opportunity to hear him answer some of the most frequently asked questions he receives about facial plastic surgery and anti-aging facial rejuvenation procedures.

Ask Dr. Burstein How Can I Get My Youthful Look BackQUESTION:  Help!  I am only in my mid-thirties and I am already starting to look old!  Within just the last couple of years I have developed tiny crow’s feet at the corners of my eyes and deep frown lines between my brows.  I have always tried to eat healthy and exercise frequently, but lately that seems to be working against me, since my face appears to have lost volume and the excess skin has started to sag and droop, making me look haggard and worn.  Is there anything that I can do to help get my youthful look back?

ANSWER:  Although each and every one of us eventually has to contend with the various signs of facial aging, we also need to remember that no two faces are ever exactly alike and that every individual starts to exhibit those signs at different points in their lives.  The symptoms that you are describing are not at all uncommon and can usually be addressed with simple, non-surgical facial rejuvenation treatments.  It has always been my facial aging philosophy that these symptoms are usually best addressed in gradual stages, and that optimal outcomes are achieved when patients begin treatment plans earlier in the aging process and undergo more comprehensive facial plastic surgery procedures only as they become necessary later in life.

Your concerns basically stem from two issues: dynamic facial lines that form as a result of constant facial movement and static facial lines that result from the loss of facial volume.  The first, which are most commonly seen as the crow’s feet and frown lines around the eyes and brow area, are often best addressed with Botox® injections, which temporarily relax the tiny muscles that cause these expression lines to form.  As we get older, it is also common for the facial skin to droop as it loses the fat that gives it its youthful plump fullness.  It is possible to restore moisture and volume to the facial tissues with injectable facial fillers, like Juvéderm®, which contain hyaluronic acid, a substance that occurs naturally in youthful skin or even with injections of purified fat taken from elsewhere in the patient’s own body.

Because every patient has their own individual areas of concern, every face 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.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Facial plastic surgery is more popular than ever, and each year an increasing number of men and women undergo cosmetic facial plastic surgery procedures either to correct their individual areas of concern or simply to minimize some of the inevitable signs of facial aging.  However, even though there have been a number of advancements designed to make these procedures as quick and convenient as possible, it is still vital to remember the importance of recovery time.  In my experience, facial plastic surgery is most effective when patients carefully and diligently follow their post-surgical recovery plan.  Here are some important tips that you can follow to minimize the possibility of post-surgical complications and to help ensure that your plastic surgery recovery proceeds as smoothly as possible.

4 Tips for a Smooth Facial Plastic Surgery RecoveryFollow Your Doctor’s Instructions

During our pre-surgical consultation, we will have reviewed and discussed all of the personal details that could impact your recovery, from your general activity level to any herbal supplements or vitamins that you may plan to take.  Using this information, I formulate a recovery plan that is specifically suited to your needs.  It is extremely important that you follow that plan, scrupulously!  Every patient is unique, so information that you hear from friends or glean from the internet may not be applicable to your case.  Make sure that you attend all scheduled post-operative follow up appointments so that I can carefully monitor your progress and address any potential problems before they become serious.  I have been performing facial plastic surgery procedures on men and women of all ages for nearly thirty years, so take advantage of my advice and expertise by keeping the lines of communication open.

Pay Attention to Your Medication

Many drugs and herbal supplements can interact in unexpected ways, so be sure you understand exactly what you need to take and what you should avoid.  Different patients can often have very different levels of pain tolerance, so don’t feel anxious about taking your prescribed pain medication if necessary.  In fact, pain triggers the body’s natural stress response and causes an increase in blood pressure, which could potentially increase bruising, place additional strain on healing sutures, and even exacerbate the appearance of scars.  Don’t forget to take all of your prescribed antibiotics to avoid infection and follow the guidelines we have established regarding any other medications and herbal supplements.

Avoid Cigarettes, Alcohol, and Caffeine

While all of these substances are generally considered unhealthy, they can be particularly dangerous before and immediately after major surgery.  Smoking cigarettes compromises your lung function and blood flow, effectively delaying or potentially impairing the healing process, while alcohol and caffeine can adversely affect blood clotting and blood pressure.  Prior to your surgery, we will go over a full and comprehensive list of drugs, foods, and other substances that can have a negative effect on your recovery.

Engage in Light to Moderate Exercise

Giving yourself time to rest after any surgical procedure is important, in part because any rigorous exercise can increase your heart rate, raise your blood pressure, and potentially open healing wounds.  However, there is no reason to just lie around doing nothing either.  Short walks around the house or even outside to get some fresh air can be tremendously beneficial and help you to get over the constipation that can be a side effect of anesthesia, prescription pain relievers, and overall changes to your body.  Light activity after surgery (within reason) promotes healing and helps keep you in a positive state of mind.

Facial plastic surgery can accomplish a great deal, but it can accomplish even more if patients take care of themselves before and after their procedure(s).  If you are interested in learning more about any of the non-surgical facial rejuvenation or cosmetic facial plastic surgery procedures I perform, 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.

Ear Surgery Can Benefit Patients of All Ages

January 23rd, 2017 | Posted by drburstein_marketing in Blog | Ear Surgery | Frequently Asked Questions - (Comments Off on Ear Surgery Can Benefit Patients of All Ages)

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.