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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

Breathing Easy: Preserving the Airway with Nasal Surgery

July 20th, 2016 | Posted by drburstein_marketing in Blog | Plastic Surgery news | Rhinoplasty (Nose Surgery) - (Comments Off on Breathing Easy: Preserving the Airway with Nasal Surgery)

Breathing Easy Preserving the Airway with Nasal SurgeryIn the more than twenty-five years that I have been a practicing board certified plastic surgeon and otolaryngologist specializing in procedures of the face, I have noticed that most people tend to associate facial plastic surgery with the various cosmetic procedures that subtly minimize the effects of facial aging or improve overall facial balance and aesthetics.  It can sometimes be easy to overlook the fact that the most prominent organs of the face, like the nose and ears, also serve important functional purposes and that special care needs to be taken during cosmetic facial plastic surgery procedures to preserve those functions and keep everything working smoothly.  This is particularly true in cases of rhinoplasty, surgery to correct the size, shape, or functionality of the nose.  Although rhinoplasty can achieve significant cosmetic improvements, it is perhaps most useful when it improves air flow that may have been impacted by congenital defect, disease, trauma, or a previous rhinoplasty procedure.

One possible cause of airway obstruction in adults is a cleft lip nasal deformity.  Cleft lips or cleft palates occur when a baby’s lip or mouth does not form properly during pregnancy, and although they are usually corrected surgically within the first few months of life they can often have a long-lasting impact.  Specifically, a separation of the lip or palate can cause the nose to look widened and flattened because the cartilage is displaced.  More importantly, the nasal septum, a structure within the nose that separates the left and right nostrils, can frequently be misaligned, which can affect breathing and cause congestion problems.  The nasal airway can also be affected by various diseases that occur later in life.  For example, severe cases of rosacea may potentially result in the development of rhinophyma, a rare skin disorder characterized by a large, red, bumpy nose.  The inflammation caused by this condition can often constrict the airway and make breathing more difficult.  Fortunately, these difficulties can be addressed and corrected through the use of cleft nasal reconstruction procedures, which can create a more aesthetically pleasing appearance while improving airflow and making breathing easier.

Over the years, I have also helped many patients who have started to experience breathing troubles after a previous cosmetic rhinoplasty procedure performed by another surgeon.  In a published article on airway obstruction after rhinoplasty1, I outline a variety of surgical techniques that, when properly applied during revision rhinoplasty, can enhance the overall aesthetic results while preserving or improving nasal airway patency.  Years of experience performing facial plastic surgery, and specifically repairing and restructuring the nasal bones and cartilage, has given me a keen insight into facial anatomy and development that allows me to consistently achieve exceptional rhinoplasty results.  If you have questions about rhinoplasty, or are interested in learning more about any of the pediatric, reconstructive, or cosmetic plastic surgery procedures that I perform, I would welcome you to contact my Atlanta Plastic Surgery, P.C. office and 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.

  1. Burstein, FD.: Airway Obstruction After Rhinoplasty: Prevention and Correction. Maxillofacial News. 2006 July; 21(1):10-11.

Ask Dr. Burstein: Facial Contouring for the Chin

July 13th, 2016 | Posted by drburstein_marketing in Blog | Chin / Neck Surgery | Frequently Asked Questions - (Comments Off on Ask Dr. Burstein: Facial Contouring for the Chin)

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.

facial plastic surgeon atlant georgiaQUESTION: All my life, I have felt as though I had a weak chin.  It almost seems as though my bottom lip just slopes directly into my neck.  As I have grown older, this issue has come to bother me more and more, and I sometimes feel as though I am taken less seriously, both personally and in my career, because of it.  Are there any facial plastic surgery procedures that are specifically designed to address this problem?  What are my options?

ANSWER: Yes, it is often possible to use facial contouring procedures to augment, or in other cases to minimize, key facial features such as the cheeks, chin, or jaw in order to create a more aesthetically pleasing symmetry to the face. Depending upon the individual patient’s specific needs, there are actually several different options available.  First, a surgical procedure called a sliding genioplasty can improve the appearance of unusually small or recessed chins by cutting the chin bone so that it can be moved forward, potentially adding vertical height as well as projection to the chin.  The area can also be built up with a facial implant.  While many doctors use artificial implants that are prefabricated from an inert material like silicone, I generally prefer to use bone, tissue, and fat taken from other areas of the patient’s own body. This helps avoid allergic reaction, surgical rejection, and the risk of post-operative infection, which ultimately leads to a safer procedure and more natural looking facial plastic surgery results.

It is also important, however, to consider the size and shape of the face as a whole when planning facial contouring procedures.  Rather than focusing on making one significant alteration to a single facial feature, I often find that better results can be achieved by making minor, subtle changes to bring the features into a more natural harmony.  For example, a drastic increase in the size and projection of your chin may look obviously artificial, but if a more subtle change is combined with a cosmetic rhinoplasty procedure to slightly reduce the size of the nose, then the overall aesthetics will be improved while still preserving facial symmetry.  Every face is unique and so every patient deserves a fully customized treatment plan that takes into consideration their individual needs and aesthetic goals.  If you are interested in finding out exactly what facial plastic surgery procedures might be able to do for you, please contact my office so that we can schedule a full consultation.

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.

Atlanta Plastic Surgeon Dr. Fernando Burstein Voted Plastic Surgery ‘Top Doc’ for the Eighth Consecutive Year

July 12th, 2016 | Posted by drburstein_marketing in Blog - (Comments Off on Atlanta Plastic Surgeon Dr. Fernando Burstein Voted Plastic Surgery ‘Top Doc’ for the Eighth Consecutive Year)

Fernando Burstein, M.D., F.A.C.S, F.A.A.P. of Atlanta Plastic Surgery, P.C. recognized by his peers as a national ‘Top Doc’ in the field of Plastic Surgery for eight years in a row.

Atlanta Plastic Surgeon Dr. Fernando Burstein Voted Plastic Surgery ‘Top Doc’ for the Eighth Consecutive YearATLANTA, GA, July 12, 2016 – Double board-certified Atlanta plastic surgeon Dr. Fernando Burstein has been nationally recognized as a ‘Top Doc’ in the field of Plastic Surgery by Castle Connolly Medical Ltd., a leading national healthcare organization founded in 1991 to help guide consumers to the very best health care providers available. Dr. Burstein has earned the ‘Top Doc’ honor twelve times overall, in 1999, 2001, 2005, 2007, and in the last eight consecutive years since 2009.

The Castle Connolly ‘Top Doc’ honor is different from many other awards in that the candidates are selected through a comprehensive, multi-stage process that begins with extensive peer-nominations. Licensed physicians from the local area and from across the country can vote for physicians in fifty-eight different medical specialties who not only excel in academic medicine and research but who also exhibit exceptional patient care. The nation’s best physicians are then identified from these nominees through a rigorous screening process conducted by an experienced, physician-led research team. A full list of the Atlanta-area physicians who have been honored as Castle Connolly ‘Top Docs’ can be found each year in the July issue of Atlanta Magazine.

“Undergoing cosmetic or reconstructive plastic surgery can be an intensely personal and emotional experience, which is why I value the relationships that I have built with the men, women, and children that have come to see me over the years so highly,” Dr. Burstein noted. “Castle Connolly recognizes the importance of those relationships, and it is their dual emphasis on both the evaluations of medical professionals and the testimonials of actual patients that is, in my opinion, what makes this recognition such a privilege and a true honor.” Always a staunch advocate of patient education, Dr. Burstein maintains an informative facial plastic surgery blog and engages with his patients through social media, procedure videos, and his website. Many of his patients also highlight their personal experiences and satisfaction through his Spotlight Patient blogs.

With board certifications in both plastic surgery and otolaryngology (head and neck surgery), Dr. Burstein performs a wide range of cosmetic and reconstructive facial plastic surgery procedures, ranging from facelifts and rhinoplasty to cleft lip and palate reconstruction in both children and adult patients. Since 1989 he has been a practicing partner with Atlanta Plastic Surgery, P.C., one of the most respected centers for plastic surgery in the Southeast and, as the Director of the Center for Craniofacial Disorders at Children’s Healthcare of Atlanta, has also helped to treat thousands[?] of pediatric patients suffering from congenital disorders.

Over the course of the last twenty-five years, it has been Dr. Burstein’s philosophy that facial aging, while inevitable, can be managed through the gradual and skillful application of a combination of non-surgical and surgical cosmetic treatments. He has consistently achieved excellent results by beginning treatment plans earlier in the aging process using minor, minimally-invasive procedures, and then moving on to more extensive surgical techniques only as they become necessary later in life. This gradual approach, combined with his preference for using the patient’s own bone, cartilage, or tissue during surgery instead of synthetic material, maximizes the patient experience and provides the most natural-looking results.

If you are interested in cosmetic or reconstructive surgery with an Atlanta ‘Top Doc’, contact Dr. Burstein’s office today at 404-256-1311 or visit his website to learn more about the procedures offered and view his facial plastic surgery results.

About Dr. Fernando D. Burstein

Fernando D. Burstein, M.D., F.A.C.S., F.A.A.P has been an Atlanta-based plastic surgeon for more than twenty-five years. He maintains board-certification in both plastic surgery and otolaryngology (head and neck surgery) and specializes in cosmetic and reconstructive craniofacial surgery. He is a fellow of the American College of Surgeons and served as president of the American Academy of Pediatrics in 2006. Committed to continued education, Dr. Burstein is also a clinical professor of Plastic and Reconstructive Surgery at Emory University and has authored over 100 articles and book chapters.  He is an active member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the American Society of Maxillofacial Surgeons. He is currently on the staff at both Northside Hospital and Children’s Healthcare of Atlanta at Scottish Rite, where he is the director of the Center for Craniofacial Disorders. He has been recognized by NewsWeek, honored as a Top Doctor by Atlanta Magazine and Castle Connolly Medical Ltd. for the last eight consecutive years, and named to the National Best Plastic Surgeons list.

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Brow Lifts for Long-Term Facial Rejuvenation

July 6th, 2016 | Posted by drburstein_marketing in Blog | Face Lift Surgery | Plastic Surgery news - (Comments Off on Brow Lifts for Long-Term Facial Rejuvenation)

Whether it’s the vertical marks that form over your nose when you frown or the horizontal lines that form across your forehead when you raise your eyebrows, the brow region is frequently one of the first places where the signs of facial aging become apparent.  As we get older and the natural elasticity of the skin begins to lessen, age and gravity can cause this area to sag and droop, creating a heavy, hooded appearance and contributing to the development of deep horizontal wrinkles across the forehead.  Although Botox® injectable cosmetic treatments can effectively address many of these symptoms, the results usually last an average of three to six months, making additional injections necessary in order to maintain the smooth, rested appearance in the treated areas.  For those patients interested in a more long-term solution to these very common concerns, a surgical brow lift, or forehead lift, may be the answer.

Brow Lifts for Long-Term Facial RejuvenationSpecifically designed to address ptosis, or natural sagging, in the upper third of the face between the top of the nose and the hairline, a brow lift procedure tightens the underlying muscles of the forehead and then lifts the excess, sagging skin upward.  Just a few tiny incisions hidden above the hairline allow me to alleviate deep forehead wrinkles, frown lines, brow furrows, and sagging eyebrows.  Certain patients may even be candidates for an advanced endoscopic brow lift, which uses only a thin tube fitted with a camera and special instruments.  This “keyhole” technique can achieve results that are similar to a traditional brow lift with fewer incisions and a reduced recovery time.  Regardless of the approach, a brow lift can make you look years younger by lifting and smoothing the entire forehead area.

Brow lift procedures are frequently performed in conjunction with eyelid surgery, or blepharoplasty, a highly specific technique that removes the excess fat and skin from the upper and/or lower eyelids while tightening the tiny underlying muscles that surround them.  This counteracts hooding and puffiness that may make the eyes look tired, sleepy, or sad.  Because the eyes are usually the focus of any social interaction, a blepharoplasty can achieve subtle but noticeable results with minimal cost, risk, and recovery time.

In the more than twenty-five years that I have been a board-certified plastic surgeon in Atlanta, I have performed brow lift procedures on thousands of men and women from all around the world.  In all cases, I strive to achieve seamless, natural looking results and avoid an obviously “worked on” or “windblown” look.  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 needs.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Spotlight Patient Revisited: Donna (Part Two)

June 20th, 2016 | Posted by drburstein_marketing in Blog | Spotlight Patients - (Comments Off on Spotlight Patient Revisited: Donna (Part Two))

It is easy to get excited about all of the amazing things that can be accomplished with facial plastic surgery.  More often than not, patients come to see me with a variety of areas they would like to address, and they are eager to jump in right away so they can start to see changes immediately.  Unfortunately, that is not the way it works.  Only very rarely can cosmetic plastic surgery procedures provide overnight improvement, and it is important for patients to understand, before undergoing any procedure, what sort of recovery process they can expect.  I strongly believe that patients should always be given as much information as possible about every aspect of their procedure, because even though recovering after a plastic surgery procedure, particularly one that is as comprehensive as a full facelift, can be uncomfortable for some, patients almost always think that the discomfort was worthwhile when they see the final plastic surgery results.

Just ask Donna, our February 2016 Video Spotlight Patient.  As a professional film maker, videographer, and former TV news anchor, Donna had worked with me numerous times over the years, documenting some of the cases of my previous spotlight patients.  When she began to notice some of the early signs of aging in her own face, I was honored that she came to me for a personal consultation.  Together we decided that Donna could benefit from a full facelift combined with a blepharoplasty, or eyelid surgery, to remove the excess, sagging skin that was causing wrinkles and making her look older than she felt. Because Donna has a thinner face, I would complete the procedure by using fat transfer techniques to restore lost facial volume and a 15% TCA chemical peel to help rejuvenate the appearance of the skin and stimulate collagen production.  More importantly, Donna decided that she would document her entire recovery in pictures and video in order to help me give my patients a true, behind-the-scenes glimpse of just what happens while one is recovering from facial plastic surgery.  You can see the results we accomplished here:

Every patient is unique, and an individual’s plastic surgery recovery time and experience will undoubtedly vary considerably depending upon the specific procedures performed and the specific idiosyncrasies of the patient’s own physiology.  However, the videos of Donna’s recovery provide valuable insights for patients considering any plastic surgery procedure.  If you are interested in learning more about some of the many different facial plastic surgery procedures that I perform, or if you would like to see other videos that Donna produced spotlighting my patients, you can see more on my YouTube channel.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news and updates.