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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

Cosmetic Plastic Surgery Options for Neck Rejuvenation

August 22nd, 2016 | Posted by drburstein_marketing in Blog | Chin / Neck Surgery | Frequently Asked Questions | Plastic Surgery news - (Comments Off on Cosmetic Plastic Surgery Options for Neck Rejuvenation)

In the time since I started out as a practicing partner at Atlanta Plastic Surgery, P.C. in 1989, I have helped to improve the appearance and alleviate the signs of facial aging in thousands of men and women from all over the world by performing cosmetic facial plastic surgery procedures.  However, one thing that many people fail to realize is that in many cases exceptional results can be achieved by making subtle changes to features that are not traditionally considered to be part of the face at all.  One such area is the neck, a place where many of the earliest signs of aging first manifest.  As we grow older, and the skin’s firmness and elasticity begins to diminish, tissues of the face can start to slide downward, creating folds in the lower third of the face and neck that are commonly identified as “sagging jowls” or a “double chin.”  While a full facelift can address some of these concerns, many patients find that better results can be achieved thru procedures that are specifically designed for the neck.  In these cases there are several different options.

Cosmetic Plastic Surgery Options for Neck RejuvenationNeck Contouring Liposuction

In some cases, patients who believe that they need facial contouring in the neck and jowls, particularly those looking to eliminate a “double chin”, are actually simply suffering from the effects of gravity on isolated fat deposits that have accumulated just beneath the skin’s surface.  Because of their location, these fat deposits can be extremely difficult to eliminate through diet and exercise alone, but if a patient still has healthy skin tone with good elasticity, they can be removed through liposuction.  Using tiny, easily-concealed incisions, targeted liposuction techniques can apply spot treatment to key areas of concern, like the chin and jaw line, smoothing the contours of the neck and giving the entire face a more slender and rejuvenated appearance.  Additional skin rejuvenation treatments, like laser skin resurfacing or chemical peels, can also be used to encourage natural healing and collagen production and to give the skin a healthy and youthful glow.

Cosmetic Neck Lift Surgery

While non-surgical treatments can be extremely effective, and may even be able to “stall” the progression of lines and wrinkles in the face and neck for a time, eventually more comprehensive treatment options are going to become necessary.  As we age, the platysma muscle, which creates the contour of the neck and upper chest, gradually separates into two parts, one on either side of the midline.  As the skin of the neck loses elasticity, these muscles can take on a much more pronounced appearance, creating what is commonly known as a “turkey neck.”  A neck lift procedure works by lifting and re-tightening these muscles while simultaneously removing excess, sagging skin and (in some cases) fat to give the entire area a smoother look.

Every face is unique and comes complete with its own set of challenges, and so I will happily sit down with you in a one-on-on consultation so that we can discuss which options might be best for you.  If you are interested in finding out more about neck lifts, or any of the other facial rejuvenation or cosmetic plastic surgery procedures I perform, please contact my office 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.

Ask Dr. Burstein: Customized Facial Rejuvenation

August 15th, 2016 | Posted by drburstein_marketing in Blog | Face Lift Surgery | Frequently Asked Questions | Non surgical facial rejuvenation | Plastic Surgery news - (Comments Off on Ask Dr. Burstein: Customized Facial Rejuvenation)

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.

Ask Dr. Burstein Customized Facial RejuvenationQUESTION:  I am a 46 year old working mother of two, and I have recently started to notice that my face is beginning to look older.  Specifically, I am concerned with the deepening lines and wrinkles that are starting to form on my forehead and between my eyes.  The rest of my face still seems relatively young-looking for my age, so I do not think that I am ready to undergo a full facelift, and I have tried facial injectable cosmetic treatments, like Botox®, but I don’t like that it’s only a temporary fix.  Are there any cosmetic facial plastic surgery procedures that will target only those areas where I need work and provide longer lasting results?

ANSWER:  Certainly!  It has long been my philosophy that facial aging is best managed through the gradual and skillful application of a combination of non-surgical and surgical cosmetic treatments.  Decades ago, the traditional full facelift was the common “go-to” procedure for the treatment of facial aging, but it could leave faces looking unnaturally stretched or pulled.  As techniques and technology have progressed and we have come to develop a better understanding of exactly how facial aging occurs, plastic surgeons have developed a variety of precision surgical procedures that are specifically designed to address only a patient’s individual areas of concern.  For example, a blepharoplasty (or eyelid surgery) can remove excess fat and skin while tightening the muscles around the eyes to improve the look of sagging eyebrows, under eye bags, and drooping eyelids, and a brow lift can reshape and smooth the forehead and area between the brows to minimize the appearance of deep forehead wrinkles, frown lines, brow furrows, and sagging eyebrows.  Based on what you have said, I would think that either could potentially address your concerns without affecting other regions of the face, giving you the look you want with less post-surgical recovery time.  Every patient is unique, and so I would need to examine you in person so that we can develop a customized treatment plan focused specifically on your needs that will achieve long-lasting, natural looking facial plastic surgery results.  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.

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.

Minimizing Post-Surgical Scarring from Facial Plastic Surgery Procedures

August 8th, 2016 | Posted by drburstein_marketing in Blog - (Comments Off on Minimizing Post-Surgical Scarring from Facial Plastic Surgery Procedures)

One of the things that patients who are planning to undergo facial plastic surgery worry most about is the possibility of post-surgical scarring.  All surgeons diligently try to avoid leaving any unsightly scars, no matter what the specific purpose of the surgery may be.  However, since cosmetic facial plastic surgery procedures are specifically focused on improving the appearance, and because the face cannot be easily covered up with clothing, the need to keep any scarring to an absolute minimum is paramount.  Fortunately, there are three specific ways that modern facial plastic surgery procedures can help to minimize the possibility of post-surgical scarring.

Specifically Focused Procedures

Minimizing Post-Surgical Scarring from Facial Plastic Surgery ProceduresDecades ago, when patients were interested in alleviating the signs of facial aging, their best option was a full facelift.  This comprehensive plastic surgery procedure could eliminate wrinkles and folds across the entire face by removing excess, sagging skin while lifting and tightening the underlying facial muscles and tissues.  Today, however, we understand that different regions of the face age at different rates and that better results can often be achieved by using more narrowly-focused procedures that only address the patient’s personal areas of concern.  Smaller scale procedures like the mini-facelift or neck lift require fewer and smaller incisions than more extensive techniques and so leave behind fewer and smaller scars that can more easily be concealed.

Advanced Surgical Techniques

Advancements in surgical technique and technology have made it possible to achieve significant but subtle changes through incisions that are all but invisible to the naked eye.  One technique, called a transconjunctival blepharoplasty, involves removing tiny amounts of excess skin and fat from beneath the eyes through a small incision inside the lower eyelid.  This improves the appearance of under eye bags and drooping eyelids while leaving no external scars.  Furthermore, the upper third of the face can be made to look smoother and younger with an advanced “keyhole” technique which uses only a thin tube fitted with a camera and special instruments.  This endoscopic brow lift can achieve results that are similar to a traditional brow lift with fewer incisions, less noticeable scars, and a significantly reduced recovery time.

Post-Surgical Skin Resurfacing Treatments

Finally, after a cosmetic facial plastic surgery procedure has been completed, there are a variety of techniques that can be used to smooth and even out the skin tone and minimize the appearance of any scars that may be left behind.  Chemical peels and laser skin resurfacing treatments work by gently removing the outermost layers of the skin, which are made up mostly of dead and damaged skin cells.  This reveals the newer, younger looking skin that lies beneath and encourages the body’s own natural collagen production and healing process.  This helps pre-existing and surgical scars fade faster while giving the entire face a soft and youthful glow.

As a board certified plastic surgeon and otolaryngologist who has specialized in performing procedures on the face and neck for more than twenty-five years, I have a great deal of experience achieving seamless, natural looking plastic surgery results while avoiding 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 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.

Frequently Asked Questions about Ear Surgery

August 2nd, 2016 | Posted by drburstein_marketing in Blog | Ear Surgery - (Comments Off on Frequently Asked Questions about Ear Surgery)

One aspect of facial plastic surgery that continues to fascinate me, even after more than twenty-five years as a board certified plastic surgeon and otolaryngologist (head and neck surgeon), is how even seemingly minor adjustments made with facial plastic surgery procedures can make such a dramatic difference.  Take the ears, for example.  Most people hardly ever pay attention to the ears or what they look like, but for those whose ears are abnormally large or small, or whose ears project unusually far, even the most subtle contouring from ear surgery, or cosmetic otoplasty procedures, can achieve life-changing results.  Many patients come to me wanting to learn more about how they can change the appearance of their ears.  Here are answers to some of the most frequently asked questions about ear surgery.

Cosmetic Ear Surgery Atlanta GAHow does ear surgery work?

The outer portion of the ear, which is called the pinna or auricle, is made up almost exclusively of skin stretched tightly over a flexible cartilage framework.  This cartilage will naturally warp or bend when scored with a sharp implement, making it possible to sculpt and re-shape the curves and arches of the outer ear.  In cases where the ear is insufficiently developed, additional cartilage can be taken from the patient’s own body so as to avoid the risk of allergic reaction, surgical rejection, or post-operative infection that artificial materials may create.

Can ear surgery be performed on adults?

Absolutely!  This is a very common question, as ear surgery is typically associated with pediatric malformations of the ear, and specifically with a technique used to decrease the projection of an overly prominent ear by recreating missing folds in the cartilage, a procedure commonly known as “ear pinning.”1  While this specific procedure is usually best performed on children between the ages of five and seven years, ear surgery can actually accomplish a great deal more.  In fact, according to statistics published by the American Society of Plastic Surgeons, more than two-thirds of the cosmetic otoplasty procedures completed in 2015 were performed on patients over the age of twenty.

What exactly can ear surgery accomplish?

In addition to improving the shape, position, or proportion of the ear by correcting defects that may have been present at birth, ear surgery can also treat conditions acquired later in life as well.  Blunt trauma to the ear inflicted by accident or violence may cause blood clots to interrupt the usual blood supply to the cartilage.  Over time, this may result in cauliflower ear, an acquired deformity of the outer ear that gives it a lumpy and shriveled appearance.  Furthermore, ears, like any other facial feature, tend to sag with age due to the gradual loss of elasticity in the skin and soft tissues combined with the effects of gravity.  Both of these issues can be addressed and corrected with reconstructive otoplasty procedures.

Ear surgery is just one of the many different ways that facial plastic surgery can help improve the delicate balance of facial features and overall aesthetic appearance.  If you are interested in learning more about what cosmetic facial plastic surgery can do for you, 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. Cohen, SR., Burstein, FD.: “Protruding Ears.” In: Spitz, L., Coran, A.G. (ed.), Rob & Smiths’ Operative Surgery. Chapman & Hall Medical, London, 1995.
  2. Burstein, FD.: Cartilage-Sparing Complete Otoplasty Technique: A Ten Year Experience with 100 Patients. Journal of Craniofacial Surgery. 2003 Jul;14(4):521-5.

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.