Welcome to Delicate template
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
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon

Rejuvenating the Upper or Lower Eyelids

December 2nd, 2016 | Posted by drburstein_marketing in Blog | Eye Rejuvenation | Frequently Asked Questions - (Comments Off on Rejuvenating the Upper or Lower Eyelids)

One of the most popular plastic surgery procedures performed in the United States is eyelid surgery, otherwise known as blepharoplasty.  According to statistics compiled by the American Society of Plastic Surgeons (ASPS), in the last year alone more than 200,000 men and women underwent eyelid surgery and it was the single most frequently performed procedure on patients over the age of 40.  Regardless of whether a patient is having a procedure done on the upper eyelids, the lower eyelids, or both, my goal during eyelid surgery is always to achieve subtle, natural-looking results that give the patient a more refreshed and youthful appearance without giving the face an overtly “worked-on” or “wind-blown” look.

upper and lower eyelid surgeryUpper Eyelids

Most of us are familiar with the fact that, as we grow older, tissues gradually lose their elasticity and muscles start to weaken.  While similar changes can affect virtually every part of the body, they are perhaps most apparent in the delicate skin of the eyelids, an area that is the focus of most social interaction.  Specifically, when the tiny levator muscles that lift and support the eyelid weaken, the eyelid can start to noticeably droop, a process referred to as ptosis.  This causes the eyes to narrow, the entire face to appear tired, sad, or angry, and in some cases may even partially impair peripheral vision.  Cosmetic facial plastic surgery on the upper eyelids can remove tiny amounts of excess, sagging skin while tightening the miniature muscles that surround the eyes.  In many cases, a blepharoplasty on the upper eyelids can often achieve effects similar to a more-extensive brow lift procedure, with a shorter post-surgical recovery time.

Lower Eyelids

Not only does the passage of time eventually cause skin to sag and droop, but it also allows fat deposits to gradually accumulate in the lower regions of the face.  When this build up occurs in the thin tissue of the lower eyelids, the results commonly include dark circles and puffy under-eye bags.  Through the use of an advanced transconjunctival blepharoplasty technique, I can remove these miniscule fat deposits through tiny incisions that are hidden inside the lower lid itself.  This can make the eyes appear wider and more youthful and alleviate some of the sunken or hollow look that can occur in more mature patients.  Blepharoplasty on the lower eyelids can also be performed in conjunction with a mini-facelift, which is designed to address signs of aging below the cheekbones and above the jawline.  The two procedures complement one another to give the entire face a much more rejuvenated appearance.

If you have any questions about eyelid surgery or are interested in learning more about how any of the facial plastic surgery procedures that I perform can address your specific aging concerns, I would welcome you to contact me, Dr. Fernando Burstein, to schedule a consultation.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news and updates.

Ask Dr. Burstein: What Should I Look for in a Plastic Surgeon?

November 22nd, 2016 | Posted by drburstein_marketing in Blog | Educational | Plastic Surgery news - (Comments Off on Ask Dr. Burstein: What Should I Look for in a Plastic Surgeon?)

Ask Dr. Burstein What Should I Look for in a Plastic SurgeonDouble board-certified plastic surgeon and otolaryngologist Dr. Fernando Burstein is devoted to 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.

QUESTION:  As a woman in her early forties, I have found myself growing increasingly concerned with various signs of aging that have started to show in my face and neck.  My face seems to be losing fullness, my cheeks appear sunken in, and the skin around my eyes has started to sag and wrinkle.  I believe that I could possibly benefit from some form of facial plastic surgery, and am considering perhaps Botox® or even a facelift. To be honest, I am a bit overwhelmed by the number of choices available and simply don’t know where I should begin. What would you recommend that I look for when choosing a plastic surgeon?  Am I too young to even be considering these types of procedures?  Please help!

ANSWER:  Great question and let me reassure you that you are not the first woman or man to come to me with these concerns. In my opinion, you are certainly not too young to start considering some form of cosmetic plastic surgery or non-surgical facial rejuvenation procedures.  Many people can actually begin to show noticeable signs of facial aging much earlier than their forties, and it has always been my facial rejuvenation philosophy that taking a gradual approach, where I intervene with minimally invasive procedures early on in the process and only graduate to more comprehensive plastic surgery procedures as they become necessary, produces the most subtle and natural-looking long-term results.

When choosing a plastic surgeon, patients are generally happiest when they find someone with whom they can feel most comfortable with.  Being able to communicate freely and share honest information about their concerns helps ensure that not only everyone involved understands exactly what the goals are, but also what the procedure can realistically achieve.  I would also recommend that you get as much background information as possible.  Make sure your doctor is board-certified in the field of plastic surgery.  Many doctors in unrelated specialties manage to gain a minor, supplementary certification in “cosmetic surgery,” but they simply cannot match the years of specialized training beyond medical school and residency or the thousands of hours of hands-on surgical experience that define a true board-certified plastic surgeon. Finally, ask to see before and after pictures of a surgeon’s work, particularly of patients who have received the same sort of procedure that you are interested in having done.  Examine the outcomes and ask the surgeon to explain how individual idiosyncrasies might apply to your specific case.  All of this research may seem time-consuming, but it will result in a much higher level of satisfaction in your final plastic surgery 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.

6 Tips for Maximizing Your Plastic Surgery Results

November 14th, 2016 | Posted by drburstein_marketing in Blog | Frequently Asked Questions | Plastic Surgery news - (Comments Off on 6 Tips for Maximizing Your Plastic Surgery Results)

6 Tips for Maximizing Your Plastic Surgery ResultsFrom smoothing away the subtle signs of facial aging to correcting facial deformities caused by disease, trauma, or defect, plastic surgery, particularly cosmetic facial plastic surgery procedures, can accomplish a great deal.  However, it is not some magic wand that can instantly and effortlessly wipe away every imperfection.  Getting the best possible results from any facial plastic surgery procedure requires consistent and conscientious care, from both the doctor and the patient before and after the surgery.  Here are six vital tips to help you get the most out of your facial plastic surgery.

  1. Do Your Homework: Make sure that your doctor is a board-certified plastic surgeon, and carefully examine before and after photographs of their past patients. Learn everything you can about your own procedure so that you will have a good idea of what sort of results you can reasonably expect.
  2. Mind Your Health: Frequent use of alcohol or tobacco-products can have an adverse effect on circulation, skin elasticity, and healing factors. Any of these issues can potentially lead to you experiencing complications during surgery or prolong your post-procedure recovery time.
  3. Follow Instructions: After your procedure, I will give you detailed instructions about how to care for your incisions, when to change bandages, and what medications to take. Many cases of botched plastic surgery procedures are actually the result of patients failing to follow post-operative care instructions.
  4. Attend Follow-Up Appointments: In the rare event that plastic surgery complications do arise, it is vital that we catch it and deal with it early. Post-operative visits allow me to closely monitor your progress and make sure that everything is progressing as it should.
  5. Get Lots of Rest: Not only does the body require energy in order to regenerate itself, but strenuous activities can also put excessive strain on the healing incisions, possibly reopening your sutures and forcing them to take longer to heal.
  6. Avoid the Sun: There are many different things that can damage your skin, but few environmental factors are as harmful as ultraviolet light. Even minor exposure to the sun can significantly increase swelling and inflammation after a surgical procedure.  Because the newly healed skin around the surgical incisions can be very sensitive, so sun exposure can make any scars much more visible.

Every patient is unique and each has their own individual health requirements that make healing and recovery times vary significantly.  However, following these six simple guidelines can go a long way towards ensuring that your facial plastic surgery results meet or exceed all your expectations.  If you are interested in learning more about any of the non-surgical facial rejuvenation or cosmetic 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, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

What Procedures Can Improve the Appearance of My Chin?

November 8th, 2016 | Posted by drburstein_marketing in Blog | Chin / Neck Surgery | Frequently Asked Questions - (Comments Off on What Procedures Can Improve the Appearance of My Chin?)

In the years that I have been performing reconstructive and cosmetic facial plastic surgery, I have seen things change a great deal, but one thing that has remained constant is that every face is unique.  There is no such thing as a “typical treatment” because every patient has individual needs and concerns that require a personalized approach to facial rejuvenation.  Some come in looking for generalized improvement, with only a vague idea about how they want that accomplished, while others are interested only in addressing a single, highly specific area of concern.  One such area is the chin.  Whether it is too large, too small, or made irregular by accidental trauma, the size and shape of the chin can have drastic effects on the face as a whole.  Improving the appearance of this feature can be done in several different ways.

What Procedures Can Improve the Appearance of My ChinPatients who seek to change the look of their chin most frequently do so because they feel it looks too small.  A firm and pronounced chin can make a face look strong and decisive, while simultaneously making the neck look more slender and fit.  While it is possible to make the chin appear larger using an artificial implant, I have found that the results are usually more seamless and natural-looking when osseous genioplasty, or chin augmentation surgery, is performed instead.  In this procedure a portion of the chin is moved slightly forwards, increasing the projection and giving it a more clearly defined appearance.  The use of bone, tissue, and fat from the patient’s own body not only achieves an improved aesthetic result, but is also has a much lower risk of causing allergic reaction, surgical rejection, or post-operative infection.

However, it has also been my experience that many of those who are unhappy with the appearance of their chin area do not actually need chin surgery at all.  When the tissues and skin of the face lose their natural firmness and elasticity, usually due to simple aging, they tend to slide downward, producing sagging jowls or a double chin.  These symptoms are usually more effectively addressed with neck liposuction, to remove the hard to eliminate fat deposits, or a surgical neck lift procedure to tighten the underlying muscles and remove excess, sagging skin.  During a consultation we can discuss your individual needs and examine simulated before and after pictures in order to determine the specific approach that will give you the best possible plastic surgery results.

If you are interested in learning more about any of the non-surgical facial rejuvenation or cosmetic 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.

Maintenance Procedures Can Prolong Plastic Surgery Results

November 1st, 2016 | Posted by drburstein_marketing in Blog | Frequently Asked Questions | Plastic Surgery news - (Comments Off on Maintenance Procedures Can Prolong Plastic Surgery Results)

In the more than twenty-five years that I have been treating both adults and children as a board-certified plastic surgeon and otolaryngologist, I have made every possible effort to deliver consistently exceptional, long-lasting results, regardless of whether a patient is undergoing a cosmetic procedure or a more extensive reconstructive one.  However, it is important to remember that all faces change over time. As we grow older, the tissues, muscles, and ligaments of the face can all grow, sag, or shift.  Not only does this natural process contribute to the various signs of facial aging, but it can also distort the results of a previous plastic surgery procedure, making the final outcome much less satisfactory.  This is just one of the many reasons I often encourage my patients to undergo periodic non-surgical or minimally-invasive facial rejuvenation procedures to help maintain their plastic surgery results.  It has always been my philosophy of facial aging that making gradual, subtle improvements over time is the most efficient way to achieve the best possible outcomes.

Maintenance Procedures Can Prolong Plastic Surgery ResultsThere are many different ways that relatively quick and easy facial rejuvenation procedures can help prolong plastic surgery results.  For example, a full or mini-facelift procedure can create a more youthful appearance by eliminating wrinkles and folds across the entire face.  However, as the skin grows older, collagen production lessens, reducing elasticity and making it more difficult for the underlying facial musculature to prevent the skin from sagging.  A chemical peel or laser skin resurfacing treatment not only improves the outward appearance of the skin, but also stimulates natural collagen production, keeping the skin refreshed and resilient.  Similarly, even though a brow lift or forehead lift can effectively “turn back the clock” by alleviating sagging in the eyebrows and forehead region, it cannot prevent further aging from occurring.  Repeated facial movements often create frown lines between the eyebrows or crow’s feet around the corners of the eyes that make the face appear much older than it is.  A brief, fifteen minute Botox® treatment can relax the facial muscles responsible for the creation of these lines,  smoothing their appearance and helping to preserve the overall appearance of the entire upper face.

Many of my patients have found that maintenance procedures, because they make only very minor alterations, often achieve a more natural-looking result.  Their friends and relatives comment that they look refreshed and even more youthful, but cannot tell that they have had any additional work done.  These techniques effectively “press the pause button” on the aging process, temporarily preventing lines and wrinkles from forming and delaying the point at which other, more extensive facial cosmetic plastic surgery may become necessary without the need for extensive post-surgical recovery time.  Every patient is unique, and so I take a custom approach to every case, working closely with the patient to determine their specific needs.  If you are interested in prolonging the results of a facial plastic surgery procedure or if you are simply interested in any of the various anti-aging procedures I can perform, please contact me, Dr. Fernando Burstein, at my office to schedule a consultation so that we may discuss your individual needs.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.