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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

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.

Ask Dr. Burstein: Using Natural Materials for Facial Contouring

September 9th, 2016 | Posted by drburstein_marketing in Blog | Educational | Facial injectables | Frequently Asked Questions | Plastic Surgery news - (Comments Off on Ask Dr. Burstein: Using Natural Materials for Facial Contouring)

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-using-natural-materials-for-facial-contouringQUESTION: Years ago, my nose was badly broken and I needed to undergo reconstructive rhinoplasty in order to repair it.  Unfortunately, that surgery left an indentation on the bridge that looks unnatural, and I have wanted to have that defect repaired ever since.  Based on my research, I understand that I may need an implant to correct the contour of the nose, but I am very particular about what I put into my body and would like to avoid the use of any unnatural materials if at all possible.  Are there any alternative approaches that could improve my appearance without the use of artificial implants?

ANSWER: Certainly.  Rhinoplasty, or nose surgery, for both reconstructive and cosmetic purposes, is one of my specialties, and it has been my experience that natural alternatives to facial implants, taken from the patient’s own body, are usually safer and longer-lasting than their artificial analogs.  Silicone implants can sometimes be too rigid, and tend to exert too much pressure on the delicate skin of the nose.  Over time, this pressure can cause the skin to become thin to the point that the implant becomes visible underneath.  Since the majority of the nose is already formed from cartilage, additional cartilage taken from elsewhere in the body can be easily molded into the desired shape with a much lower chance of causing allergic reaction or rejection.

Additionally, the contours of the cheeks, nose, and areas around the eyes can often be softened, making them look more youthful and natural, through the use of a procedure called fat transfer.  Small amounts of fat are gently removed from elsewhere in the body and used to “fill in” areas that may appear sunken or gaunt.  Unlike artificial facial fillers, natural fat injected over the course of one or more sessions can last anywhere from seven to ten years before additional maintenance procedures are required, and the stem cells produced by this fat can potentially  improve the condition and appearance of the skin.

It is important to realize that every patient’s circumstances are unique, and every individual case requires careful scrutiny by an experienced, board certified plastic surgeon in order to determine the surgical plan that will yield the most natural looking 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 me, Dr. Fernando Burstein 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.

Get to Know Dr. Burstein’s Amazing Medical Team

September 2nd, 2016 | Posted by drburstein_marketing in Blog | Frequently Asked Questions | What's happening with Dr. Burstein - (Comments Off on Get to Know Dr. Burstein’s Amazing Medical Team)

For nearly thirty years as a board-certified plastic surgeon and otolaryngologist, I have had the privilege of being able to help thousands of men, women, and children from all over the world with a variety of concerns, ranging from cosmetic and anti-aging treatments to serious facial reconstructive procedures.  But if there is one thing that I have learned in all that time, it is that it all would have been impossible to do alone.  Fortunately I have had a tremendous amount of support in the form of my medical team, many of whom have been with me from the very beginning.  Here is a look at some of the people who make all of the work that I do possible.

atlanta plastic surgery teamThe newest addition to our practice is our Physician Assistant, Kalyani Pandya, who meets with patients in our clinic and directly assists me during surgery.  Born in Gujarat, India and raised in the suburbs of Detroit, Kalyani has had a cosmopolitan background and is fluent in English, Gujarati, and Hindi.  She is extremely eager to expand her already considerable knowledge of various surgical techniques so that she can use that expertise on mission trips in the future, and is quickly becoming an expert in administering injectable facial rejuvenation treatments with Botox® and facial fillers.

atlanta plastic surgery teamMichelle Coppenger, our Registered Nurse and Aesthetic Consulting Imaging Specialist, has been working with me for the past twenty years.  During patient consultations, Michelle takes before and after photos and then, using advanced computer imaging software, works with those photos to show patients a representation of what we can accomplish with various cosmetic plastic surgery procedures.  She also performs various non-surgical facial rejuvenation procedures for my patients and frequently does volunteer work with various outreach groups like the Community Action Center in Sandy Springs, Susan G. Komen for the Cure, National Charity League, and Foster Care Support.

atlanta plastic surgery teamThe day to day operation of my practice is largely handled by Administrative Assistants Lisa Merlino and Veronica Flores.  With more than a decade of experience as a Patient Care Coordinator, Lisa assists in the scheduling of surgeries and in conducting consultations and follow-ups, while Veronica works with insurance claims and referrals for my many pediatric and reconstructive plastic surgery patients, helps coordinate insurance authorizations, and schedules patient appointments.  Both have been essential parts of my practice for years, and I don’t know what I would ever do without them.

atlanta plastic surgery teamWhen you manage to gather a team of dedicated individuals like this, who work together so seamlessly, you can do truly remarkable things.  I personally know that it is in large part the support of these talented professionals that makes it possible for me to consistently achieve exceptional facial plastic surgery results.  If you are interested in learning more about any of the cosmetic, reconstructive, or pediatric plastic surgery procedures that I perform, I would welcome you to contact my 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.

How Do I Treat Aging Eyelids?

August 26th, 2016 | Posted by drburstein_marketing in Blog | Eye Rejuvenation | Frequently Asked Questions - (Comments Off on How Do I Treat Aging Eyelids?)

Facial aging affects everyone, but treating it can often be complicated.  Each individual face ages differently and it often seems as though every fold and contour has its own, highly-specific, medical terminology and treatment method.  One of the most common early signs of facial aging is a sagging or drooping of the upper eyelid, which can make the eye appear smaller and even partially obscure vision.  Because the eyes are usually the focus of social interaction, and because the upper third of the face can be one of the first areas where signs of aging become noticeable, this issue can be a primary concern for many of my facial plastic surgery patients.  In some cases, non-surgical facial rejuvenation treatments, like Botox®, can temporarily alleviate these symptoms, but for many patients cosmetic facial plastic surgery procedures are able to provide more long-term relief.

How Do I Treat Aging EyelidsLifting the Forehead

One of the primary causes of facial aging is the gradual loss of skin elasticity that affects all men and women, to one degree or another, as they start to grow older.  Youthful, resilient skin “bounces back” to its original shape when it is stretched and moved and maintains that lifted and firm shape even under the constant pressure of gravity.  However, as elasticity starts to wane, features can start to sag and droop, sliding to a lower position on the face and taking on a wrinkled and deflated appearance.  This is particularly problematic in the eyebrow and forehead region, as sagging skin can make the eyes appear tired or hooded.  A brow lift, or forehead lift, removes excess sagging skin and re-tightens the muscles in the upper third of the face, subtly raising the brows and smoothing the forehead.  In many cases, the procedures can even be performed using special endoscopic brow lift techniques that minimize the appearance of post-surgical scars.

Revealing the Eyes

The upper eyelid is lifted and supported by the tiny levator muscle, and when age causes its attachment to the lid to weaken, the eyelid can noticeably droop, giving the face a tired and sleepy appearance.  In many cases, particularly in male faces, this effective narrowing of the eyes can also make the patient seem to be perpetually angry or distrustful.  Blepharoplasty, or eyelid surgery, on the upper eyelids removes tiny amounts of excess skin and tightens the muscles surrounding the eyes, lifting the eyelids back to their natural, youthful position.  A similar procedure can be performed on the lower eyelids as well, where it also removes fat deposits that can contribute to puffy, under-eye bags.

Every patient is unique and every face ages differently, and I would welcome you to contact my office to schedule a consultation so that we can determine what facial rejuvenation procedures are right for you.  If you are interested in a brow lift or in any of the other facial plastic surgery procedures that I perform, find out more by connecting with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.