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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 different facial plastic surgery procedures, but the most well-known is rhinoplasty, or nose surgery.  In fact, according to statistics compiled by the American Society of Plastic Surgeons, more than 217,000 rhinoplasty procedures were performed in 2014, making it the most frequently performed facial plastic surgery procedure in America.  Although many think that rhinoplasty to alter the size or shape of the nose is only cosmetic, this unappreciated facial feature is actually far more than a simple ornament.  The nose is a highly sophisticated organ that performs a number of vital functions.  Here is some insight into what makes the nose so important.

Why is the Nose So ImportantThe Nose Filters Airflow

The nose is responsible for processing approximately 18,000 to 20,000 liters of air each day, which is filtered, humidified, and warmed before it comes into contact with sensitive lung tissue.  As air enters through the nostrils, it passes over hundreds of tiny hairs that act as filters, capturing pollen, dust, and germs.  The air is then funneled along the nasal turbinates, elongated bony structures, covered with nasal mucosa, that project off the nasal side walls and stretch across the entire nasal airway.  Not only do these structures cause the air to swirl and churn, giving it time to warm and moisten in the nasal cavity, but it also brings the air into contact with mucus that contains infection-fighting enzymes and white blood cells.  Many patients who suffer from restricted airflow as a result of damaged turbinates or a deviated septum can find relief with reconstructive rhinoplasty procedures.

The Nose Detects Smells

The nose is also integral to our senses of smell and taste.  Airborne molecules enter the nose and travel over a patch of olfactory sensors on the ceiling of the nasal cavity.  There they activate finger-like receptors that transmit chemical signals up to a central processor in the brain called the olfactory bulb, which registers the scent.  Humans have approximately 12 million of these olfactory receptor cells, allowing us to detect and recognize thousands of different smells even in extremely small concentrations.  Even minor damage to these delicate structures can permanently affect a patient’s ability to smell and, by extension, taste, which is one of the reasons why cosmetic rhinoplasty procedures should always be performed by a highly experienced, board-certified plastic surgeon.

Every Nose is Unique and Constantly Changing

The nose is a complex and highly specific structure made up of numerous pieces of cartilage and bone, and the combination of differences in these individual pieces can combine to create a truly unique appearance.  Although the overall nasal shape is determined by about the age of ten, the nose continues to grow slowly until about age 15 to 17 in women and about age 17 to 19 in men.  This potential to grow and shift is what makes rhinoplasty on adolescents particularly complex.  Moreover, the nose tends to lengthen and droop over time, due to the effects of gravity and the gradual breakdown of the proteins collagen and elastin in the skin.  As a result, I have found that rhinoplasty to sculpt the tip of the nose can often complement a full facelift procedure and give the patient a more harmoniously youthful overall appearance.

If you are interested in learning more about nose surgery, or about how any of the other facial plastic surgery procedures that I perform may be able to help you, please contact me, Dr. Fernando Burstein.  Additionally, Atlanta Plastic Surgery, P.C. provides a variety of options for financing, including Care Credit®, in order to assist you.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Non-surgical facial rejuvenation techniques are more popular than ever.  Since 2000, the number of Botox®-related cosmetic facial procedures performed in the United States increased by nearly 750%.  Similarly, the numbers of soft tissue filler and laser skin resurfacing treatments have each more than tripled over the same period.  Altogether, these minimally-invasive techniques accounted for more than 60% of the cosmetic plastic surgery procedures performed in the United States in 2014.  But despite the popularity of these versatile procedures, many patients have found that they can achieve much more substantial and long-lasting results by combining them with more traditional plastic surgery techniques.  Advancements in surgical technology and technique allow for modern plastic surgery procedures to be tailored specifically to the needs of the individual patient, allowing them to achieve exceptionally natural-looking results with significantly reduced recovery time and cost.

non surgical facial rejuvenation atlanta ga - dr fernando bursteinIn the more than twenty-five years that I have been a practicing facial plastic surgeon in Atlanta, I have come to believe that patients should begin their treatment plans earlier in the aging process, and only undergo more comprehensive, surgical procedures as they become necessary later in life.  It is my facial rejuvenation philosophy that this graduated approach, focusing on each patient’s specific areas of concern, is the best way to address the traditional signs of facial aging and keep the patient looking younger, longer.  Early in the process, particularly when patients are in their early thirties, non-surgical facial rejuvenation procedures are usually enough.  Laser skin resurfacing treatments can help treat skin that has been damaged by excessive sun exposure, and injections of Botox® or facial fillers like Juvéderm® can alleviate the appearance of tiny expression lines early, preventing them from deepening to form more substantial facial wrinkles later on.  As the years go by, however, the tissues and muscles that support facial architecture naturally begin to weaken, potentially making these techniques less effective.  The effects of facial rejuvenation treatments can generally only last for several months, but studies have found that patients who had undergone facelift surgery still looked younger than they did before the procedure even after an average of five and a half years.  Ultimately, minimally invasive facial rejuvenation procedures do not have the long-term persistence that full plastic surgery can provide.

However, modern facial plastic surgery techniques are very different than the ones that were used even a few decades ago.  Long gone are the dramatic, stretched, wind-blown appearances that characterized facelifts in the 1970’s and 80’s.  Instead, today’s plastic surgery patient can benefit from highly targeted procedures, specifically designed to address individual areas of concern.  Mini-facelifts, for example, can focus on the upper, middle, or lower thirds of the face, depending on which areas of concern the patient would most like to address and which are needed.  This increased specialization makes it possible to achieve subtle effects with less extensive surgery, which means less post-surgery recovery time and results that will give you a rejuvenated look without making it obvious that you have had any work done at all.

It is important to note that facial aging can vary dramatically from person to person, and the different areas of the face usually do not age at precisely the same rate.  I believe that every patient needs a personal treatment plan to address facial aging in order to achieve the best results.  Contact me and schedule a personalized consultation to find out how you can achieve the look you want with a minimum amount of surgical downtime and discomfort.

About Dr. Fernando D. Burstein, M.D., F.A.C.S., F.A.A.P.

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 Atlanta Magazine’s Top Doctors, a peer-nominated award in the field of plastic surgery, for the past seven consecutive years.

Understanding the Structure of the Skull

January 25th, 2016 | Posted by drburstein_marketing in Blog | Frequently Asked Questions - (Comments Off on Understanding the Structure of the Skull)

Facial plastic surgery can accomplish a great deal, subtly sculpting and shifting the muscles and tissues of the face to correct deformities or simply to give the face a more aesthetically pleasing appearance.  However it would all be impossible without a thorough understanding of the skull itself.  As a board certified plastic surgeon and otolaryngologist (head and neck surgeon) with more than twenty-five years of experience, I think of the skull as the underlying architecture, the foundation that supports all of the facial plastic surgery procedures that I perform.  Here are a few interesting facts about this all-important area of the body.

Understanding the Structure of the SkullIn Infancy the Skull Is Flexible

The skull itself is made up of twenty-two distinct bones, joined together by fibrous bands of tissue called cranial sutures.  During infancy and childhood, these sutures are flexible, allowing the brain to grow quickly while protecting it from minor impacts to the head.  When the sutures fail to fuse correctly, a condition known as craniosynostosis, surgery is often necessary to correct the defects and prevent potential neurological side effects.

Fourteen Bones Make Up the Face Alone

The eight largest of the bones in the skull form the cranium, which serves as a protective case for the brain, while the remaining fourteen make up the structure of the face and jaw.  These smaller facial bones can often be subtly shaped and sculpted during any of the various facial contouring procedures.  Chin augmentation or reduction, for example, can use various techniques to either increase or reduce the size of the chin so that it better compliments the other facial features.

The Adult Skull Only Has One Moving Part

The jawbone, technically known as the mandible, is the largest and strongest bone in the skull, and technically the only bone in the skull that moves.  Disease or traumatic injury to the jaw can affect the jaw’s alignment, causing a condition called malocclusion.  Severe cases require treatment with surgical jaw realignment to reposition the jaw bone segments so that the teeth fit together more naturally.

The Nose Is Almost All Cartilage

There is only one bone, called the volmer, that helps provide stability for the structure of the nose.  The rest is made up of flexible cartilage that can be easily molded and shaped.  Injury or congenital defect can easily alter the structure of the nose, potentially affecting both appearance and functionality.  However the flexibility of nasal cartilage makes it possible for a skilled plastic surgeon to alter the size and shape of the nose using rhinoplasty procedures.

Understanding how the various bones, muscles, and tissues that make up the face all work together is the first step towards achieving the most natural looking plastic surgery and facial rejuvenation results.  If you are interested in any of the other facial plastic surgery procedures that I perform or would like to schedule a consultation to discuss your particular needs, I would welcome you to contact my office for additional information.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

What Can You Do to Slow Down Facial Aging?

January 18th, 2016 | Posted by drburstein_marketing in Blog | Non surgical facial rejuvenation | Skin Care - (Comments Off on What Can You Do to Slow Down Facial Aging?)

Just about everyone wishes that they could look and feel younger.  Many men and women accept that aging is a natural and unavoidable part of life, and believe that how well we age is largely determined by our genes, but this may not be entirely true.  Several studies have suggested that genetics only account for approximately 20 to 30 percent of an individual’s longevity, and that other factors like lifestyle choices and environmental influences can actually play much larger roles in determining not only how long one will live, but also how well one ages.  There are a number of different cosmetic facial plastic surgery procedures that can help alleviate many of the traditional signs of facial aging, but there are also a few simple guidelines that you can follow to help keep your face looking young and vital for many years to come.

What Can You Do to Slow Down Facial AgingAvoid the Sun

Ultraviolet light from the sun accelerates destruction of the collagen fibers responsible for keeping the skin flexible and elastic, contributing to the formation of wrinkles.  Moreover, acceleration of the skin’s oxidation process increases abnormal cell division, which is why exposure to solar radiation also increases the risk of malignant and pre-malignant skin lesions.  Prolonged sun exposure can also damage the sebaceous glands, leading to overly dry and sensitive skin.

Stop Smoking

Studies have found that the levels vitamin C, a key component in the production of collagen fibers, are on average up to 60% lower in the blood of smokers than in the blood of those who do not smoke.  This is believed to be one of the major reasons why smoking typically causes the premature appearance of fine lines and wrinkles in areas where the skin is very thin, like around the eyes and above the upper lip.

Eat Healthy

A diet with too many simple sugars and sweets can cause the connective tissue of the skin to become rigid and lose its elasticity.  Conversely, complex proteins are vital to the body’s production of hyaluronic acid, collagen and elastin fibers, all of which are necessary in order for the skin to appear fresh and vital.  Antioxidants from fresh fruits and vegetables can also help to partially neutralize the oxidative damage associated with prolonged exposure to the sun.

Get Enough Sleep

During the deepest stages of sleep is actually one of the only times that the adult pituitary gland secretes growth hormone, which plays a major role in maintaining and renewing the various body tissues, including the skin.  Prolonged lack of sleep clearly accelerates the signs of facial aging in the face and can potentially cause a variety of related health issues.

Even if you have not taken care of your skin for many years, there is no reason to fret.  Many of the traditional signs of facial aging can be alleviated in a variety of ways, ranging from minimally-invasive injectable facial rejuvenation treatments like Botox® and Juvéderm® to more extensive facial plastic surgery procedures like brow, neck, and facelifts.  If you are interested in learning more about how the facial plastic surgery procedures that I perform may be able to help you, please contact me, Dr. Fernando Burstein.  Additionally, Atlanta Plastic Surgery, P.C. provides a variety of options for financing, including Care Credit®, in order to assist you.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

The Secrets of Subtle Facial Contouring

January 8th, 2016 | Posted by drburstein_marketing in Blog | Face Lift Surgery - (Comments Off on The Secrets of Subtle Facial Contouring)

Over the course of the last twenty-five years as a practicing facial cosmetic and reconstructive surgeon in Atlanta, I have met hundreds of people interested in facial plastic surgery procedures.  It seems that almost everyone has a specific feature or minor detail that they would like to see altered in some way.  Some patients may come to me interested in having their noses reduced in size, while others are seeking a more prominent jawline.  There are countless minor alterations that can be made to the face, each subtly sculpting it into a more balanced and aesthetically pleasing appearance.  However, many do not realize that far more natural-looking results can often be achieved by combining facial procedures for a more harmonious look.

subtle facial contouring atlanta gaWhile plastic surgeons typically look at specific features or regions of the face as separate and discrete, I have found that it is also extremely beneficial to evaluate the face as a whole, paying particular attention to how the individual portions work together and complement one another.  It has always been my philosophy that the best way to approach the treatment of facial aging is for patients begin addressing the issues early, using minimally-invasive, targeted treatments, like chemical peels and injectable facial fillers, to make subtle changes gradually.  Not only does this help to avoid an unnatural “over-worked” appearance, but it can also keep the patient looking younger, longer, delaying the point at which more comprehensive procedures may be necessary later in life.

The same ideas can also apply to facial contouring procedures.  Oftentimes smaller, more subtle changes, when skillfully made, can achieve far more natural looking and aesthetically pleasing results with shorter surgical downtimes.  For example, a patient may believe their nose is uncomfortably large and want its size significantly reduced with rhinoplasty.  However, a drastic change in the size and shape of the nose may cause it to look unnatural and potentially even restrict airflow.  By pairing a less dramatic nose surgery with genioplasty, or chin augmentation surgery, it is often possible to deemphasize the nose by balancing the other facial features.  Similarly, a heavy, sagging brow line may cause the eyes to appear small and shadowed, but a full face lift or brow lift may prove overly invasive for some patients.  A simple blepharoplasty, focusing on the upper and/or lower eyelids, can reduce puffiness and sagging and make the eyes appear wider and less tired. In both cases, the result is an improvement that is clearly noticeable, but subtle, so that others are left unsure that any work was done at all.

If you are interested in learning more about a facial plastic surgery procedure I perform, please contact me, Dr. Fernando Burstein, today.  Additionally, Atlanta Plastic Surgery, P.C. provides a variety of options for financing, including Care Credit®, in order to assist you.  Connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.